S82.51XM (Displaced fracture of medial malleolus of right tibia, subsequent encounter for open fracture type I or II with nonunion) 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
Distinct conditions — both may be reported.
“fracture of ankle (S82.-)”
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
Distinct conditions — both may be reported.
“fracture of malleolus (S82.-)”
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
Distinct conditions — both may be reported.
“fracture of ankle and malleolus (S82.-)”
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. S82.51XM carries an Excludes2 note covering S92: “fracture of foot, except ankle (S92.-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Yes, when both are documented. S92 carries an Excludes2 note covering S82.51XM: “fracture of ankle (S82.-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Yes, when both are documented. S92 carries an Excludes2 note covering S82.51XM: “fracture of malleolus (S82.-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Yes, when both are documented. S92 carries an Excludes2 note covering S82.51XM: “fracture of ankle and malleolus (S82.-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
| S82.51XMDisplaced fracture of medial malleolus of right tibia, subsequent encounter for open fracture type I or II with nonunion | 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, subsequent encounter for open fracture type I or II with nonunion is a billable ICD-10-CM diagnosis code (S82.51M). | 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