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S82.54XG vs S82.55XG

S82.54XG (Nondisplaced fracture of medial malleolus of right tibia, subsequent encounter for closed fracture with delayed healing) compared with S82.55XG (Nondisplaced fracture of medial malleolus of left tibia, subsequent encounter for closed fracture with delayed healing), from the official CMS tabular data. S82.54XG and S82.55XG code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S82.54XG
Right
Nondisplaced fracture of medial malleolus of right tibia, subsequent encounter for closed fracture with delayed healing
S82.55XG
Left
Nondisplaced fracture of medial malleolus of left tibia, subsequent encounter for closed fracture with delayed healing

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. S82.54XG and S82.55XG 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

S82.54XGNondisplaced fracture of medial malleolus of right tibia, subsequent encounter for closed fracture with delayed healingS82.55XGNondisplaced fracture of medial malleolus of left tibia, subsequent encounter for closed fracture with delayed 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 fracture of medial malleolus of right tibia, subsequent encounter for closed fracture with delayed healing is a billable ICD-10-CM diagnosis code (S82.54G).Nondisplaced fracture of medial malleolus of left tibia, subsequent encounter for closed fracture with delayed healing is a billable ICD-10-CM diagnosis code (S82.55G).
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