S82 (Fracture of lower leg, including ankle) compared with S99.199 (Other physeal fracture of unspecified metatarsal), 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 S99.199: “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 | S99.199Other physeal fracture of unspecified metatarsal | |
|---|---|---|
| Billing status | Non-billable header Report instead: S82.001A, S82.001B, S82.001C, S82.001D, S82.001E | Non-billable header |
| 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). | Other physeal fracture of unspecified metatarsal is a non-billable ICD-10-CM category code (S99.199). |
| 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