S82.142B: Displaced bicondylar fracture of left tibia, initial encounter for open fracture type I or II
S82.142B, displaced bicondylar fracture of left tibia, initial encounter for open fracture type I or II, is listed as a covered diagnosis in 3 Medicare billing and coding articles that apply to 69 HCPCS Level II codes, including G0008 (Administration of influenza virus vaccine), G0009 (Administration of pneumococcal vaccine), G0010 (Administration of hepatitis b vaccine). 47 of these codes have a 2026 DMEPOS fee schedule amount; L1844 pays $1,865.51 to $2,436.24 depending on the state. The articles come from 2 Medicare contractors. A listed diagnosis supports medical necessity only; coverage still depends on the LCD's criteria and on documentation in the medical record.
HCPCS Level II codes with S82.142B as a covered diagnosis
| Code | Description | Medicare coverage | DMEPOS fee 2026 (state range) | Articles listing it |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | Carrier judgment | — | 1 |
| G0009 | Administration of pneumococcal vaccine | Carrier judgment | — | 1 |
| G0010 | Administration of hepatitis b vaccine | Carrier judgment | — | 1 |
| Q2038 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) | Special coverage instructions apply | — | 1 |
| Q2035 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) | Special coverage instructions apply | — | 1 |
| Q2037 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) | Special coverage instructions apply | — | 1 |
| Q2034 | Influenza virus vaccine, split virus, for intramuscular use (agriflu) | Special coverage instructions apply | — | 1 |
| Q2036 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) | Special coverage instructions apply | — | 1 |
| Q2039 | Influenza virus vaccine, not otherwise specified | Special coverage instructions apply | — | 1 |
| L1844 | Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, custom fabricated | Carrier judgment | $1,865.51–$2,436.24 | 1 |
| L1860 | Knee orthosis, modification of supracondylar prosthetic socket, custom fabricated (sk) | Carrier judgment | $1,233.07–$1,985.94 | 1 |
| L1846 | Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, custom fabricated | Carrier judgment | $1,283.72–$1,960.17 | 1 |
| L1834 | Knee orthosis, without knee joint, rigid, custom fabricated | Carrier judgment | $892.02–$1,808.36 | 1 |
| L1832 | Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | Carrier judgment | $698.63–$1,618.03 | 1 |
| L1840 | Knee orthosis, derotation, medial-lateral, anterior cruciate ligament, custom fabricated | Carrier judgment | $1,056.60–$1,606.15 | 1 |
| L1843 | Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | Carrier judgment | $1,076.26–$1,183.90 | 1 |
| L1845 | Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | Carrier judgment | $939.24–$1,180.51 | 1 |
| L1833 | Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf | Carrier judgment | $455.16–$1,087.16 | 1 |
| L1851 | Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf | Carrier judgment | $600.78–$959.09 | 1 |
| L1852 | Knee orthosis (ko), double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf | Carrier judgment | $573.13–$940.49 | 1 |
| L2330 | Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only | Carrier judgment | $429.42–$904.14 | 1 |
| L1847 | Knee orthosis, double upright with adjustable joint, with inflatable air support chamber(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | Carrier judgment | $689.92–$827.89 | 1 |
| L1848 | Knee orthosis, double upright with adjustable joint, with inflatable air support chamber(s), prefabricated, off-the-shelf | Carrier judgment | $689.92–$827.89 | 1 |
| L1850 | Knee orthosis, swedish type, prefabricated, off-the-shelf | Carrier judgment | $205.78–$408.53 | 1 |
| L2820 | Addition to lower extremity orthosis, soft interface for molded plastic, below knee section | Carrier judgment | $99.79–$399.72 | 1 |
44 more codes are listed. See every code with payment by region in Caduvo.
Medicare policy articles listing S82.142B
- A54767: Billing and Coding: Medicare Preventive Coverage for Certain Vaccines (Palmetto GBA (MAC - Part A, MAC - Part B); 9 Level II codes)
- A52465: Knee Orthoses - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC); 53 Level II codes). LCD with the same title: L33318
- A57311: Billing and Coding: Physical Therapy - Home Health (CGS Administrators, LLC (HHH MAC); 7 Level II codes). LCD with the same title: L33942
A diagnosis listed as covered in a billing and coding article supports medical necessity for the article's codes; it does not guarantee payment. Coverage depends on the LCD's criteria, the contractor's jurisdiction and documentation in the medical record.
