S82.116A vs S82.116M
S82.116A (Nondisplaced fracture of unspecified tibial spine, initial encounter for closed fracture) compared with S82.116M (Nondisplaced fracture of unspecified tibial spine, subsequent encounter for open fracture type I or II with nonunion), from the official CMS tabular data. S82.116A and S82.116M code the same injury at a different phase of treatment.
Can these codes be reported together?
Same injury, other encounter phase. S82.116A and S82.116M 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
| S82.116ANondisplaced fracture of unspecified tibial spine, initial encounter for closed fracture | S82.116MNondisplaced fracture of unspecified tibial spine, subsequent encounter for open fracture type I or II with nonunion | |
|---|---|---|
| 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 | Nondisplaced fracture of unspecified tibial spine, initial encounter for closed fracture is a billable ICD-10-CM diagnosis code (S82.116A). | Nondisplaced fracture of unspecified tibial spine, subsequent encounter for open fracture type I or II with nonunion is a billable ICD-10-CM diagnosis code (S82.116M). |
| 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