S82.51XB vs S89.14
S82.51XB (Displaced fracture of medial malleolus of right tibia, initial encounter for open fracture type I or II) compared with S89.14 (Salter-Harris Type IV physeal fracture of lower end of tibia), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Can these codes be reported together?
No — do not report together. S82.51XB carries an Excludes1 note covering S89.14: “Salter-Harris type IV of lower end of tibia (S89.14-)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
No — do not report together. S89.14 carries an Excludes1 note covering S82.51XB: “fracture of medial malleolus (adult) (S82.5-)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Side by side
| S82.51XBDisplaced fracture of medial malleolus of right tibia, initial encounter for open fracture type I or II | S89.14Salter-Harris Type IV physeal fracture of lower end of tibia | |
|---|---|---|
| Billing status | Billable | Non-billable header Report instead: S89.141A, S89.141D, S89.141G, S89.141K, S89.141P |
| 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 open fracture type I or II is a billable ICD-10-CM diagnosis code (S82.51B). | Salter-Harris Type IV physeal fracture of lower end of tibia is a non-billable ICD-10-CM category code (S89.14). |
| 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 S89.0, S89.1, S89.2, and S89.3 |
| 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