S82.56XD (Nondisplaced fracture of medial malleolus of unspecified tibia, subsequent encounter for closed fracture with routine healing)
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.
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.
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
Nondisplaced fracture of medial malleolus of unspecified tibia, subsequent encounter for closed fracture with routine healing is a billable ICD-10-CM diagnosis code (S82.56D).
Salter-Harris Type III physeal fracture of lower end of tibia is a non-billable ICD-10-CM category code (S89.13).
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 subcategories S89.0, S89.1, S89.2, and S89.3