S83.61 ICD-10-CM Code: Sprain of the superior tibiofibular joint and ligament, right knee

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for S83.61 in the official ICD-10-CM tabular list, quoted as published.

Notes without a marker are published on S83.61 itself; “inherited from” names the category or block whose note applies here.

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

S83.61XA, S83.61XD, S83.61XS

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.

Do Not Confuse With

Codes named in S83.61's own official notes, or sharing its encounter family, with what separates them. Each links to the full comparison.

• S83.60— Specificity relationship (Review)

  Overlapping diagnoses in the same category.

  Overlapping codes in the same category — the documentation decides which is the more specific fit.

  Full comparison: S83.61 vs S83.60 →

• S83.61XA— Encounter relationship (Review)

  Same underlying diagnosis, different encounter phase.

  The same diagnosis at a different phase of care; one encounter takes one 7th character.

  Full comparison: S83.61 vs S83.61XA →

• S83.61XD— Encounter relationship (Review)

  Same underlying diagnosis, different encounter phase.

  The same diagnosis at a different phase of care; one encounter takes one 7th character.

  Full comparison: S83.61 vs S83.61XD →

• M22.0— Excludes2 relationship (Informational)

  Distinct conditions — both may be reported.

  A distinct condition — both may be reported when both are documented.

  Full comparison: S83.61 vs M22.0 →

• M22.3— Excludes2 relationship (Informational)

  Distinct conditions — both may be reported.

  A distinct condition — both may be reported when both are documented.

  Full comparison: S83.61 vs M22.3 →

• S76.1— Excludes2 relationship (Informational)

  Distinct conditions — both may be reported.

  A distinct condition — both may be reported when both are documented.

  Full comparison: S83.61 vs S76.1 →

Relationships are read from this code's own official notes and its encounter family; the wording of each distinction is MedCoder editorial. Source: CMS ICD-10-CM tabular instructional notes; ICD-10-CM Official Guidelines, Section I.A.12.a.

Decision Points

The directives on this code's own record, as a pre-claim checklist.

1. 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
2. Laterality is coded in this family. Confirm the documented side matches the code — the opposite-side siblings are in the relationships section. See the opposite-side sibling codes
3. 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
4. 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: S83.61XA, S83.61XD, S83.61XS.
• Requires a 7th character. "The appropriate 7th character is to be added to each code from category S83" Options: S83.61XA, S83.61XD, S83.61XS

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 S83.61 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 condition, opposite side

Same category and title, differing only in which side of the body is affected.

S83.60 — Sprain of the superior tibiofibular joint and ligament, unspecified knee (unspecified)Compare S83.61 vs S83.60 →, S83.62 — Sprain of the superior tibiofibular joint and ligament, left knee (left)Compare S83.61 vs S83.62 →

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 S83.61 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.

Run S83.61 with these 2 related codes in Claim Check

Hierarchy

• S00-T88 — Chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) (S00-T88)[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026

Referenced by Excludes2 notes

• M23 — Internal derangement of knee[Excludes2](via S83.-): “current injury - see injury of knee and lower leg (S80-S89)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
• S86 — Injury of muscle, fascia and tendon at lower leg level[Excludes2](via S83.-): “sprain of joints and ligaments of knee (S83.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026

Nearest codes (40)

• S83 — Dislocation and sprain of joints and ligaments of knee[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• S83.519D — Sprain of anterior cruciate ligament of unspecified knee, subsequent encounter[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• S83.519S — Sprain of anterior cruciate ligament of unspecified knee, sequela[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• S83.52 — Sprain of posterior cruciate ligament of knee[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• S83.521 — Sprain of posterior cruciate ligament of right knee[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• S83.521A — Sprain of posterior cruciate ligament of right knee, initial encounter[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• S83.521D — Sprain of posterior cruciate ligament of right knee, subsequent encounter[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• S83.521S — Sprain of posterior cruciate ligament of right knee, sequela[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• and 32 more

Change history

• FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016

Common coding questions

Sources for this page

Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.

Code, title, tabular notes and index terms Official source data

CMS/CDC ICD-10-CM FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page

Claim edits Official source data

CMS Definitions of Medicare Code Edits — v43.1 (April 2026) Release, file and checksum · Publisher’s page

Change history and date-of-service validity Official source data

CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page

Comparisons, relationships and the contextual map MedCoder structured relationship

Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears

Summary and FAQ answers MedCoder explanation

Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.

Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates

Nearest Codes in This Family

Official ICD-10-CM classifications closest to S83.61 in its code family, with their registry titles.

• S83.6 — Sprain of the superior tibiofibular joint and ligament
• S83.60 — Sprain of the superior tibiofibular joint and ligament, unspecified knee
• S83.60XA — Sprain of the superior tibiofibular joint and ligament, unspecified knee, initial encounter
• S83.60XD — Sprain of the superior tibiofibular joint and ligament, unspecified knee, subsequent encounter
• S83.60XS — Sprain of the superior tibiofibular joint and ligament, unspecified knee, sequela
• S83.61XA — Sprain of the superior tibiofibular joint and ligament, right knee, initial encounter
• S83.61XD — Sprain of the superior tibiofibular joint and ligament, right knee, subsequent encounter
• S83.61XS — Sprain of the superior tibiofibular joint and ligament, right knee, sequela
• S83.62 — Sprain of the superior tibiofibular joint and ligament, left knee
• S83.62XA — Sprain of the superior tibiofibular joint and ligament, left knee, initial encounter

View all codes in the S83 family