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  6. 2024 ICD-10-CM Code S92.2

2024 ICD-10-CM Diagnosis Code S92.2

Fracture of other and unspecified tarsal bone(s)

ICD-10-CM Code:
S92.2
ICD-10 Code for:
Fracture of other and unspecified tarsal bone(s)
Is Billable?
Not Valid for Submission
Code Navigator:

Code Classification

  • Injury, poisoning and certain other consequences of external causes
    (S00–T88)
    • Injuries to the ankle and foot
      (S90-S99)
      • Fracture of foot and toe, except ankle
        (S92)

S92.2 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of fracture of other and unspecified tarsal bone(s). The code is not specific and is NOT valid for the year 2024 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

Unspecified diagnosis codes like S92.2 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.

Specific Coding Applicable to Fracture of other and unspecified tarsal bone(s)

Non-specific codes like S92.2 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10-CM codes with a higher level of specificity when coding for fracture of other and unspecified tarsal bone(s):

  • S92.20 for Fracture of unspecified tarsal bone(s) - NON-BILLABLE CODE

  • S92.201 for Fracture of unspecified tarsal bone(s) of right foot - NON-BILLABLE CODE

  • Use S92.201A for initial encounter for closed fracture - BILLABLE CODE

  • Use S92.201B for initial encounter for open fracture - BILLABLE CODE

  • Use S92.201D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S92.201G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S92.201K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S92.201P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S92.201S for sequela - BILLABLE CODE

  • S92.202 for Fracture of unspecified tarsal bone(s) of left foot - NON-BILLABLE CODE

  • Use S92.202A for initial encounter for closed fracture - BILLABLE CODE

  • Use S92.202B for initial encounter for open fracture - BILLABLE CODE

  • Use S92.202D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S92.202G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S92.202K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S92.202P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S92.202S for sequela - BILLABLE CODE

  • S92.209 for Fracture of unspecified tarsal bone(s) of unspecified foot - NON-BILLABLE CODE

  • Use S92.209A for initial encounter for closed fracture - BILLABLE CODE

  • Use S92.209B for initial encounter for open fracture - BILLABLE CODE

  • Use S92.209D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S92.209G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S92.209K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S92.209P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S92.209S for sequela - BILLABLE CODE

  • S92.21 for Fracture of cuboid bone - NON-BILLABLE CODE

  • S92.211 for Displaced fracture of cuboid bone of right foot - NON-BILLABLE CODE

  • Use S92.211A for initial encounter for closed fracture - BILLABLE CODE

  • Use S92.211B for initial encounter for open fracture - BILLABLE CODE

  • Use S92.211D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S92.211G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S92.211K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S92.211P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S92.211S for sequela - BILLABLE CODE

  • S92.212 for Displaced fracture of cuboid bone of left foot - NON-BILLABLE CODE

  • Use S92.212A for initial encounter for closed fracture - BILLABLE CODE

  • Use S92.212B for initial encounter for open fracture - BILLABLE CODE

  • Use S92.212D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S92.212G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S92.212K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S92.212P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S92.212S for sequela - BILLABLE CODE

  • S92.213 for Displaced fracture of cuboid bone of unspecified foot - NON-BILLABLE CODE

  • Use S92.213A for initial encounter for closed fracture - BILLABLE CODE

  • Use S92.213B for initial encounter for open fracture - BILLABLE CODE

  • Use S92.213D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S92.213G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S92.213K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S92.213P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S92.213S for sequela - BILLABLE CODE

  • S92.214 for Nondisplaced fracture of cuboid bone of right foot - NON-BILLABLE CODE

  • Use S92.214A for initial encounter for closed fracture - BILLABLE CODE

  • Use S92.214B for initial encounter for open fracture - BILLABLE CODE

  • Use S92.214D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S92.214G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S92.214K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S92.214P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S92.214S for sequela - BILLABLE CODE

  • S92.215 for Nondisplaced fracture of cuboid bone of left foot - NON-BILLABLE CODE

  • Use S92.215A for initial encounter for closed fracture - BILLABLE CODE

  • Use S92.215B for initial encounter for open fracture - BILLABLE CODE

  • Use S92.215D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S92.215G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S92.215K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S92.215P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S92.215S for sequela - BILLABLE CODE

  • S92.216 for Nondisplaced fracture of cuboid bone of unspecified foot - NON-BILLABLE CODE

  • Use S92.216A for initial encounter for closed fracture - BILLABLE CODE

  • Use S92.216B for initial encounter for open fracture - BILLABLE CODE

  • Use S92.216D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S92.216G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S92.216K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S92.216P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S92.216S for sequela - BILLABLE CODE

  • S92.22 for Fracture of lateral cuneiform - NON-BILLABLE CODE

  • S92.221 for Displaced fracture of lateral cuneiform of right foot - NON-BILLABLE CODE

  • Use S92.221A for initial encounter for closed fracture - BILLABLE CODE

  • Use S92.221B for initial encounter for open fracture - BILLABLE CODE

  • Use S92.221D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S92.221G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S92.221K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S92.221P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S92.221S for sequela - BILLABLE CODE

  • S92.222 for Displaced fracture of lateral cuneiform of left foot - NON-BILLABLE CODE

  • Use S92.222A for initial encounter for closed fracture - BILLABLE CODE

  • Use S92.222B for initial encounter for open fracture - BILLABLE CODE

  • Use S92.222D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S92.222G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S92.222K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S92.222P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S92.222S for sequela - BILLABLE CODE

  • S92.223 for Displaced fracture of lateral cuneiform of unspecified foot - NON-BILLABLE CODE

  • Use S92.223A for initial encounter for closed fracture - BILLABLE CODE

  • Use S92.223B for initial encounter for open fracture - BILLABLE CODE

  • Use S92.223D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S92.223G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S92.223K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S92.223P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S92.223S for sequela - BILLABLE CODE

  • S92.224 for Nondisplaced fracture of lateral cuneiform of right foot - NON-BILLABLE CODE

  • Use S92.224A for initial encounter for closed fracture - BILLABLE CODE

  • Use S92.224B for initial encounter for open fracture - BILLABLE CODE

  • Use S92.224D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S92.224G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S92.224K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S92.224P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S92.224S for sequela - BILLABLE CODE

  • S92.225 for Nondisplaced fracture of lateral cuneiform of left foot - NON-BILLABLE CODE

  • Use S92.225A for initial encounter for closed fracture - BILLABLE CODE

  • Use S92.225B for initial encounter for open fracture - BILLABLE CODE

  • Use S92.225D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S92.225G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S92.225K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S92.225P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S92.225S for sequela - BILLABLE CODE

  • S92.226 for Nondisplaced fracture of lateral cuneiform of unspecified foot - NON-BILLABLE CODE

  • Use S92.226A for initial encounter for closed fracture - BILLABLE CODE

  • Use S92.226B for initial encounter for open fracture - BILLABLE CODE

  • Use S92.226D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S92.226G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S92.226K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S92.226P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S92.226S for sequela - BILLABLE CODE

  • S92.23 for Fracture of intermediate cuneiform - NON-BILLABLE CODE

  • S92.231 for Displaced fracture of intermediate cuneiform of right foot - NON-BILLABLE CODE

  • Use S92.231A for initial encounter for closed fracture - BILLABLE CODE

  • Use S92.231B for initial encounter for open fracture - BILLABLE CODE

  • Use S92.231D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S92.231G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S92.231K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S92.231P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S92.231S for sequela - BILLABLE CODE

  • S92.232 for Displaced fracture of intermediate cuneiform of left foot - NON-BILLABLE CODE

  • Use S92.232A for initial encounter for closed fracture - BILLABLE CODE

  • Use S92.232B for initial encounter for open fracture - BILLABLE CODE

  • Use S92.232D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S92.232G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S92.232K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S92.232P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S92.232S for sequela - BILLABLE CODE

  • S92.233 for Displaced fracture of intermediate cuneiform of unspecified foot - NON-BILLABLE CODE

  • Use S92.233A for initial encounter for closed fracture - BILLABLE CODE

  • Use S92.233B for initial encounter for open fracture - BILLABLE CODE

  • Use S92.233D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S92.233G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S92.233K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S92.233P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S92.233S for sequela - BILLABLE CODE

  • S92.234 for Nondisplaced fracture of intermediate cuneiform of right foot - NON-BILLABLE CODE

  • Use S92.234A for initial encounter for closed fracture - BILLABLE CODE

  • Use S92.234B for initial encounter for open fracture - BILLABLE CODE

  • Use S92.234D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S92.234G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S92.234K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S92.234P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S92.234S for sequela - BILLABLE CODE

  • S92.235 for Nondisplaced fracture of intermediate cuneiform of left foot - NON-BILLABLE CODE

  • Use S92.235A for initial encounter for closed fracture - BILLABLE CODE

  • Use S92.235B for initial encounter for open fracture - BILLABLE CODE

  • Use S92.235D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S92.235G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S92.235K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S92.235P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S92.235S for sequela - BILLABLE CODE

  • S92.236 for Nondisplaced fracture of intermediate cuneiform of unspecified foot - NON-BILLABLE CODE

  • Use S92.236A for initial encounter for closed fracture - BILLABLE CODE

  • Use S92.236B for initial encounter for open fracture - BILLABLE CODE

  • Use S92.236D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S92.236G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S92.236K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S92.236P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S92.236S for sequela - BILLABLE CODE

  • S92.24 for Fracture of medial cuneiform - NON-BILLABLE CODE

  • S92.241 for Displaced fracture of medial cuneiform of right foot - NON-BILLABLE CODE

  • Use S92.241A for initial encounter for closed fracture - BILLABLE CODE

  • Use S92.241B for initial encounter for open fracture - BILLABLE CODE

  • Use S92.241D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S92.241G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S92.241K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S92.241P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S92.241S for sequela - BILLABLE CODE

  • S92.242 for Displaced fracture of medial cuneiform of left foot - NON-BILLABLE CODE

  • Use S92.242A for initial encounter for closed fracture - BILLABLE CODE

  • Use S92.242B for initial encounter for open fracture - BILLABLE CODE

  • Use S92.242D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S92.242G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S92.242K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S92.242P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S92.242S for sequela - BILLABLE CODE

  • S92.243 for Displaced fracture of medial cuneiform of unspecified foot - NON-BILLABLE CODE

  • Use S92.243A for initial encounter for closed fracture - BILLABLE CODE

  • Use S92.243B for initial encounter for open fracture - BILLABLE CODE

  • Use S92.243D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S92.243G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S92.243K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S92.243P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S92.243S for sequela - BILLABLE CODE

  • S92.244 for Nondisplaced fracture of medial cuneiform of right foot - NON-BILLABLE CODE

  • Use S92.244A for initial encounter for closed fracture - BILLABLE CODE

  • Use S92.244B for initial encounter for open fracture - BILLABLE CODE

  • Use S92.244D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S92.244G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S92.244K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S92.244P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S92.244S for sequela - BILLABLE CODE

  • S92.245 for Nondisplaced fracture of medial cuneiform of left foot - NON-BILLABLE CODE

  • Use S92.245A for initial encounter for closed fracture - BILLABLE CODE

  • Use S92.245B for initial encounter for open fracture - BILLABLE CODE

  • Use S92.245D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S92.245G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S92.245K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S92.245P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S92.245S for sequela - BILLABLE CODE

  • S92.246 for Nondisplaced fracture of medial cuneiform of unspecified foot - NON-BILLABLE CODE

  • Use S92.246A for initial encounter for closed fracture - BILLABLE CODE

  • Use S92.246B for initial encounter for open fracture - BILLABLE CODE

  • Use S92.246D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S92.246G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S92.246K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S92.246P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S92.246S for sequela - BILLABLE CODE

  • S92.25 for Fracture of navicular [scaphoid] of foot - NON-BILLABLE CODE

  • S92.251 for Displaced fracture of navicular [scaphoid] of right foot - NON-BILLABLE CODE

  • Use S92.251A for initial encounter for closed fracture - BILLABLE CODE

  • Use S92.251B for initial encounter for open fracture - BILLABLE CODE

  • Use S92.251D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S92.251G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S92.251K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S92.251P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S92.251S for sequela - BILLABLE CODE

  • S92.252 for Displaced fracture of navicular [scaphoid] of left foot - NON-BILLABLE CODE

  • Use S92.252A for initial encounter for closed fracture - BILLABLE CODE

  • Use S92.252B for initial encounter for open fracture - BILLABLE CODE

  • Use S92.252D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S92.252G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S92.252K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S92.252P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S92.252S for sequela - BILLABLE CODE

  • S92.253 for Displaced fracture of navicular [scaphoid] of unspecified foot - NON-BILLABLE CODE

