S82 vs S90.56
S82 (Fracture of lower leg, including ankle) compared with S90.56 (Insect bite (nonvenomous) of ankle), 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 carries an Excludes2 note covering S90.56: “injuries of ankle and foot, except fracture of ankle and malleolus (S90-S99)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Yes, when both are documented. S90.56 carries an Excludes2 note covering S82: “fracture of ankle and malleolus (S82.-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| S82Fracture of lower leg, including ankle | S90.56Insect bite (nonvenomous) of ankle | |
|---|---|---|
| Billing status | Non-billable header Report instead: S82.001A, S82.001B, S82.001C, S82.001D, S82.001E | Non-billable header Report instead: S90.561A, S90.561D, S90.561S, S90.562A, S90.562D |
| Classification | S00-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) |
| Definition | Fracture of lower leg, including ankle is a non-billable ICD-10-CM category code (S82). | Insect bite (nonvenomous) of ankle is a non-billable ICD-10-CM category code (S90.56). |
| 7th character | The appropriate 7th character is to be added to all codes from category S82 | The appropriate 7th character is to be added to each code from category S90 |
| Includes | fracture of malleolus | — |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources