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S83.60XA vs S83.61XA

S83.60XA (Sprain of the superior tibiofibular joint and ligament, unspecified knee, initial encounter) compared with S83.61XA (Sprain of the superior tibiofibular joint and ligament, right knee, initial encounter), from the official CMS tabular data. S83.60XA and S83.61XA code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S83.60XA
Unspecified
Sprain of the superior tibiofibular joint and ligament, unspecified knee, initial encounter
S83.61XA
Right
Sprain of the superior tibiofibular joint and ligament, right knee, initial encounter

Same condition; these differ only in which side is documented.

These codes share a category and title and differ only in the side affected. The documentation decides which applies, and a bilateral code is reported only where the code set provides one.

Source: ICD-10-CM tabular list (laterality variant derived from the code title)

Can these codes be reported together?

Same condition, opposite side. S83.60XA and S83.61XA name the same condition on opposite sides of the body.

Same category and title, differing only in which side is affected — the documentation decides which one applies, and a bilateral code is reported only where the code set provides one.

Side by side

S83.60XASprain of the superior tibiofibular joint and ligament, unspecified knee, initial encounterS83.61XASprain of the superior tibiofibular joint and ligament, right knee, initial encounter
Billing statusBillableBillable
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)
DefinitionSprain of the superior tibiofibular joint and ligament, unspecified knee, initial encounter is a billable ICD-10-CM diagnosis code (S83.60A).Sprain of the superior tibiofibular joint and ligament, right knee, initial encounter is a billable ICD-10-CM diagnosis code (S83.61A).
7th characterThe appropriate 7th character is to be added to each code from category S83The appropriate 7th character is to be added to each code from category S83
Includes
avulsion of joint or ligament of knee
laceration of cartilage, joint or ligament of knee
sprain of cartilage, joint or ligament of knee
traumatic hemarthrosis of joint or ligament of knee
avulsion of joint or ligament of knee
laceration of cartilage, joint or ligament of knee
sprain of cartilage, joint or ligament of knee
traumatic hemarthrosis of joint or ligament of knee

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources