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S82.51XS vs S89.13

S82.51XS (Displaced fracture of medial malleolus of right tibia, sequela) compared with S89.13 (Salter-Harris Type III 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.

Relationship

Conflict

Excludes1 conflict

S82.51XS
Displaced fracture of medial malleolus of right tibia, sequela
↔
S89.13
Salter-Harris Type III physeal fracture of lower end of tibia

Not coded here — these two are mutually exclusive.

“Salter-Harris type III of lower end of tibia (S89.13-)”

An Excludes1 note means the two conditions cannot occur together, so the pair should not be reported for the same encounter. The sole exception is when the conditions are documented as unrelated to each other.

Source: CMS ICD-10-CM tabular instructional notes; ICD-10-CM Official Guidelines, Section I.A.12.a

Conflict

Excludes1 conflict

S89.13
Salter-Harris Type III physeal fracture of lower end of tibia
↔
S82.51XS
Displaced fracture of medial malleolus of right tibia, sequela

Not coded here — these two are mutually exclusive.

“fracture of medial malleolus (adult) (S82.5-)”

An Excludes1 note means the two conditions cannot occur together, so the pair should not be reported for the same encounter. The sole exception is when the conditions are documented as unrelated to each other.

Source: CMS ICD-10-CM tabular instructional notes; ICD-10-CM Official Guidelines, Section I.A.12.a

Can these codes be reported together?

No — do not report together. S82.51XS carries an Excludes1 note covering S89.13: “Salter-Harris type III of lower end of tibia (S89.13-)”

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. S89.13 carries an Excludes1 note covering S82.51XS: “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

S82.51XSDisplaced fracture of medial malleolus of right tibia, sequelaS89.13Salter-Harris Type III physeal fracture of lower end of tibia
Billing statusBillableNon-billable header
ClassificationS00-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)
DefinitionDisplaced fracture of medial malleolus of right tibia, sequela is a billable ICD-10-CM diagnosis code (S82.51S).Salter-Harris Type III physeal fracture of lower end of tibia is a non-billable ICD-10-CM category code (S89.13).
7th characterThe appropriate 7th character is to be added to all codes from category S82The 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
—
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Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources