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S82.52XR vs S92

S82.52XR (Displaced fracture of medial malleolus of left 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).

Relationship

Informational

Excludes2 relationship

S82.52XR
Displaced fracture of medial malleolus of left tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
S92
Fracture of foot and toe, except ankle

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

Informational

Excludes2 relationship

S92
Fracture of foot and toe, except ankle
S82.52XR
Displaced fracture of medial malleolus of left tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion

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

Informational

Excludes2 relationship

S92
Fracture of foot and toe, except ankle
S82.52XR
Displaced fracture of medial malleolus of left tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion

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

Informational

Excludes2 relationship

S92
Fracture of foot and toe, except ankle
S82.52XR
Displaced fracture of medial malleolus of left tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion

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

Can these codes be reported together?

Yes, when both are documented. S82.52XR 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 S82.52XR: “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 S82.52XR: “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 S82.52XR: “fracture of ankle and malleolus (S82.-)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Side by side

S82.52XRDisplaced fracture of medial malleolus of left tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunionS92Fracture of foot and toe, except ankle
Billing statusBillableNon-billable header

Report instead: S92.001A, S92.001B, S92.001D, S92.001G, S92.001K

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 left tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion is a billable ICD-10-CM diagnosis code (S82.52R).Fracture of foot and toe, except ankle is a non-billable ICD-10-CM category code (S92).
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 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