M97.2 vs S82.55XR
M97.2 (Periprosthetic fracture around internal prosthetic ankle joint) compared with S82.55XR (Nondisplaced fracture of medial malleolus of left tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Can these codes be reported together?
Yes, when both are documented. S82.55XR carries an Excludes2 note covering M97.2: “periprosthetic fracture around internal prosthetic ankle joint (M97.2)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| M97.2Periprosthetic fracture around internal prosthetic ankle joint | S82.55XRNondisplaced fracture of medial malleolus of left tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion | |
|---|---|---|
| Billing status | Non-billable header | Billable |
| Classification | M00-M99 — Diseases of the Musculoskeletal System and Connective Tissue (M00-M99) | S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) |
| Definition | Periprosthetic fracture around internal prosthetic ankle joint is a non-billable ICD-10-CM category code (M97.2). | Nondisplaced fracture of medial malleolus of left tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion is a billable ICD-10-CM diagnosis code (S82.55R). |
| 7th character | The appropriate 7th character is to be added to each code from category M97 | The appropriate 7th character is to be added to all codes from category S82 |
| Includes | — | fracture of malleolus |
| Code first | , if known, the specific type and cause of fracture, such as traumatic or pathological | — |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources