Other fracture of upper end of unspecified 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 16 more specific codes instead:

S82.199A Other fracture of upper end of unspecified tibia, initial encounter for closed fracture
S82.199B Other fracture of upper end of unspecified tibia, initial encounter for open fracture type I or II
S82.199C Other fracture of upper end of unspecified tibia, initial encounter for open fracture type IIIA, IIIB, or IIIC
S82.199D Other fracture of upper end of unspecified tibia, subsequent encounter for closed fracture with routine healing
S82.199E Other fracture of upper end of unspecified tibia, subsequent encounter for open fracture type I or II with routine healing
S82.199F Other fracture of upper end of unspecified tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
S82.199G Other fracture of upper end of unspecified tibia, subsequent encounter for closed fracture with delayed healing
S82.199H Other fracture of upper end of unspecified tibia, subsequent encounter for open fracture type I or II with delayed healing
S82.199J Other fracture of upper end of unspecified tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
S82.199K Other fracture of upper end of unspecified tibia, subsequent encounter for closed fracture with nonunion
S82.199M Other fracture of upper end of unspecified tibia, subsequent encounter for open fracture type I or II with nonunion
S82.199N Other fracture of upper end of unspecified tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
S82.199P Other fracture of upper end of unspecified tibia, subsequent encounter for closed fracture with malunion
S82.199Q Other fracture of upper end of unspecified tibia, subsequent encounter for open fracture type I or II with malunion
S82.199R Other fracture of upper end of unspecified tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
S82.199S Other fracture of upper end of unspecified tibia, sequela

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

What has happened to this code

Every change the publisher made, from 2014 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.

FY2014 Added to the draft code set draft Other fracture of upper end of unspecified 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)

How CDC's index refers to this code

Wording from the official alphabetic index. Much of it appears nowhere in the code description, which is why a search for the everyday phrase so often finds nothing.

Fracture, traumatic > tibia > head
Fracture, traumatic > tibia > condyles
Fracture, traumatic > tibia > proximal end
Fracture, traumatic > tibia > epiphysis > upper
Fracture, traumatic > tibia > intercondyloid eminence
Fracture, traumatic > tibia > upper end > specified NEC

Codes in the same group

Code	Description	Status
S82.191	Other fracture of upper end of right tibia	Not billable
S82.192	Other fracture of upper end of left tibia	Not billable