{"id":183446,"date":"2026-08-18T11:29:07","date_gmt":"2026-08-18T11:29:07","guid":{"rendered":"https:\/\/pabau.com\/?p=183446"},"modified":"2026-08-18T12:09:13","modified_gmt":"2026-08-18T12:09:13","slug":"icd-10-code-s82191b","status":"publish","type":"post","link":"https:\/\/pabau.com\/nl\/diagnostic-codes\/icd-10-code-s82191b\/","title":{"rendered":"ICD-10 code S82.191B: Upper end right tibia open fracture"},"content":{"rendered":"\n<script type=\"application\/ld+json\">{\"@context\":\"https:\/\/schema.org\",\"@type\":\"MedicalWebPage\",\"headline\":\"ICD-10 Code S82.191B: Other fracture of upper end of right tibia, open fracture type I or II\",\"description\":\"S82.191B is a billable ICD-10-CM diagnosis code for other fracture of upper end of right tibia, initial encounter for open fracture type I or II. Valid for FY2026.\",\"url\":\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-s82191b\/\",\"audience\":{\"@type\":\"MedicalAudience\",\"audienceType\":\"Clinician\"},\"reviewedBy\":{\"@type\":\"Person\",\"name\":\"Dr Vanja Kitanova\",\"jobTitle\":\"Medical Reviewer\",\"affiliation\":{\"@type\":\"Organization\",\"name\":\"Pabau\"},\"knowsAbout\":[\"Medical Coding\",\"Clinical Documentation\",\"Healthcare Billing\",\"Clinical Safety\"],\"sameAs\":\"https:\/\/pabau.com\/blog\/author\/vanja\/\"},\"datePublished\":\"2026-08-18\",\"dateModified\":\"2026-08-18\"}<\/script>\n\n\n        <div id=\"key_takeaways\">\n            <div class=\"header\">\n                                    <img decoding=\"async\" src=\"https:\/\/pabau.com\/wp-content\/uploads\/2025\/12\/Key-Takeaways-Icon.svg\" alt=\"Key takeaways\" height=\"42\" width=\"42\">\n                                <h3>Key takeaways<\/h3>\n            <\/div>\n            <div class=\"list\">\n                                                            <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>S82.191B is a billable ICD-10-CM code for other fracture of upper end of right tibia, initial encounter for open fracture type I or II<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>The 7th character B covers Gustilo type I and type II wounds, while type IIIA, IIIB, and IIIC take C<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>B is also the default 7th character when the record documents an open fracture without a Gustilo type<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>The common error is assigning B to a type III wound, which understates severity and invites a denial<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>Pabau&#8217;s claims management software supports accurate ICD-10 code submission and reduces claim errors for orthopedic and trauma practices<\/p>\n                        <\/div>\n                                                <\/div>\n        <\/div>\n    \n\n\n<p class=\"wp-block-paragraph\">S82.191B is a valid, billable ICD-10-CM diagnosis code. Its full long description is: <strong>Other fracture of upper end of right tibia, initial encounter for open fracture type I or II.<\/strong> The short description is: Oth fx upper end of right tibia, init for opn fx type I\/2.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The B in the 7th position is a Gustilo grade, not a general open-fracture flag. It covers type I and type II wounds. A type IIIA, IIIB, or IIIC open fracture at the same site is coded S82.191C instead.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Field<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Detail<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Code<\/td>\n<td style=\"padding:12px 16px;color:#374151\">S82.191B<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Status<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Billable \/ Valid (specific code)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Applicable dates<\/td>\n<td style=\"padding:12px 16px;color:#374151\">October 1, 2025 &#8211; September 30, 2026 (FY2026)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Parent category<\/td>\n<td style=\"padding:12px 16px;color:#374151\">S82.1 &#8211; Fracture of upper end of tibia<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Chapter<\/td>\n<td style=\"padding:12px 16px;color:#374151\">S00-T88 &#8211; Injury, poisoning and certain other consequences of external causes<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Block<\/td>\n<td style=\"padding:12px 16px;color:#374151\">S80-S89 &#8211; Injuries to the knee and lower leg<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">HIPAA use<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Valid for all HIPAA-covered electronic transactions<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">7th character<\/td>\n<td style=\"padding:12px 16px;color:#374151\">B &#8211; Initial encounter, open fracture type I or II<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe title=\"ICD-10 Revisions: Stay Updated or Fall Behind\" width=\"800\" height=\"450\" src=\"https:\/\/www.youtube.com\/embed\/bqAyb-BCA0w?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<h2 id=\"h-understanding-the-7th-character-in-icd-10-code-s82-191b\" class=\"wp-block-heading\">Understanding the 7th character in ICD-10 code S82.191B<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The 7th character is where most S82.191 coding errors happen. It specifies the encounter type, meaning initial, subsequent, or sequela. For open fractures it also carries the Gustilo grade. Selecting the wrong character sends the wrong encounter type to the payer and can trigger a denial or audit.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The full S82.191 family covers every encounter type and fracture-openness combination. The table below lists all valid 7th character options.