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S82

Non-Billable (Header)

Fracture of lower leg, including ankle

Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)

What This Code Means

S82 is the ICD-10-CM diagnosis code for fracture of lower leg, including ankle. S82 sits in the ICD-10-CM chapter for injury, poisoning and certain other consequences of external causes (s00-t88), within the section covering injuries to the knee and lower leg (s80-s89).

Header codes like S82 cannot be reported on claims directly — they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at S82's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for S82 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Includes

  • fracture of malleolus

Excludes 1 — Do NOT code together

  • traumatic amputation of lower leg (S88.-)

Excludes 2 — Not included here, may code separately

  • 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-)

Child Codes

Code Hierarchy

S82Fracture of lower leg, including ankle
S82Fracture of lower leg, including ankle

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