Version 2024

2024 ICD-10-CM Diagnosis Code S82.5

Fracture of medial malleolus

ICD-10-CM Code:
S82.5
ICD-10 Code for:
Fracture of medial malleolus
Is Billable?
Not Valid for Submission
Code Navigator:

Code Classification

  • Injury, poisoning and certain other consequences of external causes
    (S00–T88)
    • Injuries to the knee and lower leg
      (S80-S89)
      • Fracture of lower leg, including ankle
        (S82)

S82.5 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of fracture of medial malleolus. The code is not specific and is NOT valid for the year 2024 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

Specific Coding Applicable to Fracture of medial malleolus

Non-specific codes like S82.5 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10-CM codes with a higher level of specificity when coding for fracture of medial malleolus:

  • S82.51 for Displaced fracture of medial malleolus of right tibia - NON-BILLABLE CODE

  • Use S82.51XA for initial encounter for closed fracture - BILLABLE CODE

  • Use S82.51XB for initial encounter for open fracture type I or II - BILLABLE CODE

  • Use S82.51XC for or IIIC - BILLABLE CODE

  • Use S82.51XD for subsequent encounter for closed fracture with routine healing - BILLABLE CODE

  • Use S82.51XE for subsequent encounter for open fracture type I or II with routine healing - BILLABLE CODE

  • Use S82.51XF for or IIIC with routine healing - BILLABLE CODE

  • Use S82.51XG for subsequent encounter for closed fracture with delayed healing - BILLABLE CODE

  • Use S82.51XH for subsequent encounter for open fracture type I or II with delayed healing - BILLABLE CODE

  • Use S82.51XJ for or IIIC with delayed healing - BILLABLE CODE

  • Use S82.51XK for subsequent encounter for closed fracture with nonunion - BILLABLE CODE

  • Use S82.51XM for subsequent encounter for open fracture type I or II with nonunion - BILLABLE CODE

  • Use S82.51XN for or IIIC with nonunion - BILLABLE CODE

  • Use S82.51XP for subsequent encounter for closed fracture with malunion - BILLABLE CODE

  • Use S82.51XQ for subsequent encounter for open fracture type I or II with malunion - BILLABLE CODE

  • Use S82.51XR for or IIIC with malunion - BILLABLE CODE

  • Use S82.51XS for sequela - BILLABLE CODE

  • S82.52 for Displaced fracture of medial malleolus of left tibia - NON-BILLABLE CODE

  • Use S82.52XA for initial encounter for closed fracture - BILLABLE CODE

  • Use S82.52XB for initial encounter for open fracture type I or II - BILLABLE CODE

  • Use S82.52XC for or IIIC - BILLABLE CODE

  • Use S82.52XD for subsequent encounter for closed fracture with routine healing - BILLABLE CODE

  • Use S82.52XE for subsequent encounter for open fracture type I or II with routine healing - BILLABLE CODE

  • Use S82.52XF for or IIIC with routine healing - BILLABLE CODE

  • Use S82.52XG for subsequent encounter for closed fracture with delayed healing - BILLABLE CODE

  • Use S82.52XH for subsequent encounter for open fracture type I or II with delayed healing - BILLABLE CODE

  • Use S82.52XJ for or IIIC with delayed healing - BILLABLE CODE

  • Use S82.52XK for subsequent encounter for closed fracture with nonunion - BILLABLE CODE

  • Use S82.52XM for subsequent encounter for open fracture type I or II with nonunion - BILLABLE CODE

  • Use S82.52XN for or IIIC with nonunion - BILLABLE CODE

  • Use S82.52XP for subsequent encounter for closed fracture with malunion - BILLABLE CODE

  • Use S82.52XQ for subsequent encounter for open fracture type I or II with malunion - BILLABLE CODE

  • Use S82.52XR for or IIIC with malunion - BILLABLE CODE

  • Use S82.52XS for sequela - BILLABLE CODE

  • S82.53 for Displaced fracture of medial malleolus of unspecified tibia - NON-BILLABLE CODE

  • Use S82.53XA for initial encounter for closed fracture - BILLABLE CODE

  • Use S82.53XB for initial encounter for open fracture type I or II - BILLABLE CODE

  • Use S82.53XC for or IIIC - BILLABLE CODE

  • Use S82.53XD for subsequent encounter for closed fracture with routine healing - BILLABLE CODE

  • Use S82.53XE for subsequent encounter for open fracture type I or II with routine healing - BILLABLE CODE

