Alphabetic Index FY2027

S82.263F

Displaced segmental fracture of shaft of unspecified tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing

FY2027Chapter 19: Injury, poisoning and certain other consequences of external causes/S80–S89 Injuries to the knee and lower leg

BillableComplete code, valid to report

S82.263F (also written S82263F) is a billable ICD-10-CM diagnosis code for displaced segmental fracture of shaft of unspecified tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing. It is part of the FY2027 code set, effective October 1, 2026. It is one of the 3096 codes in category S82 (Fracture of lower leg, including ankle). Its 7th character, F, means subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing. Its coding notes include a Use additional code instruction, 1 Excludes1 entry and 9 Excludes2 entries.

7th character

Category S82 requires a 7th character.

Assembled code S82.263F Open code

Guidelines tips

From the FY2027 Official Guidelines. ICD10Ref adds no rules of its own.

A fracture not stated as open or closed is coded closed, and one not stated as displaced or not displaced is coded displaced. Nonunion and malunion have their own 7th characters.

Guidelines I.C.19.cTraumatic fractures: open, closed, displaced and 7th charactersRead the official text

The 7th character depends on whether the patient is in active treatment, not on who sees the patient. An aftercare Z code is not used for injury aftercare.

Guidelines I.C.19.aInjuries: application of 7th charactersRead the official text

Each injury gets its own code unless a combination code exists, with the most serious injury first. Superficial injuries at the same site as a more severe injury are not coded. Injuries during medical care are coded as complications.

Guidelines I.C.19.bCoding of injuriesRead the official text

Use additional code

Add the listed code as a secondary code, if known.

Also from chapter/block level (1 note)
Inherited from Chapter 19 Injury, poisoning and certain other consequences of external causes
  • code to identify any retained foreign body, if applicable (Z18.-)

Excludes1

Not coded here. The listed conditions generally should not be reported together.

Inherited from S82 Fracture of lower leg, including ankle
  • traumatic amputation of lower leg (S88.-)

Excludes2

Not included here. Both codes may be reported if the patient has both conditions.

Inherited from S82 Fracture of lower leg, including ankle
  • 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-)
Also from chapter/block level (6 notes)
Inherited from S80–S89 Injuries to the knee and lower leg
  • 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)
Inherited from Chapter 19 Injury, poisoning and certain other consequences of external causes
  • birth trauma (P10-P15)
  • obstetric trauma (O70-O71)

Includes

Further defines or gives examples of the content of the category.

Inherited from S82 Fracture of lower leg, including ankle
  • fracture of malleolus

Notes

Inherited from 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
Also from chapter/block level (2 notes)
Inherited from Chapter 19 Injury, poisoning and certain other consequences of external causes
  • 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
  • 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.