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S82.55 vs S82.56

S82.55 (Nondisplaced fracture of medial malleolus of left tibia) compared with S82.56 (Nondisplaced fracture of medial malleolus of unspecified tibia), from the official CMS tabular data. S82.55 and S82.56 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S82.55
Left
Nondisplaced fracture of medial malleolus of left tibia
S82.56
Unspecified
Nondisplaced fracture of medial malleolus of unspecified tibia

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. S82.55 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

S82.55Nondisplaced fracture of medial malleolus of left 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 left tibia is a non-billable ICD-10-CM category code (S82.55).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