Fracture of upper end of tibia

Not billableICD-10-CM diagnosis code.

This code exists but cannot be submitted on its own. It groups the more specific codes beneath it.

A category header for its whole life, FY2016 onwards. It has never been valid for submission on its own.

Submit one of these 8 more specific codes instead:

S82.10 Unspecified fracture of upper end of tibia (also a header)
S82.11 Fracture of tibial spine (also a header)
S82.12 Fracture of lateral condyle of tibia (also a header)
S82.13 Fracture of medial condyle of tibia (also a header)
S82.14 Bicondylar fracture of tibia (also a header)
S82.15 Fracture of tibial tuberosity (also a header)
S82.16 Torus fracture of upper end of tibia (also a header)
S82.19 Other fracture of upper end of tibia (also a header)

This code requires a seventh character. See the rule below.

What has happened to this code

Every change the publisher made, from 2012 to now. Entries marked draft are from the pre-implementation releases: ICD-10 took effect on 1 October 2015, so nothing before FY2016 was ever valid on a claim.

FY2012 Added to the draft code set draft Fracture of upper end of tibia

Official coding rules

Published by CDC for FY2027. A rule attached to a category binds every code beneath it, so the rules inherited from this code's ancestors are shown with the code they come from.

Inherited from S82 Fracture of lower leg, including ankle

Seventh character required

The appropriate 7th character is to be added to all codes from category S82

Seventh character values

initial encounter for open fracture NOS

Excludes1 - never coded here

traumatic amputation of lower leg (S88.-)

Excludes2 - not included here

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-)

Includes

fracture of malleolus

Note

A fracture not indicated as displaced or nondisplaced should be coded to displaced
A fracture not indicated as open or closed should be coded to closed
The open fracture designations are based on the Gustilo open fracture classification

Inherited from the S80-S89 section Injuries to the knee and lower leg (S80-S89)

Excludes2 - not included here

burns and corrosions (T20-T32)
frostbite (T33-T34)
injuries of ankle and foot, except fracture of ankle and malleolus (S90-S99)
insect bite or sting, venomous (T63.4)

Codes in the same group

Code	Description	Status
S82.0	Fracture of patella	Not billable
S82.2	Fracture of shaft of tibia	Not billable
S82.3	Fracture of lower end of tibia	Not billable
S82.4	Fracture of shaft of fibula	Not billable
S82.5	Fracture of medial malleolus	Not billable
S82.6	Fracture of lateral malleolus	Not billable
S82.8	Other fractures of lower leg	Not billable
S82.9	Unspecified fracture of lower leg	Not billable