`S82.254B` Nondisplaced comminuted fracture of shaft of right tibia, initial encounter for open fracture type I or II

Billable ICD-10-CM code, FY2026.

Built from S82.254 with 7th character B (initial encounter for open fracture type I or II).

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-)

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

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

Code annotations containing back-references to S82.254B

Type 2 Excludes: S82.1 Fracture of upper end of tibia ("fracture of shaft of tibia (S82.2-)")

Type 2 Excludes: M23 Internal derangement of knee ("current injury - see injury of knee and lower leg (S80-S89)")
Type 1 Excludes: M84.3 Stress fracture ("traumatic fracture (S12.-, S22.-, S32.-, S42.-, S52.-, S62.-, S72.-, S82.-, S92.-)")
Type 1 Excludes: M84.4 Pathological fracture, not elsewhere classified ("traumatic fracture (S12.-, S22.-, S32.-, S42.-, S52.-, S62.-, S72.-, S82.-, S92.-)")
Type 2 Excludes: S72 Fracture of femur ("fracture of lower leg and ankle (S82.-)")
Type 1 Excludes: S81 Open wound of knee and lower leg ("open fracture of knee and lower leg (S82.-)")
Type 2 Excludes: S92 Fracture of foot and toe, except ankle ("fracture of ankle (S82.-)")
Type 2 Excludes: S92 Fracture of foot and toe, except ankle ("fracture of malleolus (S82.-)")

S82.253Q Displaced comminuted fracture of shaft of unspecified tibia, subsequent encounter for open fracture type I or II with malunion
S82.253R Displaced comminuted fracture of shaft of unspecified tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
S82.253S Displaced comminuted fracture of shaft of unspecified tibia, sequela
S82.254 Nondisplaced comminuted fracture of shaft of right tibia
S82.254A Nondisplaced comminuted fracture of shaft of right tibia, initial encounter for closed fracture
S82.254B Nondisplaced comminuted fracture of shaft of right tibia, initial encounter for open fracture type I or II (this code)
S82.254C Nondisplaced comminuted fracture of shaft of right tibia, initial encounter for open fracture type IIIA, IIIB, or IIIC
S82.254D Nondisplaced comminuted fracture of shaft of right tibia, subsequent encounter for closed fracture with routine healing
S82.254E Nondisplaced comminuted fracture of shaft of right tibia, subsequent encounter for open fracture type I or II with routine healing
S82.254F Nondisplaced comminuted fracture of shaft of right tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
S82.254G Nondisplaced comminuted fracture of shaft of right tibia, subsequent encounter for closed fracture with delayed healing