MCMedicalCodingSoftware
S82.65XH

S82.65XH: Nondisplaced fracture of lateral malleolus of left fibula, subsequent encounter for open fracture type I or II with delayed healing

Billable / specific codeICD-10-CMPOA exemptleft

S82.65XH is a billable, specific ICD-10-CM code for nondisplaced fracture of lateral malleolus of left fibula, subsequent encounter for open fracture type i or ii with delayed healing. It is valid for submission on a claim.

Check S82.65XH with the rest of the claim: free scrubber

7th character "H": subsequent encounter for open fracture type I or II 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 S82.65XH

A category’s note binds every code beneath it.

Written on S82.6: Fracture of lateral malleolus

  • pilon fracture of distal tibia (S82.87-)

Written on S82: Fracture of lower leg, including ankle

  • traumatic amputation of lower leg (S88.-)

Excludes2 inherited from the categories above S82.65XH

Not part of this code, but both may be coded when both are present.

Written on S82: Fracture of lower leg, including ankle

  • fracture of foot, except ankle (S92.-)
  • periprosthetic fracture around internal prosthetic ankle joint (M97.2)
  • periprosthetic fracture around internal prosthetic implant of knee joint (M97.1-)

Other codes that can never be billed with S82.65XH

Their own Excludes1 notes name this code, so the conflict is not listed above.

  • M84.3Stress fracture
  • M84.4Pathological fracture, not elsewhere classified
  • S81Open wound of knee and lower leg

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

S82.65XH is named in 4 Medicare coverage policies: 4 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • A52465Knee Orthoses - Policy Article
  • A53058Billing and Coding: Home Health Physical Therapy
  • A53065Billing and Coding: Outpatient Physical Therapy
  • A57311Billing and Coding: Physical Therapy - Home Health

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under S82.65

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.