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ICD-10-CM 2027 diagnosis code

S82.243Displaced spiral fracture of shaft of unspecified tibia

Not billable — use a more specific codeRequires 7th character

S82.243 is a header code, so it can't be reported by itself. Choose one of the 16 more specific codes beneath it and add the required 7th character.

Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About S82.243

S82.243 is the ICD-10-CM diagnosis code for displaced spiral fracture of shaft of unspecified tibia. It belongs to category S82 (fracture of lower leg, including ankle), block S80-S89 (injuries to the knee and lower leg) and chapter 19 (injury, poisoning and certain other consequences of external causes). It is a header code, so it can't be reported by itself; one of its 16 subcodes must be used instead.

Within S82.24, choose S82.243 (Displaced spiral fracture of shaft of unspecified tibia) only when documentation doesn't support a more specific option: displaced spiral fracture of shaft of right tibia (S82.241), displaced spiral fracture of shaft of left tibia (S82.242), nondisplaced spiral fracture of shaft of right tibia (S82.244), nondisplaced spiral fracture of shaft of left tibia (S82.245) and nondisplaced spiral fracture of shaft of unspecified tibia (S82.246).

Codes in this range require a 7th character: A for initial encounter for closed fracture, B for initial encounter for open fracture type I or II, C for initial encounter for open fracture type IIIA, IIIB, or IIIC, D for subsequent encounter for closed fracture with routine healing, E for subsequent encounter for open fracture type I or II with routine healing, F for subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing and 10 more. Use placeholder "X" characters to fill any empty positions before the 7th character.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

7th character

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

  • Ainitial encounter for closed fractureS82.243A
  • Binitial encounter for open fracture type I or IIS82.243B
  • Cinitial encounter for open fracture type IIIA, IIIB, or IIICS82.243C
  • Dsubsequent encounter for closed fracture with routine healingS82.243D
  • Esubsequent encounter for open fracture type I or II with routine healingS82.243E
  • Fsubsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healingS82.243F
  • Gsubsequent encounter for closed fracture with delayed healingS82.243G
  • Hsubsequent encounter for open fracture type I or II with delayed healingS82.243H
  • Jsubsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healingS82.243J
  • Ksubsequent encounter for closed fracture with nonunionS82.243K
  • Msubsequent encounter for open fracture type I or II with nonunionS82.243M
  • Nsubsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunionS82.243N
  • Psubsequent encounter for closed fracture with malunionS82.243P
  • Qsubsequent encounter for open fracture type I or II with malunionS82.243Q
  • Rsubsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunionS82.243R
  • SsequelaS82.243S

Notes that apply from higher levels

Instructions written at a parent level also apply to S82.243.

› From S82 Fracture of lower leg, including ankle
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
Includes
  • fracture of malleolus
Excludes1
  • traumatic amputation of lower leg (S88.-)
Excludes2
  • 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-)

Broader instructions also apply from S80-S89 Injuries to the knee and lower leg and Chapter 19: Injury, poisoning and certain other consequences of external causes.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about S82.243

Is S82.243 billable?

No. S82.243 is a header code. Report one of its more specific subcodes instead.