S82
Fracture of lower leg, including ankle
7th Character Required
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
Coding Guidelines
Includes
- fracture of malleolus
Excludes1 (Mutually Exclusive)
These codes should never be used together with S82
- traumatic amputation of lower leg (S88.-)
Excludes2 (Not Included Here)
These conditions are not part of this code but may be reported additionally if documented
- fracture of foot, except ankle (S92.-)
- M97.2 - periprosthetic fracture around internal prosthetic ankle joint (M97.2)
- periprosthetic fracture around internal prosthetic implant of knee joint (M97.1-)
Notes
- 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
Specific Codes (9)
Fracture of patella
Fracture of upper end of tibia
Fracture of shaft of tibia
Fracture of lower end of tibia
Fracture of shaft of fibula
Fracture of medial malleolus
Fracture of lateral malleolus
Other fractures of lower leg
Unspecified fracture of lower leg


