S82.4 vs S82.6
S82.4 (Fracture of shaft of fibula) compared with S82.6 (Fracture of lateral malleolus), 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. S82.4 carries an Excludes2 note covering S82.6: “fracture of lateral malleolus alone (S82.6-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| S82.4Fracture of shaft of fibula | S82.6Fracture of lateral malleolus | |
|---|---|---|
| Billing status | Non-billable header Report instead: S82.401A, S82.401B, S82.401C, S82.401D, S82.401E | Non-billable header Report instead: S82.61XA, S82.61XB, S82.61XC, S82.61XD, S82.61XE |
| 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 shaft of fibula is a non-billable ICD-10-CM category code (S82.4). | Fracture of lateral malleolus is a non-billable ICD-10-CM category code (S82.6). |
| 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 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