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ICD-10/S82.109

S82.109 ICD-10-CM Code: Unspecified fracture of upper end of unspecified tibia

S82.109 is the authoritative medical code for Unspecified fracture of upper end of unspecified tibia. This classification is used in medical billing and clinical recording to specify the clinical criteria for unspecified fracture of upper end of unspecified tibia (ICD-10-CM S82.109), ensuring healthcare documentation aligns with current federal coding standards.

Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.

Code Set: Valid FY2026 and FY2027. FY2026 took effect October 1, 2025.

Official Registry Overview & Definition

Unspecified fracture of upper end of unspecified tibia is a non-billable ICD-10-CM category code (S82.109). A more specific billable subcode must be selected for claims submission. Includes: fracture of malleolus. Excludes1 (not coded here): traumatic amputation of lower leg (S88.-). Excludes2 (not included here): fracture of shaft of tibia (S82.2-); physeal fracture of upper end of tibia (S89.0-); 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-); 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). 7th character: The appropriate 7th character is to be added to all codes from category S82.

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for S82.109 in the official ICD-10-CM tabular list.

Includes

Conditions the official ICD-10-CM tabular list includes under this code.

  • fracture of malleolus

Excludes1 — Not Coded Here

Conditions that can never be reported with this code; the two are mutually exclusive.

  • traumatic amputation of lower leg (S88.-)

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

  • fracture of shaft of tibia (S82.2-)
  • physeal fracture of upper end of tibia (S89.0-)
  • 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-)
  • 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)

Frequently Asked Questions (FAQ) & Clinical Guidance

Can S82.109 be billed directly?

No. S82.109 (Unspecified fracture of upper end of unspecified tibia) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.

Does S82.109 require a 7th character?

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

What can't be coded together with S82.109?

Per official ICD-10-CM Excludes1 instructions, S82.109 must not be reported together with: traumatic amputation of lower leg (S88.-).

Can S82.109 be reported alongside related conditions?

Per official ICD-10-CM Excludes2 instructions, S82.109 and the following are not considered part of each other and may both be reported when both conditions are present: fracture of shaft of tibia (S82.2-); physeal fracture of upper end of tibia (S89.0-); fracture of foot, except ankle (S92.-); periprosthetic fracture around internal prosthetic ankle joint (M97.2).

Nearest Codes in This Family

Official ICD-10-CM classifications closest to S82.109 in its code family, with their registry titles.

  • S82.102N — Unspecified fracture of upper end of left tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
  • S82.102P — Unspecified fracture of upper end of left tibia, subsequent encounter for closed fracture with malunion
  • S82.102Q — Unspecified fracture of upper end of left tibia, subsequent encounter for open fracture type I or II with malunion
  • S82.102R — Unspecified fracture of upper end of left tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
  • S82.102S — Unspecified fracture of upper end of left tibia, sequela
  • S82.109A — Unspecified fracture of upper end of unspecified tibia, initial encounter for closed fracture
  • S82.109B — Unspecified fracture of upper end of unspecified tibia, initial encounter for open fracture type I or II
  • S82.109C — Unspecified fracture of upper end of unspecified tibia, initial encounter for open fracture type IIIA, IIIB, or IIIC
  • S82.109D — Unspecified fracture of upper end of unspecified tibia, subsequent encounter for closed fracture with routine healing
  • S82.109E — Unspecified fracture of upper end of unspecified tibia, subsequent encounter for open fracture type I or II with routine healing

View all codes in the S82 family