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S72.26XA vs S92

S72.26XA (Nondisplaced subtrochanteric fracture of unspecified femur, initial encounter for closed fracture) compared with S92 (Fracture of foot and toe, except ankle), from the official CMS tabular data.

Summary

These codes can be reported together when both conditions are documented, because S72.26XA lists S92 under Excludes2, which marks them as distinct conditions.

Official rule
What is different?

The conditions named and billing status.S72.26XA is “Nondisplaced subtrochanteric fracture of unspecified femur, initial encounter for closed fracture”; S92 is “Fracture of foot and toe, except ankle”. S92 is a non-billable header; S72.26XA is billable.

Registry fact

Can these codes be reported together?

Yes, when both are documented.S72.26XA lists S92 under Excludes2: “fracture of foot (S92.-)”. Excludes2 marks distinct conditions that may both be reported when both are documented.

Official ruleGuide: Excludes1 vs Excludes2

Is there an Excludes1 relationship?

None.Neither entry carries an Excludes1 note that names the other code. S72.26XA carries 1 Excludes1 note covering other codes; the side-by-side table quotes them.

Official rule

Is there an Excludes2 relationship?

Yes.S72.26XA’s tabular entry: “fracture of foot (S92.-)”. The note covers S92.

Official ruleGuide: Excludes1 vs Excludes2

Is one more specific?

Not comparable.The codes sit in different categories; specificity is only comparable within one category.

Is one a parent or header code?

One is a header.S92 is a non-billable header, but S72.26XA is not one of its subdivisions.

Registry fact

Are there sequencing instructions?

None.Neither entry carries a Code First or Use Additional Code note that names the other.

Official rule

Are there other coding relationships?

None found.No laterality, encounter-phase, Table of Neoplasms, Table of Drugs and Chemicals, or history-versus-active-disease relationship links these codes.

MedCoder-derived

Official rule: a tabular instructional note or a section of the ICD-10-CM Official Guidelines, quoted as published. Registry fact: the codes’ own published attributes (titles, billable status, position in the hierarchy, code set). MedCoder-derived: a reading MedCoder computes from those facts; it is not itself a rule. How to read the labels

Can these codes be reported together?

Informational

Excludes2 relationship

S72.26XA
Nondisplaced subtrochanteric fracture of unspecified femur, initial encounter for closed fracture
↔
S92
Fracture of foot and toe, except ankle

What we found

Yes, when both are documented.S72.26XA carries an Excludes2 note covering S92: “fracture of foot (S92.-)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

What to review

Report both only when the documentation supports both conditions; otherwise report the one documented.

Guide: Excludes1 vs Excludes2Check these on a claim

Why it matters

An Excludes2 note means the excluded condition is not part of the code above it, but a patient can have both. Report both when both are documented.

Source / rule

CMS ICD-10-CM tabular instructional notes

Official guidance behind these answers

  • Section I.A.12.b — Excludes2 · applies to: Excludes2

    A type 2 Excludes note represents “Not included here.” An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.

    ICD-10-CM Official Guidelines FY2026

Quoted from the ICD-10-CM Official Guidelines for Coding and Reporting in effect for the release shown. The tabular notes above are the code-level instruction; these sections are the convention that says how such a note is applied. Source document (CMS PDF) · Release and checksum

Side by side

S72.26XANondisplaced subtrochanteric fracture of unspecified femur, initial encounter for closed fractureS92Fracture of foot and toe, except ankle
Billing statusBillableNon-billable header

Report instead: S92.001A, S92.001B, S92.001D, S92.001G, S92.001K

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 subtrochanteric fracture of unspecified femur, initial encounter for closed fracture is a billable ICD-10-CM diagnosis code (S72.26XA).Fracture of foot and toe, except ankle is a non-billable ICD-10-CM category code (S92).
7th characterThe appropriate 7th character is to be added to all codes from category S72The appropriate 7th character is to be added to each code from category S92
Excludes1
traumatic amputation of hip and thigh (S78.-)
—
Excludes2
fracture of lower leg and ankle (S82.-)
fracture of foot (S92.-)
periprosthetic fracture of prosthetic implant of hip (M97.0-)
burns and corrosions (T20-T32)
frostbite (T33-T34)
snake bite (T63.0-)
venomous insect bite or sting (T63.4-)
fracture of ankle (S82.-)
fracture of malleolus (S82.-)
traumatic amputation of ankle and foot (S98.-)
burns and corrosions (T20-T32)
fracture of ankle and malleolus (S82.-)
frostbite (T33-T34)
insect bite or sting, venomous (T63.4)

Notes are the code’s own tabular entry, quoted as published. A note that names the other code is the one the verdict above rests on.

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Derived from the official CMS ICD-10-CM tabular data (FY2026). A coding-rule comparison, not billing advice: payer-specific edits and medical-necessity policy are outside its scope. All data sources