Is S82.81 a billable ICD-10-CM code?

No. S82.81 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does S82.81 sit in the tabular list?

Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the knee and lower leg (S80-S89).

What cannot be coded together with S82.81?

S82.81 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above S82.81 (S82) and apply to it just the same.

S82.81

S82.81 — Torus fracture of upper end of fibula

Non-billable headerICD-10-CM

S82.81 is a non-billable header ICD-10-CM code for torus fracture of upper end of fibula. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.

This code requires a 7th character

The appropriate 7th character is to be added to all codes in subcategory S82.81

A: initial encounter for closed fracture
D: subsequent encounter for fracture with routine healing
G: subsequent encounter for fracture with delayed healing
K: subsequent encounter for fracture with nonunion
P: subsequent encounter for fracture with malunion
S: sequela

Excludes1 inherited from the categories above S82.81

These are not written on S82.81, but they bind it: a note on a category applies to every code beneath it. Billing S82.81 with anything listed here is a denial.

Written on S82 — Fracture of lower leg, including ankle

traumatic amputation of lower leg (S88.-)

Excludes2 inherited from the categories above S82.81

Also inherited, and the opposite of Excludes1: these conditions are not part of S82.81, but a patient can have both, so you may code both.

Written on S82 — Fracture of lower leg, including ankle

fracture of foot, except ankle (S92.-)
periprosthetic fracture around internal prosthetic ankle joint (M97.2)
periprosthetic fracture around internal prosthetic implant of knee joint (M97.1-)

Other codes that can never be billed with S82.81

These codes carry an Excludes1 note pointing at S82.81. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading S82.81 alone.

M84.3Stress fracture
M84.4Pathological fracture, not elsewhere classified
S81Open wound of knee and lower leg

Risk adjustment

S82.81 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code history

S82.81 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Code to one of these instead S82.81

3 child codes. Green means billable.

Related codes at this level

Codes that share S82.8. If S82.81 is not quite right, the correct code is usually one of these.

Questions about S82.81

Is S82.81 a billable ICD-10-CM code?: No. S82.81 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does S82.81 sit in the tabular list?: Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the knee and lower leg (S80-S89).
What cannot be coded together with S82.81?: S82.81 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above S82.81 (S82) and apply to it just the same.