S82.56XA vs S82.56XE
S82.56XA (Nondisplaced fracture of medial malleolus of unspecified tibia, initial encounter for closed fracture) compared with S82.56XE (Nondisplaced fracture of medial malleolus of unspecified tibia, subsequent encounter for open fracture type I or II with routine healing), from the official CMS tabular data. S82.56XA and S82.56XE code the same injury at a different phase of treatment.
Can these codes be reported together?
Same injury, other encounter phase. S82.56XA and S82.56XE code the same injury at a different phase of treatment, set by the 7th character.
The 7th character records the type of care given at the encounter being coded (ICD-10-CM Official Guidelines, Section I.C.19.a), so one encounter takes one of these, not both.
Side by side
| S82.56XANondisplaced fracture of medial malleolus of unspecified tibia, initial encounter for closed fracture | S82.56XENondisplaced fracture of medial malleolus of unspecified tibia, subsequent encounter for open fracture type I or II with routine healing | |
|---|---|---|
| Billing status | Billable | Billable |
| Classification | 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 unspecified tibia, initial encounter for closed fracture is a billable ICD-10-CM diagnosis code (S82.56A). | Nondisplaced fracture of medial malleolus of unspecified tibia, subsequent encounter for open fracture type I or II with routine healing is a billable ICD-10-CM diagnosis code (S82.56E). |
| 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 |
| 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