Injuries to the knee and lower leg (S80-S89)
S82: Fracture of lower leg, including ankle

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

includes
fracture of malleolus

excludes1
traumatic amputation of lower leg (S88.-)

excludes2
fracture of foot, except ankle (S92.-)
periprosthetic fracture around internal prosthetic implant of knee joint (M97.1-)

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

sevenChrDef
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
S82.1: Fracture of upper end of tibia
S82.2: Fracture of shaft of tibia
S82.3: Fracture of lower end of tibia
S82.4: Fracture of shaft of fibula
S82.5: Fracture of medial malleolus
S82.6: Fracture of lateral malleolus
S82.8: Other fractures of lower leg
S82.9: Unspecified fracture of lower leg

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