S82 (Fracture of lower leg, including ankle) compared with S99.129S (Salter-Harris Type II physeal fracture of unspecified metatarsal, sequela), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Distinct conditions — both may be reported.
“injuries of ankle and foot, except fracture of ankle and malleolus (S90-S99)”
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: CMS ICD-10-CM tabular instructional notes
Yes, when both are documented. S82 carries an Excludes2 note covering S99.129S: “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.
| S82Fracture of lower leg, including ankle | S99.129SSalter-Harris Type II physeal fracture of unspecified metatarsal, sequela | |
|---|---|---|
| Billing status | Non-billable header Report instead: S82.001A, S82.001B, S82.001C, S82.001D, S82.001E | Billable |
| 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). | Salter-Harris Type II physeal fracture of unspecified metatarsal, sequela is a billable ICD-10-CM diagnosis code (S99.129S). |
| 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 subcategories S99.1 |
| 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