Category: S82 - Fracture of lower leg, including ankle

 Chapter Notes

 Section Notes

 S82

Fracture of lower leg, including ankle

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

fracture of malleolus

traumatic amputation of lower leg (S88.-)

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-)

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

 

initial encounter for open fracture NOS

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

 S82.0

Fracture of patella

Knee cap

 S82.00

Unspecified fracture of patella

 S82.001

Unspecified fracture of right patella

 S82.002

Unspecified fracture of left patella

 S82.009

Unspecified fracture of unspecified patella

 S82.01

Osteochondral fracture of patella

 S82.011

Displaced osteochondral fracture of right patella

 S82.012

Displaced osteochondral fracture of left patella

 S82.013

Displaced osteochondral fracture of unspecified patella

 S82.014

Nondisplaced osteochondral fracture of right patella

 S82.015

Nondisplaced osteochondral fracture of left patella

 S82.016

Nondisplaced osteochondral fracture of unspecified patella

 S82.02

Longitudinal fracture of patella

 S82.021

Displaced longitudinal fracture of right patella

 S82.022

Displaced longitudinal fracture of left patella

 S82.023

Displaced longitudinal fracture of unspecified patella

 S82.024

Nondisplaced longitudinal fracture of right patella

 S82.025

Nondisplaced longitudinal fracture of left patella

 S82.026

Nondisplaced longitudinal fracture of unspecified patella

 S82.03

Transverse fracture of patella

 S82.031

Displaced transverse fracture of right patella

 S82.032

Displaced transverse fracture of left patella

 S82.033

Displaced transverse fracture of unspecified patella

 S82.034

Nondisplaced transverse fracture of right patella

 S82.035

Nondisplaced transverse fracture of left patella

 S82.036

Nondisplaced transverse fracture of unspecified patella

 S82.04

Comminuted fracture of patella

 S82.041

Displaced comminuted fracture of right patella

 S82.042

Displaced comminuted fracture of left patella

 S82.043

Displaced comminuted fracture of unspecified patella

 S82.044

Nondisplaced comminuted fracture of right patella

 S82.045

Nondisplaced comminuted fracture of left patella

 S82.046

Nondisplaced comminuted fracture of unspecified patella

 S82.09

Other fracture of patella

 S82.091

Other fracture of right patella

 S82.092

Other fracture of left patella

 S82.099

Other fracture of unspecified patella

 S82.1

Fracture of upper end of tibia

Fracture of proximal end of tibia

fracture of shaft of tibia (S82.2-)

physeal fracture of upper end of tibia (S89.0-)

 S82.10

Unspecified fracture of upper end of tibia

 S82.101

Unspecified fracture of upper end of right tibia

 S82.102

Unspecified fracture of upper end of left tibia

 S82.109

Unspecified fracture of upper end of unspecified tibia

 S82.11

Fracture of tibial spine

 S82.111

Displaced fracture of right tibial spine

 S82.112

Displaced fracture of left tibial spine

 S82.113

Displaced fracture of unspecified tibial spine

 S82.114

Nondisplaced fracture of right tibial spine

 S82.115

Nondisplaced fracture of left tibial spine

 S82.116

Nondisplaced fracture of unspecified tibial spine

 S82.12

Fracture of lateral condyle of tibia

 S82.121

Displaced fracture of lateral condyle of right tibia

 S82.122

Displaced fracture of lateral condyle of left tibia

 S82.123

Displaced fracture of lateral condyle of unspecified tibia

 S82.124

Nondisplaced fracture of lateral condyle of right tibia

 S82.125

Nondisplaced fracture of lateral condyle of left tibia

 S82.126

Nondisplaced fracture of lateral condyle of unspecified tibia

 S82.13

Fracture of medial condyle of tibia

 S82.131

Displaced fracture of medial condyle of right tibia

 S82.132

Displaced fracture of medial condyle of left tibia

 S82.133

Displaced fracture of medial condyle of unspecified tibia

 S82.134

Nondisplaced fracture of medial condyle of right tibia

 S82.135

Nondisplaced fracture of medial condyle of left tibia

 S82.136

Nondisplaced fracture of medial condyle of unspecified tibia

 S82.14

Bicondylar fracture of tibia

Fracture of tibial plateau NOS

 S82.141

Displaced bicondylar fracture of right tibia

 S82.142

Displaced bicondylar fracture of left tibia

 S82.143

Displaced bicondylar fracture of unspecified tibia

 S82.144

Nondisplaced bicondylar fracture of right tibia

 S82.145

Nondisplaced bicondylar fracture of left tibia

 S82.146

Nondisplaced bicondylar fracture of unspecified tibia

 S82.15

Fracture of tibial tuberosity

 S82.151

Displaced fracture of right tibial tuberosity

 S82.152

Displaced fracture of left tibial tuberosity

 S82.153

Displaced fracture of unspecified tibial tuberosity

 S82.154

Nondisplaced fracture of right tibial tuberosity

 S82.155

Nondisplaced fracture of left tibial tuberosity

 S82.156

Nondisplaced fracture of unspecified tibial tuberosity

 S82.16

Torus fracture of upper end of tibia

The appropriate 7th character is to be added to all codes in subcategory S82.16

A

initial encounter for closed fracture

D

subsequent encounter for fracture with routine healing

G

subsequent encounter for fracture with delayed healing

K

subsequent encounter for fracture with nonunion

P

subsequent encounter for fracture with malunion

S

sequela

 S82.161

Torus fracture of upper end of right tibia

 S82.162

Torus fracture of upper end of left tibia

 S82.169

Torus fracture of upper end of unspecified tibia

 S82.19

Other fracture of upper end of tibia

 S82.191

Other fracture of upper end of right tibia

 S82.192

Other fracture of upper end of left tibia

 S82.199

Other fracture of upper end of unspecified tibia

 S82.2

Fracture of shaft of tibia

 S82.20

Unspecified fracture of shaft of tibia

Fracture of tibia NOS

 S82.201

Unspecified fracture of shaft of right tibia

 S82.202

Unspecified fracture of shaft of left tibia

 S82.209

Unspecified fracture of shaft of unspecified tibia

 S82.22

Transverse fracture of shaft of tibia

 S82.221

Displaced transverse fracture of shaft of right tibia

 S82.222

Displaced transverse fracture of shaft of left tibia

 S82.223

Displaced transverse fracture of shaft of unspecified tibia

 S82.224

Nondisplaced transverse fracture of shaft of right tibia

 S82.225

Nondisplaced transverse fracture of shaft of left tibia

 S82.226

Nondisplaced transverse fracture of shaft of unspecified tibia

 S82.23

Oblique fracture of shaft of tibia

 S82.231

Displaced oblique fracture of shaft of right tibia

 S82.232

Displaced oblique fracture of shaft of left tibia

 S82.233

Displaced oblique fracture of shaft of unspecified tibia

 S82.234

Nondisplaced oblique fracture of shaft of right tibia

 S82.235

Nondisplaced oblique fracture of shaft of left tibia

 S82.236

Nondisplaced oblique fracture of shaft of unspecified tibia

 S82.24

Spiral fracture of shaft of tibia

Toddler fracture

 S82.241

Displaced spiral fracture of shaft of right tibia

 S82.242

Displaced spiral fracture of shaft of left tibia

 S82.243

Displaced spiral fracture of shaft of unspecified tibia

 S82.244

Nondisplaced spiral fracture of shaft of right tibia

 S82.245

Nondisplaced spiral fracture of shaft of left tibia

 S82.246

Nondisplaced spiral fracture of shaft of unspecified tibia

 S82.25

Comminuted fracture of shaft of tibia

 S82.251

Displaced comminuted fracture of shaft of right tibia

 S82.252

Displaced comminuted fracture of shaft of left tibia

 S82.253

Displaced comminuted fracture of shaft of unspecified tibia

 S82.254

Nondisplaced comminuted fracture of shaft of right tibia

 S82.255

Nondisplaced comminuted fracture of shaft of left tibia

 S82.256

Nondisplaced comminuted fracture of shaft of unspecified tibia

 S82.26

Segmental fracture of shaft of tibia

 S82.261

Displaced segmental fracture of shaft of right tibia

 S82.262

Displaced segmental fracture of shaft of left tibia

 S82.263

Displaced segmental fracture of shaft of unspecified tibia

 S82.264

Nondisplaced segmental fracture of shaft of right tibia

 S82.265

Nondisplaced segmental fracture of shaft of left tibia

 S82.266

Nondisplaced segmental fracture of shaft of unspecified tibia

 S82.29

Other fracture of shaft of tibia

 S82.291

Other fracture of shaft of right tibia

 S82.292

Other fracture of shaft of left tibia

 S82.299

Other fracture of shaft of unspecified tibia

 S82.3

Fracture of lower end of tibia

bimalleolar fracture of lower leg (S82.84-)

fracture of medial malleolus alone (S82.5-)

