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S82.192C vs S82.199C

S82.192C (Other fracture of upper end of left tibia, initial encounter for open fracture type IIIA, IIIB, or IIIC) compared with S82.199C (Other fracture of upper end of unspecified tibia, initial encounter for open fracture type IIIA, IIIB, or IIIC), from the official CMS tabular data. S82.192C and S82.199C code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S82.192C
Left
Other fracture of upper end of left tibia, initial encounter for open fracture type IIIA, IIIB, or IIIC
S82.199C
Unspecified
Other fracture of upper end of unspecified tibia, initial encounter for open fracture type IIIA, IIIB, or IIIC

Same condition; these differ only in which side is documented.

These codes share a category and title and differ only in the side affected. The documentation decides which applies, and a bilateral code is reported only where the code set provides one.

Source: ICD-10-CM tabular list (laterality variant derived from the code title)

Can these codes be reported together?

Same condition, opposite side. S82.192C and S82.199C name the same condition on opposite sides of the body.

Same category and title, differing only in which side is affected — the documentation decides which one applies, and a bilateral code is reported only where the code set provides one.

Side by side

S82.192COther fracture of upper end of left tibia, initial encounter for open fracture type IIIA, IIIB, or IIICS82.199COther fracture of upper end of unspecified tibia, initial encounter for open fracture type IIIA, IIIB, or IIIC
Billing statusBillableBillable
ClassificationS00-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)
DefinitionOther fracture of upper end of left tibia, initial encounter for open fracture type IIIA, IIIB, or IIIC is a billable ICD-10-CM diagnosis code (S82.192C).Other fracture of upper end of unspecified tibia, initial encounter for open fracture type IIIA, IIIB, or IIIC is a billable ICD-10-CM diagnosis code (S82.199C).
7th characterThe appropriate 7th character is to be added to all codes from category S82The 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