S82.865H
S82.865H — Nondisplaced Maisonneuve's fracture of left leg, subsequent encounter for open fracture type I or II with delayed healing
Billable / specific codeICD-10-CMPOA exemptleft
S82.865H is a billable, specific ICD-10-CM code for nondisplaced maisonneuve's fracture of left leg, subsequent encounter for open fracture type i or ii with delayed healing. It is valid for submission on a claim.
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
Risk adjustment
S82.865H 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
S82.865H 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
Related codes at this level
Codes that share S82.865. If S82.865H is not quite right, the correct code is usually one of these.
- S82.865ANondisplaced Maisonneuve's fracture of left leg, initial encounter for closed fracture
- S82.865BNondisplaced Maisonneuve's fracture of left leg, initial encounter for open fracture type I or II
- S82.865CNondisplaced Maisonneuve's fracture of left leg, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S82.865DNondisplaced Maisonneuve's fracture of left leg, subsequent encounter for closed fracture with routine healing
- S82.865ENondisplaced Maisonneuve's fracture of left leg, subsequent encounter for open fracture type I or II with routine healing
- S82.865FNondisplaced Maisonneuve's fracture of left leg, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S82.865GNondisplaced Maisonneuve's fracture of left leg, subsequent encounter for closed fracture with delayed healing
- S82.865JNondisplaced Maisonneuve's fracture of left leg, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S82.865KNondisplaced Maisonneuve's fracture of left leg, subsequent encounter for closed fracture with nonunion
- S82.865MNondisplaced Maisonneuve's fracture of left leg, subsequent encounter for open fracture type I or II with nonunion
- S82.865NNondisplaced Maisonneuve's fracture of left leg, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S82.865PNondisplaced Maisonneuve's fracture of left leg, subsequent encounter for closed fracture with malunion
- S82.865QNondisplaced Maisonneuve's fracture of left leg, subsequent encounter for open fracture type I or II with malunion
- S82.865RNondisplaced Maisonneuve's fracture of left leg, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S82.865SNondisplaced Maisonneuve's fracture of left leg, sequela
Questions about S82.865H
- Is S82.865H a billable ICD-10-CM code?
- Yes. S82.865H is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S82.865H 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).