S82.111A vs S82.111R
S82.111A (Displaced fracture of right tibial spine, initial encounter for closed fracture) compared with S82.111R (Displaced fracture of right tibial spine, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion), from the official CMS tabular data. S82.111A and S82.111R code the same injury at a different phase of treatment.
Can these codes be reported together?
Same injury, other encounter phase. S82.111A and S82.111R code the same injury at a different phase of treatment, set by the 7th character.
The 7th character records the type of care given at the encounter being coded (ICD-10-CM Official Guidelines, Section I.C.19.a), so one encounter takes one of these, not both.
Side by side
| S82.111ADisplaced fracture of right tibial spine, initial encounter for closed fracture | S82.111RDisplaced fracture of right tibial spine, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion | |
|---|---|---|
| Billing status | Billable | Billable |
| Classification | S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) | S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) |
| Definition | Displaced fracture of right tibial spine, initial encounter for closed fracture is a billable ICD-10-CM diagnosis code (S82.111A). | Displaced fracture of right tibial spine, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion is a billable ICD-10-CM diagnosis code (S82.111R). |
| 7th character | The appropriate 7th character is to be added to all codes from category S82 | The appropriate 7th character is to be added to all codes from category S82 |
| Includes | fracture of malleolus | fracture of malleolus |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources