S83.51 ICD-10-CM Code: Sprain of anterior cruciate ligament of knee
Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.
Coding at a Glance
- 7th character
- Required — see the character table on this page
- Tabular directives
- 7 inclusion terms · 11 Excludes2 · 1 code-also instruction
Coding instructions
Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for S83.51 in the official ICD-10-CM tabular list, quoted as published.
Notes without a marker are published on S83.51 itself; “inherited from” names the category or block whose note applies here.
Includes
Conditions the official ICD-10-CM tabular list includes under this code.
- 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
- traumatic rupture of joint or ligament of knee
- traumatic subluxation of joint or ligament of knee
- traumatic tear of joint or ligament of knee
Source: inherited from S83
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- derangement of patella (M22.0-M22.3) inherited from S83Compare S83.51 vs M22.0 →
- injury of patellar ligament (tendon) (S76.1-) inherited from S83Compare S83.51 vs S76.1 →
- internal derangement of knee (M23.-) inherited from S83Compare S83.51 vs M23 →
- old dislocation of knee (M24.36) inherited from S83Compare S83.51 vs M24.36 →
- pathological dislocation of knee (M24.36) inherited from S83Compare S83.51 vs M24.36 →
- recurrent dislocation of knee (M22.0) inherited from S83Compare S83.51 vs M22.0 →
- strain of muscle, fascia and tendon of lower leg (S86.-) inherited from S83Compare S83.51 vs S86 →
- burns and corrosions (T20-T32) inherited from S80-S89Compare S83.51 vs T20 →
- frostbite (T33-T34) inherited from S80-S89Compare S83.51 vs T33 →
- injuries of ankle and foot, except fracture of ankle and malleolus (S90-S99) inherited from S80-S89Compare S83.51 vs S90 →
- insect bite or sting, venomous (T63.4) inherited from S80-S89Compare S83.51 vs T63.4 →
Code Also
Additional codes that may be required to fully describe the encounter.
- any associated open wound
Source: inherited from S83
7th Character Guide
"The appropriate 7th character is to be added to each code from category S83"
- A — initial encounter
- D — subsequent encounter
- S — sequela
How the encounter character is assigned. “Initial encounter” means the patient is receiving active treatment for the condition — it is not limited to the first visit, and a different or new provider giving active treatment still assigns it. “Subsequent encounter” covers care during the healing or recovery phase after active treatment. “Sequela” is for complications or conditions that arise as a direct result of the original condition.
ICD-10-CM Official Guidelines for Coding and Reporting, Section I.C.19.a (paraphrased by MedCoder).
Variant codes in this family
S83.511A, S83.511D, S83.511S, S83.512A, S83.512D, S83.512S, S83.519A, S83.519D
Character meanings are CMS's official 7th-character extensions for this family, as carried in each variant code's official description; variant codes are registry rows. The explanation of how the encounter character is assigned is MedCoder editorial, distinct from the official content above it.
Code Overview
MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.
Decision Points
The directives on this code's own record, as a pre-claim checklist.
- A 7th character applies in this family. Confirm the documented encounter matches the character assigned. See the official 7th-character definitions and this code’s variants
- 1 Code Also note — a second code may apply; the guidelines leave its sequencing to the circumstances of the encounter. See the Code Also notes
- 11 Excludes2 entries — those conditions are not part of this code and may be reported additionally when documented. See the Excludes2 notes
Checklist rows are derived from this code's own official directives; the wording of each check is MedCoder editorial. The official notes themselves are in the sections each row links to.
Verify Before Coding
- Not billable as written — a more specific code is required: S83.511A, S83.511D, S83.511S, S83.512A, S83.512D.
- Requires a 7th character. "The appropriate 7th character is to be added to each code from category S83" Options: S83.511A, S83.511D, S83.511S, S83.512A, S83.512D, S83.512S
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.
Relationships & Classification
Other codes that name S83.51 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.
Referenced by 2 Excludes2 notes across 2 chapters: M23 — Internal derangement of knee (via S83.-), S86 — Injury of muscle, fascia and tendon at lower leg level (via S83.-).
These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.
Related Codes
Same Index main term, other category
The ICD-10-CM Index to Diseases and Injuries files this code under the main term “Sprain”; these codes share that main term but sit in a different category of the Tabular List.