Maisonneuve's fracture (S82.86-)

pilon fracture of distal tibia (S82.87-)

trimalleolar fractures of lower leg (S82.85-)

 S82.30

Unspecified fracture of lower end of tibia

 S82.301

Unspecified fracture of lower end of right tibia

 S82.302

Unspecified fracture of lower end of left tibia

 S82.309

Unspecified fracture of lower end of unspecified tibia

 S82.31

Torus fracture of lower end of tibia

The appropriate 7th character is to be added to all codes in subcategory S82.31

A

initial encounter for closed fracture

D

subsequent encounter for fracture with routine healing

G

subsequent encounter for fracture with delayed healing

K

subsequent encounter for fracture with nonunion

P

subsequent encounter for fracture with malunion

S

sequela

 S82.311

Torus fracture of lower end of right tibia

 S82.312

Torus fracture of lower end of left tibia

 S82.319

Torus fracture of lower end of unspecified tibia

 S82.39

Other fracture of lower end of tibia

 S82.391

Other fracture of lower end of right tibia

 S82.392

Other fracture of lower end of left tibia

 S82.399

Other fracture of lower end of unspecified tibia

 S82.4

Fracture of shaft of fibula

fracture of lateral malleolus alone (S82.6-)

 S82.40

Unspecified fracture of shaft of fibula

 S82.401

Unspecified fracture of shaft of right fibula

 S82.402

Unspecified fracture of shaft of left fibula

 S82.409

Unspecified fracture of shaft of unspecified fibula

 S82.42

Transverse fracture of shaft of fibula

 S82.421

Displaced transverse fracture of shaft of right fibula

 S82.422

Displaced transverse fracture of shaft of left fibula

 S82.423

Displaced transverse fracture of shaft of unspecified fibula

 S82.424

Nondisplaced transverse fracture of shaft of right fibula

 S82.425

Nondisplaced transverse fracture of shaft of left fibula

 S82.426

Nondisplaced transverse fracture of shaft of unspecified fibula

 S82.43

Oblique fracture of shaft of fibula

 S82.431

Displaced oblique fracture of shaft of right fibula

 S82.432

Displaced oblique fracture of shaft of left fibula

 S82.433

Displaced oblique fracture of shaft of unspecified fibula

 S82.434

Nondisplaced oblique fracture of shaft of right fibula

 S82.435

Nondisplaced oblique fracture of shaft of left fibula

 S82.436

Nondisplaced oblique fracture of shaft of unspecified fibula

 S82.44

Spiral fracture of shaft of fibula

 S82.441

Displaced spiral fracture of shaft of right fibula

 S82.442

Displaced spiral fracture of shaft of left fibula

 S82.443

Displaced spiral fracture of shaft of unspecified fibula

 S82.444

Nondisplaced spiral fracture of shaft of right fibula

 S82.445

Nondisplaced spiral fracture of shaft of left fibula

 S82.446

Nondisplaced spiral fracture of shaft of unspecified fibula

 S82.45

Comminuted fracture of shaft of fibula

 S82.451

Displaced comminuted fracture of shaft of right fibula

 S82.452

Displaced comminuted fracture of shaft of left fibula

 S82.453

Displaced comminuted fracture of shaft of unspecified fibula

 S82.454

Nondisplaced comminuted fracture of shaft of right fibula

 S82.455

Nondisplaced comminuted fracture of shaft of left fibula

 S82.456

Nondisplaced comminuted fracture of shaft of unspecified fibula

 S82.46

Segmental fracture of shaft of fibula

 S82.461

Displaced segmental fracture of shaft of right fibula

 S82.462

Displaced segmental fracture of shaft of left fibula

 S82.463

Displaced segmental fracture of shaft of unspecified fibula

 S82.464

Nondisplaced segmental fracture of shaft of right fibula

 S82.465

Nondisplaced segmental fracture of shaft of left fibula

 S82.466

Nondisplaced segmental fracture of shaft of unspecified fibula

 S82.49

Other fracture of shaft of fibula

 S82.491

Other fracture of shaft of right fibula

 S82.492

Other fracture of shaft of left fibula

 S82.499

Other fracture of shaft of unspecified fibula

 S82.5

Fracture of medial malleolus

pilon fracture of distal tibia (S82.87-)

Salter-Harris type III of lower end of tibia (S89.13-)

Salter-Harris type IV of lower end of tibia (S89.14-)

 S82.51

Displaced fracture of medial malleolus of right tibia

 S82.52

Displaced fracture of medial malleolus of left tibia

 S82.53

Displaced fracture of medial malleolus of unspecified tibia

 S82.54

Nondisplaced fracture of medial malleolus of right tibia

 S82.55

Nondisplaced fracture of medial malleolus of left tibia

 S82.56

Nondisplaced fracture of medial malleolus of unspecified tibia

 S82.6

Fracture of lateral malleolus

pilon fracture of distal tibia (S82.87-)

 S82.61

Displaced fracture of lateral malleolus of right fibula

 S82.62

Displaced fracture of lateral malleolus of left fibula

 S82.63

Displaced fracture of lateral malleolus of unspecified fibula

 S82.64

Nondisplaced fracture of lateral malleolus of right fibula

 S82.65

Nondisplaced fracture of lateral malleolus of left fibula

 S82.66

Nondisplaced fracture of lateral malleolus of unspecified fibula

 S82.8

Other fractures of lower leg

 S82.81

Torus fracture of upper end of fibula

The appropriate 7th character is to be added to all codes in subcategory S82.81

A

initial encounter for closed fracture

D

subsequent encounter for fracture with routine healing

G

subsequent encounter for fracture with delayed healing

K

subsequent encounter for fracture with nonunion

P

subsequent encounter for fracture with malunion

S

sequela

 S82.811

Torus fracture of upper end of right fibula

 S82.812

Torus fracture of upper end of left fibula

 S82.819

Torus fracture of upper end of unspecified fibula

 S82.82

Torus fracture of lower end of fibula

The appropriate 7th character is to be added to all codes in subcategory S82.82

A

initial encounter for closed fracture

D

subsequent encounter for fracture with routine healing

G

subsequent encounter for fracture with delayed healing

K

subsequent encounter for fracture with nonunion

P

subsequent encounter for fracture with malunion

S

sequela

 S82.821

Torus fracture of lower end of right fibula

 S82.822

Torus fracture of lower end of left fibula

 S82.829

Torus fracture of lower end of unspecified fibula

 S82.83

Other fracture of upper and lower end of fibula

 S82.831

Other fracture of upper and lower end of right fibula

 S82.832

Other fracture of upper and lower end of left fibula

 S82.839

Other fracture of upper and lower end of unspecified fibula

 S82.84

Bimalleolar fracture of lower leg

 S82.841

Displaced bimalleolar fracture of right lower leg

 S82.842

Displaced bimalleolar fracture of left lower leg

 S82.843

Displaced bimalleolar fracture of unspecified lower leg

 S82.844

Nondisplaced bimalleolar fracture of right lower leg

 S82.845

Nondisplaced bimalleolar fracture of left lower leg

 S82.846

Nondisplaced bimalleolar fracture of unspecified lower leg

 S82.85

Trimalleolar fracture of lower leg

 S82.851

Displaced trimalleolar fracture of right lower leg

 S82.852

Displaced trimalleolar fracture of left lower leg

 S82.853

Displaced trimalleolar fracture of unspecified lower leg

 S82.854

Nondisplaced trimalleolar fracture of right lower leg

 S82.855

Nondisplaced trimalleolar fracture of left lower leg

 S82.856

Nondisplaced trimalleolar fracture of unspecified lower leg

 S82.86

Maisonneuve's fracture

 S82.861

Displaced Maisonneuve's fracture of right leg

 S82.862

Displaced Maisonneuve's fracture of left leg

 S82.863

Displaced Maisonneuve's fracture of unspecified leg

 S82.864

Nondisplaced Maisonneuve's fracture of right leg

 S82.865

Nondisplaced Maisonneuve's fracture of left leg

 S82.866

Nondisplaced Maisonneuve's fracture of unspecified leg

 S82.87

Pilon fracture of tibia

 S82.871

Displaced pilon fracture of right tibia

 S82.872

Displaced pilon fracture of left tibia

 S82.873

Displaced pilon fracture of unspecified tibia

 S82.874

Nondisplaced pilon fracture of right tibia

 S82.875

Nondisplaced pilon fracture of left tibia

 S82.876

Nondisplaced pilon fracture of unspecified tibia

 S82.89

Other fractures of lower leg

Fracture of ankle NOS

 S82.891

Other fracture of right lower leg

 S82.892

Other fracture of left lower leg

 S82.899

Other fracture of unspecified lower leg

 S82.9

Unspecified fracture of lower leg

 S82.90

Unspecified fracture of unspecified lower leg

 S82.91

Unspecified fracture of right lower leg

 S82.92

Unspecified fracture of left lower leg