S82.51XJ (Displaced fracture of medial malleolus of right tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing)
compared with
S90 (Superficial injury of ankle, foot and toes),
from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
“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
Can these codes be reported together?
Yes, when both are documented. S82.51XJ carries an Excludes2 note covering S90: “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.
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, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing is a billable ICD-10-CM diagnosis code (S82.51J).
Superficial injury of ankle, foot and toes is a non-billable ICD-10-CM category code (S90).
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 S90