S63.64 — Sprain of metacarpophalangeal joint of thumb (thumb, metacarpophalangeal), S63.65 — Sprain of metacarpophalangeal joint of other and unspecified finger(s) (finger, metacarpophalangeal), S63.68 — Other sprain of thumb (thumb, specified site NEC), S63.69 — Other sprain of other and unspecified finger(s) (finger, specified site NEC), S63.9 — Sprain of unspecified part of wrist and hand (hand), S73.10 — Unspecified sprain of hip (hip), S73.11 — Iliofemoral ligament sprain of hip (hip, iliofemoral ligament), S73.12 — Ischiocapsular (ligament) sprain of hip (hip, ischiocapsular), S73.19 — Other sprain of hip (hip, specified NEC), S76.11 — Strain of quadriceps muscle, fascia and tendon (patellar ligament), S93.40 — Sprain of unspecified ligament of ankle (ankle), S93.41 — Sprain of calcaneofibular ligament (ankle, calcaneofibular ligament), S93.42 — Sprain of deltoid ligament (ankle, deltoid ligament), S93.43 — Sprain of tibiofibular ligament (ankle, tibiofibular ligament), S93.49 — Sprain of other ligament of ankle (ankle, specified ligament NEC), S93.50 — Unspecified sprain of toe (toe), S93.51 — Sprain of interphalangeal joint of toe (toe, interphalangeal joint), S93.52 — Sprain of metatarsophalangeal joint of toe (toe, metatarsophalangeal joint), S93.60 — Unspecified sprain of foot (foot), S93.61 — Sprain of tarsal ligament of foot (foot, tarsal ligament), +43 more
Contextual Map
Every relationship of S83.51 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Hierarchy
Referenced by Excludes2 notes
- M23 — Internal derangement of knee[Excludes2](via S83.-): “current injury - see injury of knee and lower leg (S80-S89)” · Check S83.51 + M23 together
- S86 — Injury of muscle, fascia and tendon at lower leg level[Excludes2](via S83.-): “sprain of joints and ligaments of knee (S83.-)” · Check S83.51 + S86 together
Nearest codes (40)
- S83 — Dislocation and sprain of joints and ligaments of knee[Sibling]
- S83.422D — Sprain of lateral collateral ligament of left knee, subsequent encounter[Sibling]
- S83.422S — Sprain of lateral collateral ligament of left knee, sequela[Sibling]
- S83.429 — Sprain of lateral collateral ligament of unspecified knee[Sibling]
- S83.429A — Sprain of lateral collateral ligament of unspecified knee, initial encounter[Sibling]
- S83.429D — Sprain of lateral collateral ligament of unspecified knee, subsequent encounter[Sibling]
- S83.429S — Sprain of lateral collateral ligament of unspecified knee, sequela[Sibling]
- S83.5 — Sprain of cruciate ligament of knee[Sibling]
- and 32 more
Change history
- FY2016 — In the code set at ICD-10-CM adoption [Change history]
Common coding questions
Can S83.51 be billed directly?
No. S83.51 (Sprain of anterior cruciate ligament of knee) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.
Does S83.51 require a 7th character?
Yes. The appropriate 7th character is to be added to each code from category S83.
Sources for this page
Every coding fact on this page is read from the datasets below. Nothing is AI-generated; MedCoder-derived relationships and editorial are labelled where they appear.
- Code, title, tabular notes and index terms
- CMS/CDC ICD-10-CM FY2026 tabular list, index and tables, effective October 1, 2025
- Claim edits
- CMS Definitions of Medicare Code Edits — v43.1 (April 2026)
- Change history and date-of-service validity
- CMS ICD-10-CM release addenda, ingested release by release into the change ledger
- Comparisons, relationships and the contextual map MedCoder-derived
- Derived by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
Change history
- FY2016 — October 1, 2015In the code set at ICD-10-CM adoptionSprain of anterior cruciate ligament of knee
No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027 (effective October 1, 2026), and none are recorded for this code. Note changes are tracked from FY2027 only.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to S83.51 in its code family, with their registry titles.
- S83.502S — Sprain of unspecified cruciate ligament of left knee, sequela
- S83.509 — Sprain of unspecified cruciate ligament of unspecified knee
- S83.509A — Sprain of unspecified cruciate ligament of unspecified knee, initial encounter
- S83.509D — Sprain of unspecified cruciate ligament of unspecified knee, subsequent encounter
- S83.509S — Sprain of unspecified cruciate ligament of unspecified knee, sequela
- S83.511 — Sprain of anterior cruciate ligament of right knee
- S83.511A — Sprain of anterior cruciate ligament of right knee, initial encounter
- S83.511D — Sprain of anterior cruciate ligament of right knee, subsequent encounter
- S83.511S — Sprain of anterior cruciate ligament of right knee, sequela
- S83.512 — Sprain of anterior cruciate ligament of left knee