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Code<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">7th Character<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Encounter Type<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S82.191A<\/td>\n<td style=\"padding:12px 16px;color:#374151\">A<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Initial encounter, closed fracture<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S82.191B<\/td>\n<td style=\"padding:12px 16px;color:#374151\">B<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Initial encounter, open fracture type I or II<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S82.191C<\/td>\n<td style=\"padding:12px 16px;color:#374151\">C<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Initial encounter, open fracture type IIIA, IIIB, or IIIC<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S82.191D<\/td>\n<td style=\"padding:12px 16px;color:#374151\">D<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Subsequent encounter, closed fracture with routine healing<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S82.191E<\/td>\n<td style=\"padding:12px 16px;color:#374151\">E<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Subsequent encounter, open fracture type I or II with routine healing<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S82.191F<\/td>\n<td style=\"padding:12px 16px;color:#374151\">F<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Subsequent encounter, open fracture type IIIA, IIIB, or IIIC with routine healing<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S82.191G<\/td>\n<td style=\"padding:12px 16px;color:#374151\">G<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Subsequent encounter, closed fracture with delayed healing<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S82.191H<\/td>\n<td style=\"padding:12px 16px;color:#374151\">H<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Subsequent encounter, open fracture type I or II with delayed healing<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S82.191J<\/td>\n<td style=\"padding:12px 16px;color:#374151\">J<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Subsequent encounter, open fracture type IIIA, IIIB, or IIIC with delayed healing<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S82.191K<\/td>\n<td style=\"padding:12px 16px;color:#374151\">K<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Subsequent encounter, closed fracture with nonunion<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S82.191M<\/td>\n<td style=\"padding:12px 16px;color:#374151\">M<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Subsequent encounter, open fracture type I or II with nonunion<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S82.191N<\/td>\n<td style=\"padding:12px 16px;color:#374151\">N<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Subsequent encounter, open fracture type IIIA, IIIB, or IIIC with nonunion<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S82.191P<\/td>\n<td style=\"padding:12px 16px;color:#374151\">P<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Subsequent encounter, closed fracture with malunion<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S82.191Q<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Q<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Subsequent encounter, open fracture type I or II with malunion<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S82.191R<\/td>\n<td style=\"padding:12px 16px;color:#374151\">R<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Subsequent encounter, open fracture type IIIA, IIIB, or IIIC with malunion<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S82.191S<\/td>\n<td style=\"padding:12px 16px;color:#374151\">S<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Sequela<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Key distinction:<\/strong> The 7th character B applies to Gustilo type I and type II open fractures. A type IIIA, IIIB, or IIIC open fracture uses 7th character C instead. Confusing the two misstates injury severity and creates a billing error with audit implications.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The same split runs through the whole family. Characters B, E, H, M and Q all mean type I or II, while C, F, J, N and R all mean type III. The same lettering carries into neighboring subcategories, so the Q in <a href=\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-s82499q\/\">S82.499Q<\/a> also means type I or II.<\/p>\n\n\n\n<h2 id=\"h-how-the-gustilo-classification-decides-between-b-and-c\" class=\"wp-block-heading\">How the Gustilo classification decides between B and C<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The Gustilo-Anderson classification is the standard framework for grading open fractures. The 7th character B in S82.191B maps to the two lowest tiers of that classification. Understanding the criteria is essential for selecting the correct code.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Gustilo Type<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Wound \/ Soft Tissue Characteristics<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">7th Character<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Type I<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Wound less than 1 cm, clean, minimal soft tissue damage<\/td>\n<td style=\"padding:12px 16px;color:#374151\">B<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Type II<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Wound 1-10 cm, moderate contamination, no extensive soft tissue damage<\/td>\n<td style=\"padding:12px 16px;color:#374151\">B<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Type IIIA<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Wound greater than 10 cm, adequate periosteal coverage remains despite soft tissue damage<\/td>\n<td style=\"padding:12px 16px;color:#374151\">C (not B)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Type IIIB<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Extensive periosteal stripping, significant contamination, requires local or free flap coverage<\/td>\n<td style=\"padding:12px 16px;color:#374151\">C (not B)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Type IIIC<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Arterial injury requiring repair for limb salvage<\/td>\n<td style=\"padding:12px 16px;color:#374151\">C (not B)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Type not documented<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Record states the fracture is open but assigns no Gustilo grade<\/td>\n<td style=\"padding:12px 16px;color:#374151\">B (guideline default)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">The Gustilo criteria above are based on the widely accepted classification system described in orthopedic surgery literature (Gustilo and Anderson, 1976; Gustilo et al., 1984). Verify wound size and soft tissue characteristics against the surgeon&#8217;s operative note before selecting the 7th character.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The default in the last row is why B is the more common of the two codes in practice. The ICD-10-CM Official Guidelines instruct coders to assign the type I or II character when an open fracture carries no documented Gustilo grade.