Other S82 diagnoses (Fracture of lower leg, including ankle)
- S82.142C — Displaced bicondylar fracture of left tibia, initial encounter for…
- S82.141B — Displaced bicondylar fracture of right tibia, initial encounter for…
- S82.141C — Displaced bicondylar fracture of right tibia, initial encounter for…
- S82.144B — Nondisplaced bicondylar fracture of right tibia, initial encounter…
- S82.144C — Nondisplaced bicondylar fracture of right tibia, initial encounter…
- S82.145B — Nondisplaced bicondylar fracture of left tibia, initial encounter…
- S82.145C — Nondisplaced bicondylar fracture of left tibia, initial encounter…
- S82.111B — Displaced fracture of right tibial spine, initial encounter for open…
- S82.111C — Displaced fracture of right tibial spine, initial encounter for open…
- S82.112B — Displaced fracture of left tibial spine, initial encounter for open…
- S82.112C — Displaced fracture of left tibial spine, initial encounter for open…
- S82.114B — Nondisplaced fracture of right tibial spine, initial encounter for…
- S82.114C — Nondisplaced fracture of right tibial spine, initial encounter for…
- S82.115B — Nondisplaced fracture of left tibial spine, initial encounter for…
- S82.115C — Nondisplaced fracture of left tibial spine, initial encounter for…
- S82.121B — Displaced fracture of lateral condyle of right tibia, initial…
- S82.121C — Displaced fracture of lateral condyle of right tibia, initial…
- S82.122B — Displaced fracture of lateral condyle of left tibia, initial…
- S82.122C — Displaced fracture of lateral condyle of left tibia, initial…
- S82.124B — Nondisplaced fracture of lateral condyle of right tibia, initial…
- S82.124C — Nondisplaced fracture of lateral condyle of right tibia, initial…
- S82.125B — Nondisplaced fracture of lateral condyle of left tibia, initial…
- S82.125C — Nondisplaced fracture of lateral condyle of left tibia, initial…
- S82.131B — Displaced fracture of medial condyle of right tibia, initial…
- S82.131C — Displaced fracture of medial condyle of right tibia, initial…
- S82.132B — Displaced fracture of medial condyle of left tibia, initial…
- S82.132C — Displaced fracture of medial condyle of left tibia, initial…
- S82.134B — Nondisplaced fracture of medial condyle of right tibia, initial…
- S82.134C — Nondisplaced fracture of medial condyle of right tibia, initial…
- S82.135B — Nondisplaced fracture of medial condyle of left tibia, initial…
Frequently asked questions
Does Medicare cover S82.142B (Displaced bicondylar fracture of left tibia, initial…)?
Medicare covers items and services, not diagnoses. 3 Medicare billing and coding articles list S82.142B as a covered diagnosis for 69 HCPCS Level II codes: the diagnosis can support medical necessity for those codes, but payment still depends on the LCD's coverage criteria and the medical record.
Which HCPCS codes can be billed with ICD-10 S82.142B?
The Level II codes from the policies most specific to this diagnosis are G0008 (Administration of influenza virus vaccine, 1 article); G0009 (Administration of pneumococcal vaccine, 1 article); G0010 (Administration of hepatitis b vaccine, 1 article); Q2038 (Influenza virus vaccine, split virus, when administered to…, 1 article); Q2035 (Influenza virus vaccine, split virus, when administered to…, 1 article). Code choice depends on the item supplied; check each code's descriptor.
What does Medicare pay for equipment billed with S82.142B?
Under the 2026 DMEPOS fee schedule (non-rural state fees): L1844 $1,865.51 to $2,436.24; L1860 $1,233.07 to $1,985.94; L1846 $1,283.72 to $1,960.17; L1834 $892.02 to $1,808.36. Medicare pays 80% of the allowed amount after the Part B deductible.
Which Medicare policy articles list S82.142B?
A54767 (Billing and Coding: Medicare Preventive Coverage for Certain Vaccines); A52465 (Knee Orthoses - Policy Article); A57311 (Billing and Coding: Physical Therapy - Home Health).
What is ICD-10-CM code S82.142B?
S82.142B is the ICD-10-CM code for displaced bicondylar fracture of left tibia, initial encounter for open fracture type I or II, in category S82 (Fracture of lower leg, including ankle), chapter 19: Injury, poisoning and other consequences of external causes.
Next steps
- Run a reimbursement report for a device billed under G0008
- Watch G0008 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for G0008
Sources: CMS Medicare Coverage Database billing and coding articles (covered ICD-10 code lists and HCPCS links); ICD-10-CM FY2026; CMS HCPCS Level II release October 2026; CMS DMEPOS fee schedule 2026 (non-rural state fees). Not billing or legal advice.
Chapter 19: Injury, poisoning and other consequences of external causes · All diagnoses · HCPCS lookup