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S82.232A vs S82.232C

S82.232A (Displaced oblique fracture of shaft of left tibia, initial encounter for closed fracture) compared with S82.232C (Displaced oblique fracture of shaft of left tibia, initial encounter for open fracture type IIIA, IIIB, or IIIC), from the official CMS tabular data. S82.232A and S82.232C code the same injury at a different phase of treatment.

Can these codes be reported together?

Same injury, other encounter phase. S82.232A and S82.232C 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

S82.232ADisplaced oblique fracture of shaft of left tibia, initial encounter for closed fractureS82.232CDisplaced oblique fracture of shaft of left 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)
DefinitionDisplaced oblique fracture of shaft of left tibia, initial encounter for closed fracture is a billable ICD-10-CM diagnosis code (S82.232A).Displaced oblique fracture of shaft of left tibia, initial encounter for open fracture type IIIA, IIIB, or IIIC is a billable ICD-10-CM diagnosis code (S82.232C).
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