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">That default is safe for billing and misleading for severity. A type III wound left ungraded still ends up coded as S82.191B.<\/p>\n\n\n        <div id=\"pro_tip\">\n            <div class=\"img\">\n                <svg width=\"42\" height=\"42\" viewBox=\"0 0 42 42\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M12.6383 19.5238C12.6632 21.2071 12.8734 22.9926 12.0685 24.5523C11.0341 26.8917 8.45076 28.169 7.56292 30.5918C6.63082 33.1061 7.19505 36.185 9.31371 37.9786C10.929 39.5678 13.4183 39.9873 15.6061 39.5463C17.4592 39.073 19.1049 37.8388 19.9706 36.1608C20.781 34.7141 20.7866 32.9904 20.5293 31.3985C20.1006 29.3092 18.3775 27.8705 16.9807 26.362C14.8814 24.1005 14.6684 20.6854 15.595 17.8915C16.4331 15.4768 19.0026 14.2344 20.0425 11.9461C20.7202 10.6769 20.7506 9.20327 20.6068 7.81304C20.1864 5.40098 18.3139 3.23631 15.8716 2.56674C13.9742 2.03969 11.8224 2.30052 10.1739 3.37614C8.70522 4.34688 7.5878 5.86618 7.28356 7.58178C6.76081 9.82981 7.53525 12.2822 9.20307 13.9118C10.7658 15.4741 12.4806 17.2273 12.6383 19.5238Z\"\n                        fill=\"#2BADD4\" \/>\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M22.7048 19.8387C22.6822 22.3279 24.4507 24.6234 26.7493 25.4682C28.0531 25.961 29.4725 25.9183 30.7989 25.5487C32.0575 24.9955 33.301 24.2237 34.0069 23.0092C34.8384 21.5811 35.2982 19.8286 34.7832 18.2094C34.3611 16.2507 32.8739 14.6541 31.0275 13.9426C28.6736 12.9595 25.8073 13.7942 24.1719 15.7001C23.2022 16.8366 22.6143 18.3326 22.7048 19.8387Z\"\n                        fill=\"#2BADD4\" \/>\n                <\/svg>\n            <\/div>\n            <div class=\"text\">\n                <h3>Pro Tip<\/h3>\n                <p>Audit your open tibia fracture claims for the last 90 days. If B and C are being used interchangeably, your operative notes are probably missing the wound classification. Require surgeons to state the Gustilo type in every operative note for S82 codes.<\/p>\n            <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-what-counts-as-the-upper-end-of-the-right-tibia\" class=\"wp-block-heading\">What counts as the upper end of the right tibia<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The &#8220;upper end&#8221; of the tibia refers to the proximal region. That region covers the tibial plateau, the medial and lateral condyles, and the area immediately below the knee joint.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">S82.191B applies to fractures of this zone on the right side. Coders working in a <a href=\"https:\/\/pabau.com\/industry\/physical-therapy-emr\/\">physical therapy EMR<\/a> meet the code again during post-acute rehabilitation billing.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Per the <a href=\"https:\/\/icd.who.int\/browse10\/2019\/en\" target=\"_blank\" rel=\"nofollow noopener\">WHO ICD-10 browser<\/a>, the parent code S82.1 (Fracture of upper end of tibia) explicitly includes:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Condylar fractures of the tibia<\/li>\n\n\n\n<li>Fractures of the proximal tibia<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">The ICD-10-CM Excludes2 notes at this level point you elsewhere for injuries outside the upper end of the tibia:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>S82.2-<\/strong> &#8211; Fracture of shaft of tibia<\/li>\n\n\n\n<li><strong>S89.0-<\/strong> &#8211; Physeal fracture of upper end of tibia<\/li>\n\n\n\n<li><strong>S92.-<\/strong> &#8211; Fracture of foot, except ankle<\/li>\n\n\n\n<li><strong>M97.1-<\/strong> &#8211; Periprosthetic fracture around an internal prosthetic knee joint<\/li>\n\n\n\n<li><strong>M97.2<\/strong> &#8211; Periprosthetic fracture around an internal prosthetic ankle joint<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Laterality matters just as much. Do not use S82.191B for a left-tibia injury, since left-sided upper tibial fractures have their own codes under S82.19.<\/p>\n\n\n\n<h2 id=\"h-code-hierarchy-and-parent-code-for-s82-191b\" class=\"wp-block-heading\">Code hierarchy and parent code for S82.191B<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">S82.191B sits within a well-defined hierarchy. Knowing the parent structure helps when a patient arrives with several injuries and you need a neighboring code such as <a href=\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-s72309n\/\">S72.309N<\/a>.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>S00-T88<\/strong> &#8211; Injury, poisoning and certain other consequences of external causes (chapter)<\/li>\n\n\n\n<li><strong>S80-S89<\/strong> &#8211; Injuries to the knee and lower leg (block)<\/li>\n\n\n\n<li><strong>S82<\/strong> &#8211; Fracture of lower leg, including ankle<\/li>\n\n\n\n<li><strong>S82.1<\/strong> &#8211; Fracture of upper end of tibia<\/li>\n\n\n\n<li><strong>S82.19<\/strong> &#8211; Other fracture of upper end of tibia<\/li>\n\n\n\n<li><strong>S82.191<\/strong> &#8211; Other fracture of upper end of right tibia (6-character parent)<\/li>\n\n\n\n<li><strong>S82.191B<\/strong> &#8211; Initial encounter, open fracture type I or II (billable 7-character code)<\/li>\n<\/ul>\n\n\n\n<h2 id=\"h-approximate-synonyms-for-icd-10-code-s82-191b\" class=\"wp-block-heading\">Approximate synonyms for ICD-10 code S82.191B<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Clinical documentation rarely uses the exact ICD-10-CM long description. Coders need to recognize the following terms as mapping to S82.191B when the 7th character context is correct.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Open fracture of upper end of right tibia, type I (initial encounter)<\/li>\n\n\n\n<li>Open fracture of proximal right tibia, Gustilo type II (initial encounter)<\/li>\n\n\n\n<li>Open fracture of right tibial plateau (Gustilo I or II, initial)<\/li>\n\n\n\n<li>Open condylar fracture of right tibia, initial encounter, type I or II<\/li>\n\n\n\n<li>Right proximal tibia fracture, open type II, initial encounter<\/li>\n\n\n\n<li>Right upper tibial fracture with open wound, Gustilo type not stated, initial<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">None of these synonyms are valid substitutes for S82.191B if the Gustilo type is IIIA, IIIB, or IIIC &#8211; that encounter maps to S82.191C.<\/p>\n\n\n\n<h2 id=\"h-associated-cpt-codes-for-open-tibial-fracture-repair\" class=\"wp-block-heading\">Associated CPT codes for open tibial fracture repair<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Diagnosis code S82.191B is submitted alongside CPT procedure codes that reflect the surgical management of the open fracture. The pairing depends on the operative technique documented by the surgeon. Orthopedic and trauma practices using <a href=\"https:\/\/pabau.com\/industry\/sports-medicine-software\/\">sports medicine practice software<\/a> will typically encounter these CPT codes in combination with S82.191B.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">CPT Code<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Description<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">When Commonly Paired<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">27535<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Open reduction, tibial plateau, with or without internal fixation<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Open reduction of proximal tibial fracture, unicondylar<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">27536<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Open reduction, tibial plateau, bicondylar, with or without internal fixation<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Bicondylar tibial plateau fracture repair<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">27530<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Closed treatment of proximal tibial (plateau) fracture, without manipulation<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Stable proximal tibial fracture managed without reduction<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">27532<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Closed treatment of proximal tibial (plateau) fracture, with or without manipulation, with skeletal traction<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Closed management that relies on skeletal traction<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">20692<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Application of a multiplane (pins or wires in more than one plane), unilateral, external fixation system<\/td>\n<td style=\"padding:12px 16px;color:#374151\">External fixation of an unstable open proximal tibial fracture<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">11010-11012<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Debridement at the site of the open fracture, selected by depth. 11010 covers skin and subcutaneous tissue, 11011 adds fascia and muscle, and 11012 adds bone.<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Excisional debridement of the open wound during surgical fixation<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">CPT pairings should reflect the documented operative technique. A single-plane frame is coded <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-20690\/\">20690<\/a> rather than 20692. Confirm each selection against the surgeon&#8217;s operative report before claim submission. Refer to the <a href=\"https:\/\/www.aapc.com\/codes\/icd-10-codes-range\/\" target=\"_blank\" rel=\"nofollow noopener\">AAPC ICD-10-CM code lookup<\/a> for crosswalk validation between diagnosis and procedure codes.<\/p>\n\n\n\n<h2 id=\"h-coding-and-documentation-guidelines-for-s82-191b\" class=\"wp-block-heading\">Coding and documentation guidelines for S82.191B<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Accurate coding for S82.191B requires documentation that supports every element of the code. The <a href=\"https:\/\/www.cms.gov\/medicare\/coding-billing\/icd-10-codes\" target=\"_blank\" rel=\"nofollow noopener\">CMS ICD-10-CM coding guidelines<\/a> govern how fracture codes are assigned. The Official Guidelines for Coding and Reporting then set the rules for laterality, encounter type, and the open versus closed split.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Capture those elements before the claim leaves your practice. The same record then supports the bill and any later audit, which is what <a href=\"https:\/\/pabau.com\/blog\/hipaa-compliance-for-medical-offices\/\">HIPAA compliance<\/a> asks of your documentation.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Laterality:<\/strong> The code is right-tibia specific. Verify the operative or radiology report explicitly states the right side before assigning S82.191B.<\/li>\n\n\n\n<li><strong>Open vs closed:<\/strong> The operative or emergency department note must document the fracture as open. A closed fracture of the same site uses S82.191A.<\/li>\n\n\n\n<li><strong>Gustilo type:<\/strong> The Gustilo classification should appear in the operative note. Where it is absent, the guidelines default the 7th character to B, which can understate a type III injury.<\/li>\n\n\n\n<li><strong>Encounter type:<\/strong> Use 7th character B only for the initial encounter, meaning the patient is receiving active treatment for the fracture. Subsequent encounters use D through R, and sequela conditions use S.<\/li>\n\n\n\n<li><strong>Multiple injuries:<\/strong> When S82.191B is coded alongside other injuries, sequence the most severe injury first per CMS guidance. Follow the guidelines instead where they direct otherwise for the specific claim type.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Standardized <a href=\"https:\/\/pabau.com\/blog\/medical-forms-at-your-healthcare-practice\/\">clinical documentation forms<\/a> can capture wound classification and laterality on every trauma encounter. Verify code applicability each year against the <a href=\"https:\/\/icd10cmtool.cdc.gov\/\" target=\"_blank\" rel=\"nofollow noopener\">CDC\/NCHS ICD-10-CM tool<\/a>. Code validity dates change every October 1.<\/p>\n\n\n\n<h2 id=\"h-how-pabau-supports-icd-10-diagnostic-coding-workflows\" class=\"wp-block-heading\">How Pabau supports ICD-10 diagnostic coding workflows<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Claim errors on open fracture codes usually trace back to documentation workflows rather than coder knowledge. When the surgeon&#8217;s note does not state a Gustilo type, the coder falls back to the type I or II character. That fallback is defensible, but it can understate a type III injury and invite a denial on review.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Practice management software like Pabau keeps ICD-10 diagnostic codes and their associated CPT codes linked to the clinical encounter record. Our <a href=\"https:\/\/pabau.com\/features\/claims-management-software\/\">claims management software<\/a> shortens the distance between what the surgeon documented and what the biller submits. Fewer claims then go out on an assumed 7th character.