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S82.445D vs S82.446D

S82.445D (Nondisplaced spiral fracture of shaft of left fibula, subsequent encounter for closed fracture with routine healing) compared with S82.446D (Nondisplaced spiral fracture of shaft of unspecified fibula, subsequent encounter for closed fracture with routine healing), from the official CMS tabular data. S82.445D and S82.446D code the same condition on opposite sides.

Can these codes be reported together?

Same condition, opposite side. S82.445D and S82.446D 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

S82.445DNondisplaced spiral fracture of shaft of left fibula, subsequent encounter for closed fracture with routine healingS82.446DNondisplaced spiral fracture of shaft of unspecified fibula, subsequent encounter for closed fracture with routine healing
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)
DefinitionNondisplaced spiral fracture of shaft of left fibula, subsequent encounter for closed fracture with routine healing is a billable ICD-10-CM diagnosis code (S82.445D).Nondisplaced spiral fracture of shaft of unspecified fibula, subsequent encounter for closed fracture with routine healing is a billable ICD-10-CM diagnosis code (S82.446D).
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