S82.61XB vs S82.87
S82.61XB (Displaced fracture of lateral malleolus of right fibula, initial encounter for open fracture type I or II) compared with S82.87 (Pilon fracture of tibia), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Can these codes be reported together?
No — do not report together. S82.61XB carries an Excludes1 note covering S82.87: “pilon fracture of distal tibia (S82.87-)”
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
| S82.61XBDisplaced fracture of lateral malleolus of right fibula, initial encounter for open fracture type I or II | S82.87Pilon fracture of tibia | |
|---|---|---|
| Billing status | Billable | Non-billable header Report instead: S82.871A, S82.871B, S82.871C, S82.871D, S82.871E |
| 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 lateral malleolus of right fibula, initial encounter for open fracture type I or II is a billable ICD-10-CM diagnosis code (S82.61B). | Pilon fracture of tibia is a non-billable ICD-10-CM category code (S82.87). |
| 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 all codes from category S82 |
| Includes | fracture of malleolus | 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