ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 S82.102

Non-Billable Header

Unspecified fracture of upper end of left tibia

S82
Block
0
Synonyms
0
LCDs
0
Payer Policies
2
Linked CPTs

About ICD-10-CM S82.102

ICD-10-CM code S82.102 represents Unspecified fracture of upper end of left tibia. This is a non-billable header code in the Injury, Poisoning, and External Causes chapter (block S82). The 2026 edition of ICD-10-CM S82.102 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.

Coding Tips for S82.102

Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.

Injury chapter (S00-T88): 7th character extension required

Injury codes require a 7th character: A (initial encounter, active treatment), D (subsequent, healing/recovery), S (sequela, late effect of original injury). Codes with fewer than 6 characters need the placeholder X to bring them to 6 characters before adding the 7th. Wrong or missing 7th character is the #1 cause of injury claim denials.

Medicare LCD Coverage for S82.102

Local Coverage Determinations (LCDs) from CMS MACs that list S82.102 as a covered diagnosis.

No Medicare LCDs reference S82.102 as covered

This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.

Commercial Payer Coverage

Coverage policies from major commercial payers referencing S82.102.

No commercial payer policies reference S82.102 on file

Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but S82.102 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.

CPT Codes Commonly Billed with S82.102

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

2 linkages
  • 29825 Arthroscopy of knee Orthopaedic Surgery
  • 29823 Arthroscopy of ankle Orthopaedic Surgery

ICD-10 S82.102, Billing FAQ

Is ICD-10 code S82.102 billable? +

No, S82.102 is a non-billable header code. Use a more specific child code from block S82 when submitting claims.

What CPT codes are commonly billed with S82.102? +

Procedures frequently paired with S82.102 include: 29825, 29823.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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