S82.54XJ (Nondisplaced fracture of medial malleolus of right tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing)
compared with
S82.56XJ (Nondisplaced fracture of medial malleolus of unspecified tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing),
from the official CMS tabular data. S82.54XJ and S82.56XJ code the same condition on opposite sides.
Nondisplaced fracture of medial malleolus of unspecified tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC 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. S82.54XJ and S82.56XJ 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.
S00-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)
Definition
Nondisplaced fracture of medial malleolus of right tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing is a billable ICD-10-CM diagnosis code (S82.54J).
Nondisplaced fracture of medial malleolus of unspecified tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing is a billable ICD-10-CM diagnosis code (S82.56J).
7th character
The appropriate 7th character is to be added to all codes from category S82
The appropriate 7th character is to be added to all codes from category S82