S82.90XE — Unspecified fracture of unspecified lower leg, subsequent encounter for open fracture type I or II with routine healing
S82.90XE is a billable, specific ICD-10-CM code for unspecified fracture of unspecified lower leg, subsequent encounter for open fracture type i or ii with routine healing. It is valid for submission on a claim.
7th character "E" — subsequent encounter for open fracture type I or II with routine 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
S82.90XE 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
S82.90XE is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
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Related codes at this level
Codes that share S82.90. If S82.90XE is not quite right, the correct code is usually one of these.
- S82.90XAUnspecified fracture of unspecified lower leg, initial encounter for closed fracture
- S82.90XBUnspecified fracture of unspecified lower leg, initial encounter for open fracture type I or II
- S82.90XCUnspecified fracture of unspecified lower leg, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S82.90XDUnspecified fracture of unspecified lower leg, subsequent encounter for closed fracture with routine healing
- S82.90XFUnspecified fracture of unspecified lower leg, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S82.90XGUnspecified fracture of unspecified lower leg, subsequent encounter for closed fracture with delayed healing
- S82.90XHUnspecified fracture of unspecified lower leg, subsequent encounter for open fracture type I or II with delayed healing
- S82.90XJUnspecified fracture of unspecified lower leg, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S82.90XKUnspecified fracture of unspecified lower leg, subsequent encounter for closed fracture with nonunion
- S82.90XMUnspecified fracture of unspecified lower leg, subsequent encounter for open fracture type I or II with nonunion
- S82.90XNUnspecified fracture of unspecified lower leg, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S82.90XPUnspecified fracture of unspecified lower leg, subsequent encounter for closed fracture with malunion
- S82.90XQUnspecified fracture of unspecified lower leg, subsequent encounter for open fracture type I or II with malunion
- S82.90XRUnspecified fracture of unspecified lower leg, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S82.90XSUnspecified fracture of unspecified lower leg, sequela
Questions about S82.90XE
- Is S82.90XE a billable ICD-10-CM code?
- Yes. S82.90XE is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S82.90XE 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).