S82.51XR vs S92
S82.51XR (Displaced fracture of medial malleolus of right tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion) 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).
Can these codes be reported together?
Yes, when both are documented. S82.51XR 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 S82.51XR: “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 S82.51XR: “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 S82.51XR: “fracture of ankle and malleolus (S82.-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| S82.51XRDisplaced fracture of medial malleolus of right tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion | 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 IIIA, IIIB, or IIIC with malunion is a billable ICD-10-CM diagnosis code (S82.51R). | 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