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Pabau&#8217;s <a href=\"https:\/\/pabau.com\/features\/medical-records-management\/\">patient record management<\/a> captures structured clinical data at the point of care. Wound classification, laterality, and encounter type are then available to the billing team without anyone chasing down operative notes.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/pabau.com\/features\/ai-medical-scribe\/\">Pabau Scribe<\/a>, our AI scribe, structures encounter documentation so the wound grade and the side are easy to find. Good <a href=\"https:\/\/pabau.com\/blog\/ehr-integration\/\">EHR integration<\/a> means coders and clinicians work from one data source. That removes the transcription errors behind 7th character mismatches.<\/p>\n\n\n        <div id=\"book_a_demo\">\n            <div class=\"left-side\">\n                <div class=\"logo\">\n                    <img decoding=\"async\"\n                        src=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/01\/Logo.svg\"\n                        alt=\"Logo\"\n                        loading=\"lazy\"\n                    \/>\n                <\/div>\n\n                <h3 class=\"heading\">\n                    Reduce claim errors on open fracture cases                <\/h3>\n\n                <p class=\"description\">\n                    Pabau&#8217;s claims management software helps orthopedic and trauma practices submit accurate ICD-10 diagnosis codes and paired CPT codes. That cuts denials caused by 7th character mismatches and thin operative documentation.                <\/p>\n\n                <div class=\"button-group\">\n                    <a href=\"\/book-demo\/\" class=\"btn btn-scale-effect btn-cta-color btn-md\">\n                        <span class=\"btn-text\">Book a demo<\/span>\n                        <div class=\"btn-icon btn-icon-right\" aria-hidden=\"true\">\n                            <svg\n                                width=\"14\"\n                                height=\"12\"\n                                viewBox=\"0 0 14 12\"\n                                fill=\"none\"\n                                xmlns=\"http:\/\/www.w3.org\/2000\/svg\"\n                            >\n                                <path\n                                    d=\"M0.75 4.77295C0.335786 4.77295 0 5.10874 0 5.52295C0 5.93716 0.335786 6.27295 0.75 6.27295V5.52295V4.77295ZM13.2803 6.05328C13.5732 5.76039 13.5732 5.28551 13.2803 4.99262L8.50736 0.219648C8.21447 -0.073245 7.73959 -0.073245 7.4467 0.219648C7.15381 0.512542 7.15381 0.987415 7.4467 1.28031L11.6893 5.52295L7.4467 9.76559C7.15381 10.0585 7.15381 10.5334 7.4467 10.8263C7.73959 11.1191 8.21447 11.1191 8.50736 10.8263L13.2803 6.05328ZM0.75 5.52295V6.27295L12.75 6.27295V5.52295V4.77295L0.75 4.77295V5.52295Z\"\n                                    fill=\"currentColor\"\n                                ><\/path>\n                            <\/svg>\n                        <\/div>\n                    <\/a>\n                <\/div>\n            <\/div>\n\n            <div class=\"right-side\">\n                <img decoding=\"async\"\n                    src=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/01\/Home-Page-Concept-4.webp\"\n                    alt=\"Pabau claims management dashboard\"\n                    loading=\"lazy\"\n                \/>\n            <\/div>\n        <\/div>\n        \n\n\n<h2 id=\"h-conclusion\" class=\"wp-block-heading\">Conclusion<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">S82.191B lives or dies on one letter, and that letter comes from the operative note. Where the surgeon grades the wound, the choice between B and C is straightforward. Where nobody grades it, the default quietly files a type III injury as a type I or II.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">So the fix sits upstream of the biller. Make the Gustilo grade a required field on every open fracture note, and the 7th character stops being a judgment call. The severity mismatches that draw audit attention go with it.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Pabau&#8217;s claims management software connects clinical documentation directly to the billing workflow, so fewer claims go out on an assumed 7th character. To see how Pabau handles ICD-10 coding in orthopedic and trauma practices, <a href=\"https:\/\/pabau.com\/book-demo\/\">book a demo<\/a>.<\/p>\n\n\n        <div id=\"expert_picks\">\n            <div class=\"header\">\n                                    <img decoding=\"async\" src=\"https:\/\/pabau.com\/wp-content\/uploads\/2025\/11\/Expert-Picks.svg\" alt=\"Continue your research\" height=\"42\" width=\"42\">\n                                <h3>Continue your research<\/h3>\n            <\/div>\n            <div class=\"content\">\n                                                            <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Coding the same wound grades in the femur?<\/strong> <a href=\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-s72036e\/\">S72.036E<\/a> walks through the open-fracture 7th characters on a subsequent encounter.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Billing a fracture long after it healed?<\/strong> <a href=\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-s72124s\/\">S72.124S<\/a> shows how the sequela character works once active treatment has ended.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Deciding whether a knee injury needs imaging?<\/strong> The <a href=\"https:\/\/pabau.com\/templates\/pittsburgh-knee-rules\/\">Pittsburgh knee rules<\/a> give your team a documented screen before anyone orders an X-ray.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Tracking recovery after fracture fixation?<\/strong> The <a href=\"https:\/\/pabau.com\/templates\/functional-status-questionnaire\/\">functional status questionnaire<\/a> records patient-reported progress your billing team can cite.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Handing a trauma patient back to primary care?<\/strong> The <a href=\"https:\/\/pabau.com\/templates\/discharge-summary\/\">discharge summary template<\/a> keeps diagnosis codes and follow-up instructions in one place.<\/p>\n                        <\/div>\n                                                <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-frequently-asked-questions\" class=\"wp-block-heading\">Frequently asked questions<\/h2>\n\n\n\n<div class=\"schema-faq wp-block-yoast-faq-block\"><div class=\"schema-faq-section\" id=\"faq-question-1787040230296\"><h3 class=\"schema-faq-question\">What is ICD-10 code S82.191B?<\/h3> <p class=\"schema-faq-answer\">S82.191B is a billable ICD-10-CM diagnosis code. It covers other fracture of upper end of right tibia, initial encounter for open fracture type I or II. It is valid for HIPAA-covered transactions from October 1, 2025 through September 30, 2026 under the FY2026 ICD-10-CM code set.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1787040230297\"><h3 class=\"schema-faq-question\">What is the difference between S82.191A and S82.191B?<\/h3> <p class=\"schema-faq-answer\">S82.191A is for the initial encounter for a closed fracture of the upper end of the right tibia. S82.191B is for the initial encounter for an open fracture of the same site, specifically Gustilo type I or II. An open type IIIA, IIIB, or IIIC fracture at that site uses S82.191C, not S82.191B.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1787040230298\"><h3 class=\"schema-faq-question\">What is a Gustilo type I or II open fracture?<\/h3> <p class=\"schema-faq-answer\">A Gustilo type I open fracture has a clean wound under 1 cm with minimal soft tissue damage. A type II wound measures 1 to 10 cm with moderate contamination and no extensive soft tissue damage. Both types map to the 7th character B in the S82.191 code family. Type IIIA, IIIB, and IIIC map to C instead.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1787040230302\"><h3 class=\"schema-faq-question\">Which 7th character do I use when the Gustilo type is not documented?<\/h3> <p class=\"schema-faq-answer\">Assign B as the 7th character, which gives S82.191B for this site and laterality. The ICD-10-CM Official Guidelines direct coders to the type I or II character when the record documents an open fracture without a Gustilo grade. Query the surgeon where the wound sounds more severe than that default implies.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1787040230299\"><h3 class=\"schema-faq-question\">Is S82.191B a billable ICD-10-CM code?<\/h3> <p class=\"schema-faq-answer\">Yes. S82.191B is a valid, billable, and specific ICD-10-CM diagnosis code for FY2026. It can be used as a standalone diagnosis on HIPAA-covered electronic transactions and does not require an additional specificity code.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1787040230300\"><h3 class=\"schema-faq-question\">When do I use the sequela 7th character S for a tibia fracture?<\/h3> <p class=\"schema-faq-answer\">Use 7th character S (S82.191S) when treating a condition that results directly from a previous tibial fracture. Examples include chronic pain, limited range of motion, and post-traumatic arthritis attributable to the original injury. The sequela code is used after the fracture has healed, not during active fracture treatment.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1787040230301\"><h3 class=\"schema-faq-question\">What is the parent code for S82.191B?<\/h3> <p class=\"schema-faq-answer\">The parent code is S82.1 (Fracture of upper end of tibia), which falls under S82 (Fracture of lower leg, including ankle) in the S80-S89 block. S82.191B is the 7-character billable code within the 6-character parent S82.191 (Other fracture of upper end of right tibia).<\/p> <\/div> <\/div>\n\n","protected":false},"excerpt":{"rendered":"<p>S82.191B codes an initial-encounter Gustilo type I or II open fracture of the upper end of the right tibia. Type III maps to S82.191C.<\/p>\n","protected":false},"author":82,"featured_media":183445,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_yoast_wpseo_linkdex":"88","_yoast_wpseo_content_score":"30","_yoast_wpseo_is_cornerstone":"","_yoast_wpseo_keywordsynonyms":"[\"\",\"\",\"\",\"\",\"\",\"\"]","_yoast_wpseo_focuskw_text_input":"","_seo_original_html":"","footnotes":""},"categories":[1549,1550],"tags":[2394,2775,1666,3271],"class_list":["post-183446","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-diagnostic-codes","category-icd-10-cm","tag-coding-compliance","tag-fracture-management","tag-orthopedic-billing","tag-orthopedic-trauma"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.2 (Yoast SEO v28.2) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>ICD-10 code S82.191B: Right tibia open fracture (B vs C)<\/title>\n<meta name=\"description\" content=\"S82.191B covers Gustilo type I or II open fractures of the upper right tibia. Type IIIA to IIIC take S82.191C instead.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/pabau.com\/nl\/diagnostic-codes\/icd-10-code-s82191b\/\" \/>\n<meta property=\"og:locale\" content=\"nl_NL\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"ICD-10 code S82.191B: Right tibia open fracture (B vs C)\" \/>\n<meta property=\"og:description\" content=\"S82.191B covers Gustilo type I or II open fractures of the upper right tibia. Type IIIA to IIIC take S82.191C instead.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/pabau.com\/nl\/diagnostic-codes\/icd-10-code-s82191b\/\" \/>\n<meta property=\"og:site_name\" content=\"Pabau\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/Pabau\/\" \/>\n<meta property=\"article:published_time\" content=\"2026-08-18T11:29:07+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-08-18T12:09:13+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/08\/icd-10-code-s82191b.webp\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"630\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/webp\" \/>\n<meta name=\"author\" content=\"Maja Popovska\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@pabaucrm\" \/>\n<meta name=\"twitter:site\" content=\"@pabaucrm\" \/>\n<meta name=\"twitter:label1\" content=\"Geschreven door\" \/>\n\t<meta name=\"twitter:data1\" content=\"Maja Popovska\" \/>\n\t<meta name=\"twitter:label2\" content=\"Geschatte leestijd\" \/>\n\t<meta name=\"twitter:data2\" content=\"10 minuten\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/diagnostic-codes\\\/icd-10-code-s82191b\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/diagnostic-codes\\\/icd-10-code-s82191b\\\/\"},\"author\":{\"name\":\"Maja Popovska\",\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/#\\\/schema\\\/person\\\/b00aec1dd379f0ddcf6137d78e2a21db\"},\"headline\":\"ICD-10 code S82.191B: Upper end right tibia open fracture\",\"datePublished\":\"2026-08-18T11:29:07+00:00\",\"dateModified\":\"2026-08-18T12:09:13+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/diagnostic-codes\\\/icd-10-code-s82191b\\\/\"},\"wordCount\":2415,\"publisher\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/diagnostic-codes\\\/icd-10-code-s82191b\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/08\\\/icd-10-code-s82191b.webp\",\"keywords\":[\"Coding