S82.64XH vs S92

S82.64XH (Nondisplaced fracture of lateral malleolus of right fibula, subsequent encounter for open fracture type I or II with delayed healing) 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

S82.64XH

Nondisplaced fracture of lateral malleolus of right fibula, subsequent encounter for open fracture type I or II with delayed healing

↔

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

Can these codes be reported together?

Yes, when both are documented. S82.64XH carries an Excludes2 note covering S92: “fracture of foot, except ankle (S92.-)”

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

Side by side

	S82.64XHNondisplaced fracture of lateral malleolus of right fibula, subsequent encounter for open fracture type I or II with delayed healing	S92Fracture of foot and toe, except ankle
Billing status	Billable	Non-billable header Report instead: S92.001A, S92.001B, S92.001D, S92.001G, S92.001K
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	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).	Fracture of foot and toe, except ankle is a non-billable ICD-10-CM category code (S92).
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 category S92
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