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

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Inpatient Payment Groups (MS-DRG)

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0, Appendix B.

A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.

Code Overview

Sprain of the superior tibiofibular joint and ligament, right knee, subsequent encounter is a billable ICD-10-CM diagnosis code (S83.61D).

Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for S83.61XD in the official ICD-10-CM tabular list.

Includes

Conditions the official ICD-10-CM tabular list includes under this code.

  • avulsion of joint or ligament of knee inherited from S83
  • laceration of cartilage, joint or ligament of knee inherited from S83
  • sprain of cartilage, joint or ligament of knee inherited from S83
  • traumatic hemarthrosis of joint or ligament of knee inherited from S83
  • traumatic rupture of joint or ligament of knee inherited from S83
  • traumatic subluxation of joint or ligament of knee inherited from S83
  • traumatic tear of joint or ligament of knee inherited from S83

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

Code Also

Additional codes that may be required to fully describe the encounter.

  • any associated open wound inherited from S83

Frequently Compared Codes

The official Excludes notes on S83.61XD name these codes. Each comparison page covers when the two can — or must not — be reported together.

Change history

  • FY2016 — 2015-10-01
    In the code set at ICD-10-CM adoption
    Sprain of the superior tibiofibular joint and ligament, right knee, subsequent encounter

No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027, and none are recorded for this code. Note changes are tracked from FY2027 only.

Verify Before Coding

  • No Medicare Code Editor or MS-DRG Definitions Manual restrictions apply to this code.

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 S83.61XD 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 1 Excludes2 note: S86 (via S83.-).

These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.

MS-DRG Grouper Relationships (FY2026)

Not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity.

Named in the grouper logic of 2 MS-DRGs: DRG 949 (MDC 23), DRG 950 (MDC 23).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Clinical classification (AHRQ CCSR):INJ061 — Sprains and strains, subsequent encounter (default).

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Related Codes

Same condition, opposite side

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

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

Same injury, other encounter phase

Same injury, coded at a different phase of treatment via the 7th character.

S83.61XA — Sprain of the superior tibiofibular joint and ligament, right knee, initial encounter Compare S83.61XD vs S83.61XA →, S83.61XS — Sprain of the superior tibiofibular joint and ligament, right knee, sequela

Same clinical category (CCSR)

AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Sprains and strains, subsequent encounter).

+488 more

Contextual Map

Every relationship of S83.61XD 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

  • S00-T88 — Chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) (S00-T88) [Hierarchy]
  • S80-S89 — Injuries to the knee and lower leg [Hierarchy]

Referenced by Excludes2 notes

  • S86 — Injury of muscle, fascia and tendon at lower leg level [Excludes2](via S83.-): “sprain of joints and ligaments of knee (S83.-)” · check together

Clinical classification (CCSR)

  • INJ061 — Sprains and strains, subsequent encounter [CCSR]

MS-DRG Grouper

  • DRG 949 — AFTERCARE WITH CC/MCC [MS-DRG]: “AFTERCARE WITH CC/MCC (MDC 23)”
  • DRG 950 — AFTERCARE WITHOUT CC/MCC [MS-DRG]: “AFTERCARE WITHOUT CC/MCC (MDC 23)”

MDC crossing · procedures (1235)

  • MDC 23 — Factors Influencing Health Status and Other Contacts with Health Services [MDC crossing]: “Factors Influencing Health Status and Other Contacts with Health Services — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”
  • F003GKZ — Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Audiovisual Equipment [Same-MDC procedure]: “Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Audiovisual Equipment — grouped in MDC 23, the procedure side of this code's crossing.” · check together
  • F003GMZ — Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Augmentative / Alternative Communication Equipment [Same-MDC procedure]: “Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Augmentative / Alternative Communication Equipment — grouped in MDC 23, the procedure side of this code's crossing.” · check together
  • F003GPZ — Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Computer [Same-MDC procedure]: “Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Computer — grouped in MDC 23, the procedure side of this code's crossing.” · check together
  • F003GYZ — Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Other Equipment [Same-MDC procedure]: “Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Other Equipment — grouped in MDC 23, the procedure side of this code's crossing.” · check together
  • F003GZZ — Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body [Same-MDC procedure]: “Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body — grouped in MDC 23, the procedure side of this code's crossing.” · check together
  • and 1230 more

Nearest codes (40)

  • S83 — Dislocation and sprain of joints and ligaments of knee [Sibling]
  • S83.52 — Sprain of posterior cruciate ligament of knee [Sibling]
  • S83.521 — Sprain of posterior cruciate ligament of right knee [Sibling]
  • S83.521A — Sprain of posterior cruciate ligament of right knee, initial encounter [Sibling]
  • S83.521D — Sprain of posterior cruciate ligament of right knee, subsequent encounter [Sibling]
  • S83.521S — Sprain of posterior cruciate ligament of right knee, sequela [Sibling]
  • S83.522 — Sprain of posterior cruciate ligament of left knee [Sibling]
  • S83.522A — Sprain of posterior cruciate ligament of left knee, initial encounter [Sibling]
  • and 32 more

Change history

  • FY2016 — In the code set at ICD-10-CM adoption [Change history]

Frequently Asked Questions (FAQ) & Clinical Guidance

Does S83.61XD require a 7th character?

Yes. The appropriate 7th character is to be added to each code from category S83.

Nearest Codes in This Family

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

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

View all codes in the S83 family