Compliance\",\"Fracture management\",\"Orthopedic Billing\",\"Orthopedic trauma\"],\"articleSection\":[\"Diagnostic Codes\",\"ICD-10-CM\"],\"inLanguage\":\"nl-NL\"},{\"@type\":[\"WebPage\",\"FAQPage\"],\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/diagnostic-codes\\\/icd-10-code-s82191b\\\/\",\"url\":\"https:\\\/\\\/pabau.com\\\/nl\\\/diagnostic-codes\\\/icd-10-code-s82191b\\\/\",\"name\":\"ICD-10 code S82.191B: Right tibia open fracture (B vs C)\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/diagnostic-codes\\\/icd-10-code-s82191b\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/diagnostic-codes\\\/icd-10-code-s82191b\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/08\\\/icd-10-code-s82191b.webp\",\"datePublished\":\"2026-08-18T11:29:07+00:00\",\"dateModified\":\"2026-08-18T12:09:13+00:00\",\"description\":\"S82.191B covers Gustilo type I or II open fractures of the upper right tibia. 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It combines scheduling, electronic health records, clinical forms, payments, marketing automation, reporting, and patient engagement tools into one secure cloud system to help practices streamline operations and grow their business.\",\"foundingDate\":\"2011-10-20\",\"numberOfEmployees\":{\"@type\":\"QuantitativeValue\",\"minValue\":\"201\",\"maxValue\":\"500\"}},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/#\\\/schema\\\/person\\\/b00aec1dd379f0ddcf6137d78e2a21db\",\"name\":\"Maja Popovska\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"nl-NL\",\"@id\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/06\\\/cropped-Maja-Popovska_WP-1-96x96.jpeg\",\"url\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/06\\\/cropped-Maja-Popovska_WP-1-96x96.jpeg\",\"contentUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/06\\\/cropped-Maja-Popovska_WP-1-96x96.jpeg\",\"caption\":\"Maja Popovska\"},\"description\":\"Maja is a Senior Content Writer at Pabau, where she covers everything from practice management and compliance to medical aesthetics and patient experience. Off the clock: binging true crime docuseries, baking and dreaming about travel.\",\"url\":\"https:\\\/\\\/pabau.com\\\/nl\\\/blog\\\/author\\\/maja-popovska\\\/\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/diagnostic-codes\\\/icd-10-code-s82191b\\\/#faq-question-1787040230296\",\"position\":1,\"url\":\"https:\\\/\\\/pabau.com\\\/nl\\\/diagnostic-codes\\\/icd-10-code-s82191b\\\/#faq-question-1787040230296\",\"name\":\"What is ICD-10 code S82.191B?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"S82.191B is a billable ICD-10-CM diagnosis code. It covers other fracture of upper end of right tibia, initial encounter for open fracture type I or II. It is valid for HIPAA-covered transactions from October 1, 2025 through September 30, 2026 under the FY2026 ICD-10-CM code set.\",\"inLanguage\":\"nl-NL\"},\"inLanguage\":\"nl-NL\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/diagnostic-codes\\\/icd-10-code-s82191b\\\/#faq-question-1787040230297\",\"position\":2,\"url\":\"https:\\\/\\\/pabau.com\\\/nl\\\/diagnostic-codes\\\/icd-10-code-s82191b\\\/#faq-question-1787040230297\",\"name\":\"What is the difference between S82.191A and S82.191B?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"S82.191A is for the initial encounter for a closed fracture of the upper end of the right tibia. S82.191B is for the initial encounter for an open fracture of the same site, specifically Gustilo type I or II. An open type IIIA, IIIB, or IIIC fracture at that site uses S82.191C, not S82.191B.\",\"inLanguage\":\"nl-NL\"},\"inLanguage\":\"nl-NL\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/diagnostic-codes\\\/icd-10-code-s82191b\\\/#faq-question-1787040230298\",\"position\":3,\"url\":\"https:\\\/\\\/pabau.com\\\/nl\\\/diagnostic-codes\\\/icd-10-code-s82191b\\\/#faq-question-1787040230298\",\"name\":\"What is a Gustilo type I or II open fracture?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"A Gustilo type I open fracture has a clean wound under 1 cm with minimal soft tissue damage. A type II wound measures 1 to 10 cm with moderate contamination and no extensive soft tissue damage. Both types map to the 7th character B in the S82.191 code family. Type IIIA, IIIB, and IIIC map to C instead.\",\"inLanguage\":\"nl-NL\"},\"inLanguage\":\"nl-NL\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/diagnostic-codes\\\/icd-10-code-s82191b\\\/#faq-question-1787040230302\",\"position\":4,\"url\":\"https:\\\/\\\/pabau.com\\\/nl\\\/diagnostic-codes\\\/icd-10-code-s82191b\\\/#faq-question-1787040230302\",\"name\":\"Which 7th character do I use when the Gustilo type is not documented?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Assign B as the 7th character, which gives S82.191B for this site and laterality. The ICD-10-CM Official Guidelines direct coders to the type I or II character when the record documents an open fracture without a Gustilo grade. Query the surgeon where the wound sounds more severe than that default implies.\",\"inLanguage\":\"nl-NL\"},\"inLanguage\":\"nl-NL\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/diagnostic-codes\\\/icd-10-code-s82191b\\\/#faq-question-1787040230299\",\"position\":5,\"url\":\"https:\\\/\\\/pabau.com\\\/nl\\\/diagnostic-codes\\\/icd-10-code-s82191b\\\/#faq-question-1787040230299\",\"name\":\"Is S82.191B a billable ICD-10-CM code?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Yes. S82.191B is a valid, billable, and specific ICD-10-CM diagnosis code for FY2026. It can be used as a standalone diagnosis on HIPAA-covered electronic transactions and does not require an additional specificity code.\",\"inLanguage\":\"nl-NL\"},\"inLanguage\":\"nl-NL\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/diagnostic-codes\\\/icd-10-code-s82191b\\\/#faq-question-1787040230300\",\"position\":6,\"url\":\"https:\\\/\\\/pabau.com\\\/nl\\\/diagnostic-codes\\\/icd-10-code-s82191b\\\/#faq-question-1787040230300\",\"name\":\"When do I use the sequela 7th character S for a tibia fracture?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Use 7th character S (S82.191S) when treating a condition that results directly from a previous tibial fracture. Examples include chronic pain, limited range of motion, and post-traumatic arthritis attributable to the original injury. The sequela code is used after the fracture has healed, not during active fracture treatment.