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S82.091 vs S82.099

S82.091 (Other fracture of right patella) compared with S82.099 (Other fracture of unspecified patella), from the official CMS tabular data. S82.091 and S82.099 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S82.091
Right
Other fracture of right patella
S82.099
Unspecified
Other fracture of unspecified patella

Same condition; these differ only in which side is documented.

These codes share a category and title and differ only in the side affected. The documentation decides which applies, and a bilateral code is reported only where the code set provides one.

Source: ICD-10-CM tabular list (laterality variant derived from the code title)

Can these codes be reported together?

Same condition, opposite side. S82.091 and S82.099 name the same condition on opposite sides of the body.

Same category and title, differing only in which side is affected — the documentation decides which one applies, and a bilateral code is reported only where the code set provides one.

Side by side

S82.091Other fracture of right patellaS82.099Other fracture of unspecified patella
Billing statusNon-billable header

Report instead: S82.091A, S82.091B, S82.091C, S82.091D, S82.091E

Non-billable header

Report instead: S82.099A, S82.099B, S82.099C, S82.099D, S82.099E

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)
DefinitionOther fracture of right patella is a non-billable ICD-10-CM category code (S82.091).Other fracture of unspecified patella is a non-billable ICD-10-CM category code (S82.099).
7th characterThe appropriate 7th character is to be added to all codes from category S82The appropriate 7th character is to be added to all codes from category S82
Includes
fracture of malleolus
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