S82.64XH (Nondisplaced fracture of lateral malleolus of right fibula, subsequent encounter for open fracture type I or II with delayed healing)
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.
Not coded here — these two are mutually exclusive.
“pilon fracture of distal tibia (S82.87-)”
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 lateral malleolus of right fibula, subsequent encounter for open fracture type I or II with delayed healing is a billable ICD-10-CM diagnosis code (S82.64H).
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