S82.51XA (Displaced fracture of medial malleolus of right tibia, initial encounter for closed fracture) compared with S92 (Fracture of foot and toe, except ankle), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Distinct conditions — both may be reported.
“fracture of foot, except ankle (S92.-)”
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. S82.51XA carries an Excludes2 note covering S92: “fracture of foot, except ankle (S92.-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
| S82.51XADisplaced fracture of medial malleolus of right tibia, initial encounter for closed fracture | S92Fracture of foot and toe, except ankle | |
|---|---|---|
| Billing status | Billable | Non-billable header Report instead: S92.001A, S92.001B, S92.001D, S92.001G, S92.001K |
| 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 | Displaced fracture of medial malleolus of right tibia, initial encounter for closed fracture is a billable ICD-10-CM diagnosis code (S82.51A). | Fracture of foot and toe, except ankle is a non-billable ICD-10-CM category code (S92). |
| 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 S92 |
| 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