`S82.874R` Nondisplaced pilon fracture of right tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion

Billable ICD-10-CM code, FY2026.

Built from S82.874 with 7th character R (subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion).

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 S82.874R

Type 1 Excludes: S82.3 Fracture of lower end of tibia ("pilon fracture of distal tibia (S82.87-)")
Type 1 Excludes: S82.5 Fracture of medial malleolus ("pilon fracture of distal tibia (S82.87-)")
Type 1 Excludes: S82.6 Fracture of lateral malleolus ("pilon fracture of distal tibia (S82.87-)")

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.-)")

S82.874K Nondisplaced pilon fracture of right tibia, subsequent encounter for closed fracture with nonunion
S82.874M Nondisplaced pilon fracture of right tibia, subsequent encounter for open fracture type I or II with nonunion
S82.874N Nondisplaced pilon fracture of right tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
S82.874P Nondisplaced pilon fracture of right tibia, subsequent encounter for closed fracture with malunion
S82.874Q Nondisplaced pilon fracture of right tibia, subsequent encounter for open fracture type I or II with malunion
S82.874R Nondisplaced pilon fracture of right tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion (this code)
S82.874S Nondisplaced pilon fracture of right tibia, sequela
S82.875 Nondisplaced pilon fracture of left tibia
S82.875A Nondisplaced pilon fracture of left tibia, initial encounter for closed fracture
S82.875B Nondisplaced pilon fracture of left tibia, initial encounter for open fracture type I or II
S82.875C Nondisplaced pilon fracture of left tibia, initial encounter for open fracture type IIIA, IIIB, or IIIC