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S82.491R vs S82.499R

S82.491R (Other fracture of shaft of right fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion) compared with S82.499R (Other fracture of shaft of unspecified fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion), from the official CMS tabular data. S82.491R and S82.499R code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

S82.491R
Right
Other fracture of shaft of right fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
S82.499R
Unspecified
Other fracture of shaft of unspecified fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion

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. S82.491R and S82.499R 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

S82.491ROther fracture of shaft of right fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunionS82.499ROther fracture of shaft of unspecified fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
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 shaft of right fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion is a billable ICD-10-CM diagnosis code (S82.491R).Other fracture of shaft of unspecified fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion is a billable ICD-10-CM diagnosis code (S82.499R).
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