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S72.26XS vs S82

S72.26XS (Nondisplaced subtrochanteric fracture of unspecified femur, sequela) compared with S82 (Fracture of lower leg, including ankle), from the official CMS tabular data.

Summary

These codes can be reported together when both conditions are documented, because S72.26XS lists S82 under Excludes2, which marks them as distinct conditions.

Official rule
What is different?

The conditions named and billing status.S72.26XS is “Nondisplaced subtrochanteric fracture of unspecified femur, sequela”; S82 is “Fracture of lower leg, including ankle”. S82 is a non-billable header; S72.26XS is billable.

Registry fact

Can these codes be reported together?

Yes, when both are documented.S72.26XS lists S82 under Excludes2: “fracture of lower leg and ankle (S82.-)”. 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. S72.26XS carries 1 Excludes1 note and S82 carries 1 Excludes1 note covering other codes; the side-by-side table quotes them.

Official rule

Is there an Excludes2 relationship?

Yes.S72.26XS’s tabular entry: “fracture of lower leg and ankle (S82.-)”. The note covers S82.

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.S82 is a non-billable header, but S72.26XS 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

S72.26XS
Nondisplaced subtrochanteric fracture of unspecified femur, sequela
↔
S82
Fracture of lower leg, including ankle

What we found

Yes, when both are documented.S72.26XS carries an Excludes2 note covering S82: “fracture of lower leg and ankle (S82.-)”

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

S72.26XSNondisplaced subtrochanteric fracture of unspecified femur, sequelaS82Fracture of lower leg, including ankle
Billing statusBillableNon-billable header

Report instead: S82.001A, S82.001B, S82.001C, S82.001D, S82.001E

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, sequela is a billable ICD-10-CM diagnosis code (S72.26XS).Fracture of lower leg, including ankle is a non-billable ICD-10-CM category code (S82).
7th characterThe appropriate 7th character is to be added to all codes from category S72The appropriate 7th character is to be added to all codes from category S82
Includes—
fracture of malleolus
Excludes1
traumatic amputation of hip and thigh (S78.-)
traumatic amputation of lower leg (S88.-)
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 foot, except ankle (S92.-)
periprosthetic fracture around internal prosthetic ankle joint (M97.2)
periprosthetic fracture around internal prosthetic implant of knee joint (M97.1-)
burns and corrosions (T20-T32)
frostbite (T33-T34)
injuries of ankle and foot, except fracture of ankle and malleolus (S90-S99)
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