S82.455J — Nondisplaced comminuted fracture of shaft of left fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
S82.455J is a billable, specific ICD-10-CM code for nondisplaced comminuted fracture of shaft of left fibula, subsequent encounter for open fracture type iiia, iiib, or iiic with delayed healing. It is valid for submission on a claim.
7th character "J" — subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
The appropriate 7th character is to be added to all codes from category S82
- A
- initial encounter for closed fracture
- B
- initial encounter for open fracture type I or II
- C
- initial encounter for open fracture type IIIA, IIIB, or IIIC
- D
- subsequent encounter for closed fracture with routine healing
- E
- subsequent encounter for open fracture type I or II with routine healing
- F
- subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- G
- subsequent encounter for closed fracture with delayed healing
- H
- subsequent encounter for open fracture type I or II with delayed healing
- J
- subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- K
- subsequent encounter for closed fracture with nonunion
- M
- subsequent encounter for open fracture type I or II with nonunion
- N
- subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- P
- subsequent encounter for closed fracture with malunion
- Q
- subsequent encounter for open fracture type I or II with malunion
- R
- subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S
- sequela
Excludes1 inherited from the categories above S82.455J
These are not written on S82.455J, but they bind it: a note on a category applies to every code beneath it. Billing S82.455J with anything listed here is a denial.
Excludes2 inherited from the categories above S82.455J
Also inherited, and the opposite of Excludes1: these conditions are not part of S82.455J, but a patient can have both, so you may code both.
Other codes that can never be billed with S82.455J
These codes carry an Excludes1 note pointing at S82.455J. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading S82.455J alone.
Risk adjustment
S82.455J does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
S82.455J is named in 5 Medicare coverage policies — 5 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52465Knee Orthoses - Policy Article
- A52465Knee Orthoses - Policy Article
- A53058Billing and Coding: Home Health Physical Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
Code history
S82.455J has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.
Related codes at this level
Codes that share S82.455. If S82.455J is not quite right, the correct code is usually one of these.
- S82.455ANondisplaced comminuted fracture of shaft of left fibula, initial encounter for closed fracture
- S82.455BNondisplaced comminuted fracture of shaft of left fibula, initial encounter for open fracture type I or II
- S82.455CNondisplaced comminuted fracture of shaft of left fibula, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S82.455DNondisplaced comminuted fracture of shaft of left fibula, subsequent encounter for closed fracture with routine healing
- S82.455ENondisplaced comminuted fracture of shaft of left fibula, subsequent encounter for open fracture type I or II with routine healing
- S82.455FNondisplaced comminuted fracture of shaft of left fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S82.455GNondisplaced comminuted fracture of shaft of left fibula, subsequent encounter for closed fracture with delayed healing
- S82.455HNondisplaced comminuted fracture of shaft of left fibula, subsequent encounter for open fracture type I or II with delayed healing
- S82.455KNondisplaced comminuted fracture of shaft of left fibula, subsequent encounter for closed fracture with nonunion
- S82.455MNondisplaced comminuted fracture of shaft of left fibula, subsequent encounter for open fracture type I or II with nonunion
- S82.455NNondisplaced comminuted fracture of shaft of left fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S82.455PNondisplaced comminuted fracture of shaft of left fibula, subsequent encounter for closed fracture with malunion
- S82.455QNondisplaced comminuted fracture of shaft of left fibula, subsequent encounter for open fracture type I or II with malunion
- S82.455RNondisplaced comminuted fracture of shaft of left fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S82.455SNondisplaced comminuted fracture of shaft of left fibula, sequela
Questions about S82.455J
- Is S82.455J a billable ICD-10-CM code?
- Yes. S82.455J is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S82.455J sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the knee and lower leg (S80-S89).
- What cannot be coded together with S82.455J?
- S82.455J carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above S82.455J (S82) and apply to it just the same.