\",\"inLanguage\":\"nl-NL\"},\"inLanguage\":\"nl-NL\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/diagnostic-codes\\\/icd-10-code-s82191b\\\/#faq-question-1787040230301\",\"position\":7,\"url\":\"https:\\\/\\\/pabau.com\\\/nl\\\/diagnostic-codes\\\/icd-10-code-s82191b\\\/#faq-question-1787040230301\",\"name\":\"What is the parent code for S82.191B?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"The parent code is S82.1 (Fracture of upper end of tibia), which falls under S82 (Fracture of lower leg, including ankle) in the S80-S89 block. S82.191B is the 7-character billable code within the 6-character parent S82.191 (Other fracture of upper end of right tibia).\",\"inLanguage\":\"nl-NL\"},\"inLanguage\":\"nl-NL\"}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"ICD-10 code S82.191B: Right tibia open fracture (B vs C)","description":"S82.191B covers Gustilo type I or II open fractures of the upper right tibia. Type IIIA to IIIC take S82.191C instead.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/pabau.com\/nl\/diagnostic-codes\/icd-10-code-s82191b\/","og_locale":"nl_NL","og_type":"article","og_title":"ICD-10 code S82.191B: Right tibia open fracture (B vs C)","og_description":"S82.191B covers Gustilo type I or II open fractures of the upper right tibia. 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Off the clock: binging true crime docuseries, baking and dreaming about travel.","url":"https:\/\/pabau.com\/nl\/blog\/author\/maja-popovska\/"},{"@type":"Question","@id":"https:\/\/pabau.com\/nl\/diagnostic-codes\/icd-10-code-s82191b\/#faq-question-1787040230296","position":1,"url":"https:\/\/pabau.com\/nl\/diagnostic-codes\/icd-10-code-s82191b\/#faq-question-1787040230296","name":"What is ICD-10 code S82.191B?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"S82.191B is a billable ICD-10-CM diagnosis code. It covers other fracture of upper end of right tibia, initial encounter for open fracture type I or II. It is valid for HIPAA-covered transactions from October 1, 2025 through September 30, 2026 under the FY2026 ICD-10-CM code set.","inLanguage":"nl-NL"},"inLanguage":"nl-NL"},{"@type":"Question","@id":"https:\/\/pabau.com\/nl\/diagnostic-codes\/icd-10-code-s82191b\/#faq-question-1787040230297","position":2,"url":"https:\/\/pabau.com\/nl\/diagnostic-codes\/icd-10-code-s82191b\/#faq-question-1787040230297","name":"What is the difference between S82.191A and S82.191B?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"S82.191A is for the initial encounter for a closed fracture of the upper end of the right tibia. S82.191B is for the initial encounter for an open fracture of the same site, specifically Gustilo type I or II. An open type IIIA, IIIB, or IIIC fracture at that site uses S82.191C, not S82.191B.","inLanguage":"nl-NL"},"inLanguage":"nl-NL"},{"@type":"Question","@id":"https:\/\/pabau.com\/nl\/diagnostic-codes\/icd-10-code-s82191b\/#faq-question-1787040230298","position":3,"url":"https:\/\/pabau.com\/nl\/diagnostic-codes\/icd-10-code-s82191b\/#faq-question-1787040230298","name":"What is a Gustilo type I or II open fracture?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"A Gustilo type I open fracture has a clean wound under 1 cm with minimal soft tissue damage. A type II wound measures 1 to 10 cm with moderate contamination and no extensive soft tissue damage. Both types map to the 7th character B in the S82.191 code family. Type IIIA, IIIB, and IIIC map to C instead.","inLanguage":"nl-NL"},"inLanguage":"nl-NL"},{"@type":"Question","@id":"https:\/\/pabau.com\/nl\/diagnostic-codes\/icd-10-code-s82191b\/#faq-question-1787040230302","position":4,"url":"https:\/\/pabau.com\/nl\/diagnostic-codes\/icd-10-code-s82191b\/#faq-question-1787040230302","name":"Which 7th character do I use when the Gustilo type is not documented?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Assign B as the 7th character, which gives S82.191B for this site and laterality. The ICD-10-CM Official Guidelines direct coders to the type I or II character when the record documents an open fracture without a Gustilo grade. Query the surgeon where the wound sounds more severe than that default implies.","inLanguage":"nl-NL"},"inLanguage":"nl-NL"},{"@type":"Question","@id":"https:\/\/pabau.com\/nl\/diagnostic-codes\/icd-10-code-s82191b\/#faq-question-1787040230299","position":5,"url":"https:\/\/pabau.com\/nl\/diagnostic-codes\/icd-10-code-s82191b\/#faq-question-1787040230299","name":"Is S82.191B a billable ICD-10-CM code?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Yes. S82.191B is a valid, billable, and specific ICD-10-CM diagnosis code for FY2026. It can be used as a standalone diagnosis on HIPAA-covered electronic transactions and does not require an additional specificity code.","inLanguage":"nl-NL"},"inLanguage":"nl-NL"},{"@type":"Question","@id":"https:\/\/pabau.com\/nl\/diagnostic-codes\/icd-10-code-s82191b\/#faq-question-1787040230300","position":6,"url":"https:\/\/pabau.com\/nl\/diagnostic-codes\/icd-10-code-s82191b\/#faq-question-1787040230300","name":"When do I use the sequela 7th character S for a tibia fracture?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Use 7th character S (S82.191S) when treating a condition that results directly from a previous tibial fracture. Examples include chronic pain, limited range of motion, and post-traumatic arthritis attributable to the original injury. The sequela code is used after the fracture has healed, not during active fracture treatment.","inLanguage":"nl-NL"},"inLanguage":"nl-NL"},{"@type":"Question","@id":"https:\/\/pabau.com\/nl\/diagnostic-codes\/icd-10-code-s82191b\/#faq-question-1787040230301","position":7,"url":"https:\/\/pabau.com\/nl\/diagnostic-codes\/icd-10-code-s82191b\/#faq-question-1787040230301","name":"What is the parent code for S82.191B?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"The parent code is S82.1 (Fracture of upper end of tibia), which falls under S82 (Fracture of lower leg, including ankle) in the S80-S89 block. S82.191B is the 7-character billable code within the 6-character parent S82.191 (Other fracture of upper end of right tibia).","inLanguage":"nl-NL"},"inLanguage":"nl-NL"}]}},"yoast":{"focus_keyword":"ICD-10 code S82.191B","seo_title":"ICD-10 code S82.191B: Right tibia open fracture (B vs C)","meta_description":"S82.191B covers Gustilo type I or II open fractures of the upper right tibia. 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