S82.391M

Other fracture of lower end of right tibia, subsequent encounter for open fracture type I or II with nonunion

Billable / specificPOA exempt

S82.391M is a billable, specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes in FY2027.

Inclusion terms

Includes (from S82)

  • fracture of malleolus
  • Note: Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
  • Note: The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.
  • Note: A fracture not indicated as displaced or nondisplaced should be coded to displaced
  • Note: A fracture not indicated as open or closed should be coded to closed
  • Note: The open fracture designations are based on the Gustilo open fracture classification

Excludes1

Not coded here — never report together with this code.

  • bimalleolar fracture of lower leg (S82.84-) (from S82.3)
  • fracture of medial malleolus alone (S82.5-) (from S82.3)
  • Maisonneuve's fracture (S82.86-) (from S82.3)
  • pilon fracture of distal tibia (S82.87-) (from S82.3)
  • trimalleolar fractures of lower leg (S82.85-) (from S82.3)
  • traumatic amputation of lower leg (S88.-) (from S82)

Excludes2

Not included here — may be reported together when both conditions exist.

  • birth trauma (P10-P15) (from S82)
  • obstetric trauma (O70-O71) (from S82)
  • burns and corrosions (T20-T32) (from S82)
  • frostbite (T33-T34) (from S82)
  • injuries of ankle and foot, except fracture of ankle and malleolus (S90-S99) (from S82)
  • insect bite or sting, venomous (T63.4) (from S82)
  • fracture of foot, except ankle (S92.-) (from S82)
  • periprosthetic fracture around internal prosthetic ankle joint (M97.2) (from S82)
  • periprosthetic fracture around internal prosthetic implant of knee joint (M97.1-) (from S82)

Use additional code

Add a code to identify the following, if applicable.

  • code to identify any retained foreign body, if applicable (Z18.-) (from S82)

7th character

The 7th character values that apply to this code (defined at S82). Use the placeholder "X" for missing positions.

CharacterMeaning
Ainitial encounter for closed fracture
Binitial encounter for open fracture type I or II
Cinitial encounter for open fracture type IIIA, IIIB, or IIIC
Dsubsequent encounter for closed fracture with routine healing
Esubsequent encounter for open fracture type I or II with routine healing
Fsubsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
Gsubsequent encounter for closed fracture with delayed healing
Hsubsequent encounter for open fracture type I or II with delayed healing
Jsubsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
Ksubsequent encounter for closed fracture with nonunion
Msubsequent encounter for open fracture type I or II with nonunion
Nsubsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
Psubsequent encounter for closed fracture with malunion
Qsubsequent encounter for open fracture type I or II with malunion
Rsubsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
Ssequela

Parent code

  • S82.391Other fracture of lower end of right tibiaNeeds 7th char

Related codes

  • S82.391AOther fracture of lower end of right tibia, initial encounter for closed fractureBillable
  • S82.391BOther fracture of lower end of right tibia, initial encounter for open fracture type I or IIBillable
  • S82.391COther fracture of lower end of right tibia, initial encounter for open fracture type IIIA, IIIB, or IIICBillable
  • S82.391DOther fracture of lower end of right tibia, subsequent encounter for closed fracture with routine healingBillable
  • S82.391EOther fracture of lower end of right tibia, subsequent encounter for open fracture type I or II with routine healingBillable
  • S82.391FOther fracture of lower end of right tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healingBillable
  • S82.391GOther fracture of lower end of right tibia, subsequent encounter for closed fracture with delayed healingBillable
  • S82.391HOther fracture of lower end of right tibia, subsequent encounter for open fracture type I or II with delayed healingBillable
  • S82.391JOther fracture of lower end of right tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healingBillable
  • S82.391KOther fracture of lower end of right tibia, subsequent encounter for closed fracture with nonunionBillable
  • S82.391NOther fracture of lower end of right tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunionBillable
  • S82.391POther fracture of lower end of right tibia, subsequent encounter for closed fracture with malunionBillable
  • S82.391QOther fracture of lower end of right tibia, subsequent encounter for open fracture type I or II with malunionBillable
  • S82.391ROther fracture of lower end of right tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunionBillable
  • S82.391SOther fracture of lower end of right tibia, sequelaBillable

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