  • Use S82.53XF for or IIIC with routine healing - BILLABLE CODE

  • Use S82.53XG for subsequent encounter for closed fracture with delayed healing - BILLABLE CODE

  • Use S82.53XH for subsequent encounter for open fracture type I or II with delayed healing - BILLABLE CODE

  • Use S82.53XJ for or IIIC with delayed healing - BILLABLE CODE

  • Use S82.53XK for subsequent encounter for closed fracture with nonunion - BILLABLE CODE

  • Use S82.53XM for subsequent encounter for open fracture type I or II with nonunion - BILLABLE CODE

  • Use S82.53XN for or IIIC with nonunion - BILLABLE CODE

  • Use S82.53XP for subsequent encounter for closed fracture with malunion - BILLABLE CODE

  • Use S82.53XQ for subsequent encounter for open fracture type I or II with malunion - BILLABLE CODE

  • Use S82.53XR for or IIIC with malunion - BILLABLE CODE

  • Use S82.53XS for sequela - BILLABLE CODE

  • S82.54 for Nondisplaced fracture of medial malleolus of right tibia - NON-BILLABLE CODE

  • Use S82.54XA for initial encounter for closed fracture - BILLABLE CODE

  • Use S82.54XB for initial encounter for open fracture type I or II - BILLABLE CODE

  • Use S82.54XC for or IIIC - BILLABLE CODE

  • Use S82.54XD for subsequent encounter for closed fracture with routine healing - BILLABLE CODE

  • Use S82.54XE for subsequent encounter for open fracture type I or II with routine healing - BILLABLE CODE

  • Use S82.54XF for or IIIC with routine healing - BILLABLE CODE

  • Use S82.54XG for subsequent encounter for closed fracture with delayed healing - BILLABLE CODE

  • Use S82.54XH for subsequent encounter for open fracture type I or II with delayed healing - BILLABLE CODE

  • Use S82.54XJ for or IIIC with delayed healing - BILLABLE CODE

  • Use S82.54XK for subsequent encounter for closed fracture with nonunion - BILLABLE CODE

  • Use S82.54XM for subsequent encounter for open fracture type I or II with nonunion - BILLABLE CODE

  • Use S82.54XN for or IIIC with nonunion - BILLABLE CODE

  • Use S82.54XP for subsequent encounter for closed fracture with malunion - BILLABLE CODE

  • Use S82.54XQ for subsequent encounter for open fracture type I or II with malunion - BILLABLE CODE

  • Use S82.54XR for or IIIC with malunion - BILLABLE CODE

  • Use S82.54XS for sequela - BILLABLE CODE

  • S82.55 for Nondisplaced fracture of medial malleolus of left tibia - NON-BILLABLE CODE

  • Use S82.55XA for initial encounter for closed fracture - BILLABLE CODE

  • Use S82.55XB for initial encounter for open fracture type I or II - BILLABLE CODE

  • Use S82.55XC for or IIIC - BILLABLE CODE

  • Use S82.55XD for subsequent encounter for closed fracture with routine healing - BILLABLE CODE

  • Use S82.55XE for subsequent encounter for open fracture type I or II with routine healing - BILLABLE CODE

  • Use S82.55XF for or IIIC with routine healing - BILLABLE CODE

  • Use S82.55XG for subsequent encounter for closed fracture with delayed healing - BILLABLE CODE

  • Use S82.55XH for subsequent encounter for open fracture type I or II with delayed healing - BILLABLE CODE

  • Use S82.55XJ for or IIIC with delayed healing - BILLABLE CODE

  • Use S82.55XK for subsequent encounter for closed fracture with nonunion - BILLABLE CODE

  • Use S82.55XM for subsequent encounter for open fracture type I or II with nonunion - BILLABLE CODE

  • Use S82.55XN for or IIIC with nonunion - BILLABLE CODE

  • Use S82.55XP for subsequent encounter for closed fracture with malunion - BILLABLE CODE

  • Use S82.55XQ for subsequent encounter for open fracture type I or II with malunion - BILLABLE CODE

  • Use S82.55XR for or IIIC with malunion - BILLABLE CODE

  • Use S82.55XS for sequela - BILLABLE CODE

  • S82.56 for Nondisplaced fracture of medial malleolus of unspecified tibia - NON-BILLABLE CODE

  • Use S82.56XA for initial encounter for closed fracture - BILLABLE CODE

  • Use S82.56XB for initial encounter for open fracture type I or II - BILLABLE CODE

