S82.492Q — Other fracture of shaft of left fibula, subsequent encounter for open fracture type I or II with malunion
S82.492Q is a billable, specific ICD-10-CM code for other fracture of shaft of left fibula, subsequent encounter for open fracture type i or ii with malunion. It is valid for submission on a claim.
7th character "Q" — subsequent encounter for open fracture type I or II with malunion
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 S82.492Q
These are not written on S82.492Q, but they bind it: a note on a category applies to every code beneath it. Billing S82.492Q with anything listed here is a denial.
Excludes2 inherited from the categories above S82.492Q
Also inherited, and the opposite of Excludes1: these conditions are not part of S82.492Q, but a patient can have both, so you may code both.
Other codes that can never be billed with S82.492Q
These codes carry an Excludes1 note pointing at S82.492Q. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading S82.492Q alone.
Risk adjustment
S82.492Q 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
S82.492Q is named in 4 Medicare coverage policies — 4 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
S82.492Q 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 S82.492. If S82.492Q is not quite right, the correct code is usually one of these.
- S82.492AOther fracture of shaft of left fibula, initial encounter for closed fracture
- S82.492BOther fracture of shaft of left fibula, initial encounter for open fracture type I or II
- S82.492COther fracture of shaft of left fibula, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S82.492DOther fracture of shaft of left fibula, subsequent encounter for closed fracture with routine healing
- S82.492EOther fracture of shaft of left fibula, subsequent encounter for open fracture type I or II with routine healing
- S82.492FOther fracture of shaft of left fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S82.492GOther fracture of shaft of left fibula, subsequent encounter for closed fracture with delayed healing
- S82.492HOther fracture of shaft of left fibula, subsequent encounter for open fracture type I or II with delayed healing
- S82.492JOther fracture of shaft of left fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S82.492KOther fracture of shaft of left fibula, subsequent encounter for closed fracture with nonunion
- S82.492MOther fracture of shaft of left fibula, subsequent encounter for open fracture type I or II with nonunion
- S82.492NOther fracture of shaft of left fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S82.492POther fracture of shaft of left fibula, subsequent encounter for closed fracture with malunion
- S82.492ROther fracture of shaft of left fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S82.492SOther fracture of shaft of left fibula, sequela
Questions about S82.492Q
- Is S82.492Q a billable ICD-10-CM code?
- Yes. S82.492Q is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S82.492Q 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 S82.492Q?
- S82.492Q 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 S82.492Q (S82) and apply to it just the same.