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S76.1 vs S83.091S

S76.1 (Injury of quadriceps muscle, fascia and tendon) compared with S83.091S (Other subluxation of right patella, sequela), from the official CMS tabular data.

Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources

Summary

These codes can be reported together when both conditions are documented, because S83.091S lists S76.1 under Excludes2, which marks them as distinct conditions.

Official rule
What is different?

The conditions named and billing status.S76.1 is “Injury of quadriceps muscle, fascia and tendon”; S83.091S is “Other subluxation of right patella, sequela”. S76.1 is a non-billable header; S83.091S is billable.

Registry fact

Can these codes be reported together?

Yes, when both are documented.S83.091S lists S76.1 under Excludes2: “injury of patellar ligament (tendon) (S76.1-)”. 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.

Official rule

Is there an Excludes2 relationship?

Yes.S83.091S’s tabular entry: “injury of patellar ligament (tendon) (S76.1-)”. The note covers S76.1.

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.S76.1 is a non-billable header, but S83.091S 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

S83.091S
Other subluxation of right patella, sequela
↔
S76.1
Injury of quadriceps muscle, fascia and tendon

What we found

Yes, when both are documented.S83.091S carries an Excludes2 note covering S76.1: “injury of patellar ligament (tendon) (S76.1-)”

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 FY2027

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

Similar descriptions do not make codes interchangeable. The documentation and the official instructions decide which code applies.

Official descriptionDiffers
S76.1

Injury of quadriceps muscle, fascia and tendon

S83.091S

Other subluxation of right patella, sequela

StatusDiffers
S76.1
Non-billable header

A header is not reported on a claim; a code beneath it is.

Report instead: S76.101A, S76.101D, S76.101S, S76.102A, S76.102D

S83.091S
Billable
Excludes2Differs
S76.1
  • injury of muscle, fascia and tendon at lower leg level (S86)
  • sprain of joint and ligament of hip (S73.1)
  • burns and corrosions (T20-T32)
  • frostbite (T33-T34)
  • snake bite (T63.0-)
  • venomous insect bite or sting (T63.4-)
S83.091S
  • derangement of patella (M22.0-M22.3)
  • injury of patellar ligament (tendon) (S76.1-)
  • internal derangement of knee (M23.-)
  • old dislocation of knee (M24.36)
  • pathological dislocation of knee (M24.36)
  • recurrent dislocation of knee (M22.0)
  • strain of muscle, fascia and tendon of lower leg (S86.-)
  • 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)
Code alsoDiffers
S76.1
  • any associated open wound (S71.-)
S83.091S
  • any associated open wound
CategoryDiffers
S76.1

S76 Injury of muscle, fascia and tendon at hip and thigh level

S83.091S

S83 Dislocation and sprain of joints and ligaments of knee

ChapterSame for both

S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)

IncludesDiffers
S76.1
  • Injury of patellar ligament (tendon)
S83.091S
  • avulsion of joint or ligament of knee
  • laceration of cartilage, joint or ligament of knee
  • sprain of cartilage, joint or ligament of knee
  • traumatic hemarthrosis of joint or ligament of knee
7th characterDiffers
S76.1
  • The appropriate 7th character is to be added to each code from category S76
S83.091S
  • The appropriate 7th character is to be added to each code from category S83

No Excludes1, Code first and Use additional code note at either code.

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. In a row that differs, notes every code shares are dimmed.

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Derived from the official CMS ICD-10-CM tabular data (FY2027). A coding-rule comparison, not billing advice: payer-specific edits and medical-necessity policy are outside its scope. All data sources