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S82.54 vs S82.56

S82.54 (Nondisplaced fracture of medial malleolus of right tibia) compared with S82.56 (Nondisplaced fracture of medial malleolus of unspecified tibia), from the official CMS tabular data. S82.54 and S82.56 code the same condition on opposite sides.

Can these codes be reported together?

Same condition, opposite side. S82.54 and S82.56 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

S82.54Nondisplaced fracture of medial malleolus of right tibiaS82.56Nondisplaced fracture of medial malleolus of unspecified tibia
Billing statusNon-billable headerNon-billable header
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 fracture of medial malleolus of right tibia is a non-billable ICD-10-CM category code (S82.54).Nondisplaced fracture of medial malleolus of unspecified tibia is a non-billable ICD-10-CM category code (S82.56).
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