  • Use S92.253A for initial encounter for closed fracture - BILLABLE CODE

  • Use S92.253B for initial encounter for open fracture - BILLABLE CODE

  • Use S92.253D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S92.253G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S92.253K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S92.253P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S92.253S for sequela - BILLABLE CODE

  • S92.254 for Nondisplaced fracture of navicular [scaphoid] of right foot - NON-BILLABLE CODE

  • Use S92.254A for initial encounter for closed fracture - BILLABLE CODE

  • Use S92.254B for initial encounter for open fracture - BILLABLE CODE

  • Use S92.254D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S92.254G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S92.254K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S92.254P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S92.254S for sequela - BILLABLE CODE

  • S92.255 for Nondisplaced fracture of navicular [scaphoid] of left foot - NON-BILLABLE CODE

  • Use S92.255A for initial encounter for closed fracture - BILLABLE CODE

  • Use S92.255B for initial encounter for open fracture - BILLABLE CODE

  • Use S92.255D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S92.255G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S92.255K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S92.255P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S92.255S for sequela - BILLABLE CODE

  • S92.256 for Nondisplaced fracture of navicular [scaphoid] of unspecified foot - NON-BILLABLE CODE

  • Use S92.256A for initial encounter for closed fracture - BILLABLE CODE

  • Use S92.256B for initial encounter for open fracture - BILLABLE CODE

  • Use S92.256D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S92.256G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S92.256K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S92.256P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S92.256S for sequela - BILLABLE CODE

Coding Guidelines

The principles of multiple coding of injuries should be followed in coding fractures. Fractures of specified sites are coded individually by site nd the level of detail furnished by medical record content.

A fracture not indicated as open or closed should be coded to closed. A fracture not indicated whether displaced or not displaced should be coded to displaced.

Initial vs. Subsequent Encounter for Fractures

Traumatic fractures are coded using the appropriate 7th character for initial encounter (A, B, C) for each encounter where the patient is receiving active treatment for the fracture. The appropriate 7th character for initial encounter should also be assigned for a patient who delayed seeking treatment for the fracture or nonunion.

Fractures are coded using the appropriate 7th character for subsequent care for encounters after the patient has completed active treatment of the fracture and is receiving routine care for the fracture during the healing or recovery phase.

Care for complications of surgical treatment for fracture repairs during the healing or recovery phase should be coded with the appropriate complication codes.

Care of complications of fractures, such as malunion and nonunion, should be reported with the appropriate 7th character for subsequent care with nonunion (K, M, N,) or subsequent care with malunion (P, Q, R).

Malunion/nonunion: The appropriate 7th character for initial encounter should also be assigned for a patient who delayed seeking treatment for the fracture or nonunion.

The open fracture designations in the assignment of the 7th character for fractures of the forearm, femur and lower leg, including ankle are based on the Gustilo open fracture classification. When the Gustilo classification type is not specified for an open fracture, the 7th character for open fracture type I or II should be assigned (B, E, H, M, Q).

Patient Education


Ankle Injuries and Disorders

Your ankle bone and the ends of your two lower leg bones make up the ankle joint. Your ligaments, which connect bones to one another, stabilize and support it. Your muscles and tendons move it.

The most common ankle problems are sprains and fractures (broken bones). A sprain is an injury to the ligaments. It may take a few weeks to many months to heal completely. A fracture is a break in a bone. You can also injure other parts of the ankle such as tendons, which join muscles to bone, and cartilage, which cushions your joints. Ankle sprains and fractures are common sports injuries.


[Learn More in MedlinePlus]

Fractures

A fracture is a break, usually in a bone. If the broken bone punctures the skin, it is called an open or compound fracture. Fractures commonly happen because of car accidents, falls, or sports injuries. Other causes are low bone density and osteoporosis, which cause weakening of the bones. Overuse can cause stress fractures, which are very small cracks in the bone.

Symptoms of a fracture are:

  • Intense pain
  • Deformity - the limb looks out of place
  • Swelling, bruising, or tenderness around the injury
  • Numbness and tingling
  • Problems moving a limb

You need to get medical care right away for any fracture. An x-ray can tell if your bone is broken. You may need to wear a cast or splint. Sometimes you need surgery to put in plates, pins or screws to keep the bone in place.


[Learn More in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.