  • Use S82.56XC for or IIIC - BILLABLE CODE

  • Use S82.56XD for subsequent encounter for closed fracture with routine healing - BILLABLE CODE

  • Use S82.56XE for subsequent encounter for open fracture type I or II with routine healing - BILLABLE CODE

  • Use S82.56XF for or IIIC with routine healing - BILLABLE CODE

  • Use S82.56XG for subsequent encounter for closed fracture with delayed healing - BILLABLE CODE

  • Use S82.56XH for subsequent encounter for open fracture type I or II with delayed healing - BILLABLE CODE

  • Use S82.56XJ for or IIIC with delayed healing - BILLABLE CODE

  • Use S82.56XK for subsequent encounter for closed fracture with nonunion - BILLABLE CODE

  • Use S82.56XM for subsequent encounter for open fracture type I or II with nonunion - BILLABLE CODE

  • Use S82.56XN for or IIIC with nonunion - BILLABLE CODE

  • Use S82.56XP for subsequent encounter for closed fracture with malunion - BILLABLE CODE

  • Use S82.56XQ for subsequent encounter for open fracture type I or II with malunion - BILLABLE CODE

  • Use S82.56XR for or IIIC with malunion - BILLABLE CODE

  • Use S82.56XS for sequela - BILLABLE CODE

Coding Guidelines

The principles of multiple coding of injuries should be followed in coding fractures. Fractures of specified sites are coded individually by site nd the level of detail furnished by medical record content.

A fracture not indicated as open or closed should be coded to closed. A fracture not indicated whether displaced or not displaced should be coded to displaced.

Initial vs. Subsequent Encounter for Fractures

Traumatic fractures are coded using the appropriate 7th character for initial encounter (A, B, C) for each encounter where the patient is receiving active treatment for the fracture. The appropriate 7th character for initial encounter should also be assigned for a patient who delayed seeking treatment for the fracture or nonunion.

Fractures are coded using the appropriate 7th character for subsequent care for encounters after the patient has completed active treatment of the fracture and is receiving routine care for the fracture during the healing or recovery phase.

Care for complications of surgical treatment for fracture repairs during the healing or recovery phase should be coded with the appropriate complication codes.

Care of complications of fractures, such as malunion and nonunion, should be reported with the appropriate 7th character for subsequent care with nonunion (K, M, N,) or subsequent care with malunion (P, Q, R).

Malunion/nonunion: The appropriate 7th character for initial encounter should also be assigned for a patient who delayed seeking treatment for the fracture or nonunion.

The open fracture designations in the assignment of the 7th character for fractures of the forearm, femur and lower leg, including ankle are based on the Gustilo open fracture classification. When the Gustilo classification type is not specified for an open fracture, the 7th character for open fracture type I or II should be assigned (B, E, H, M, Q).

Tabular List of Diseases and Injuries

The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.


Type 1 Excludes

Type 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • pilon fracture of distal tibia S82.87
  • Salter-Harris type III of lower end of tibia S89.13
  • Salter-Harris type IV of lower end of tibia S89.14

Index to Diseases and Injuries References

The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).

Patient Education


Ankle Injuries and Disorders

Your ankle bone and the ends of your two lower leg bones make up the ankle joint. Your ligaments, which connect bones to one another, stabilize and support it. Your muscles and tendons move it.

The most common ankle problems are sprains and fractures (broken bones). A sprain is an injury to the ligaments. It may take a few weeks to many months to heal completely. A fracture is a break in a bone. You can also injure other parts of the ankle such as tendons, which join muscles to bone, and cartilage, which cushions your joints. Ankle sprains and fractures are common sports injuries.


[Learn More in MedlinePlus]

Fractures

A fracture is a break, usually in a bone. If the broken bone punctures the skin, it is called an open or compound fracture. Fractures commonly happen because of car accidents, falls, or sports injuries. Other causes are low bone density and osteoporosis, which cause weakening of the bones. Overuse can cause stress fractures, which are very small cracks in the bone.

Symptoms of a fracture are:

  • Intense pain
  • Deformity - the limb looks out of place
  • Swelling, bruising, or tenderness around the injury
  • Numbness and tingling
  • Problems moving a limb

You need to get medical care right away for any fracture. An x-ray can tell if your bone is broken. You may need to wear a cast or splint. Sometimes you need surgery to put in plates, pins or screws to keep the bone in place.


[Learn More in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.