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  6. 2024 ICD-10-CM Code S92.35
Version 2024
Non-Billable Code

2024 ICD-10-CM Diagnosis Code S92.35

Fracture of fifth metatarsal bone

ICD-10-CM Code:
S92.35
ICD-10 Code for:
Fracture of fifth metatarsal bone
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)

S92.35 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 fifth metatarsal bone. 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.

Specific Coding Applicable to Fracture of fifth metatarsal bone

Non-specific codes like S92.35 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 fifth metatarsal bone:

  • S92.351 for Displaced fracture of fifth metatarsal bone, right foot - NON-BILLABLE CODE

  • Use S92.351A for initial encounter for closed fracture - BILLABLE CODE

  • Use S92.351B for initial encounter for open fracture - BILLABLE CODE

  • Use S92.351D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S92.351G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S92.351K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S92.351P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S92.351S for sequela - BILLABLE CODE

  • S92.352 for Displaced fracture of fifth metatarsal bone, left foot - NON-BILLABLE CODE

  • Use S92.352A for initial encounter for closed fracture - BILLABLE CODE

  • Use S92.352B for initial encounter for open fracture - BILLABLE CODE

  • Use S92.352D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S92.352G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S92.352K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S92.352P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S92.352S for sequela - BILLABLE CODE

  • S92.353 for Displaced fracture of fifth metatarsal bone, unspecified foot - NON-BILLABLE CODE

  • Use S92.353A for initial encounter for closed fracture - BILLABLE CODE

  • Use S92.353B for initial encounter for open fracture - BILLABLE CODE

  • Use S92.353D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S92.353G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S92.353K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S92.353P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S92.353S for sequela - BILLABLE CODE

  • S92.354 for Nondisplaced fracture of fifth metatarsal bone, right foot - NON-BILLABLE CODE

  • Use S92.354A for initial encounter for closed fracture - BILLABLE CODE

  • Use S92.354B for initial encounter for open fracture - BILLABLE CODE

  • Use S92.354D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S92.354G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S92.354K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S92.354P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S92.354S for sequela - BILLABLE CODE

  • S92.355 for Nondisplaced fracture of fifth metatarsal bone, left foot - NON-BILLABLE CODE

  • Use S92.355A for initial encounter for closed fracture - BILLABLE CODE

  • Use S92.355B for initial encounter for open fracture - BILLABLE CODE

  • Use S92.355D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S92.355G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S92.355K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S92.355P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S92.355S for sequela - BILLABLE CODE

  • S92.356 for Nondisplaced fracture of fifth metatarsal bone, unspecified foot - NON-BILLABLE CODE

  • Use S92.356A for initial encounter for closed fracture - BILLABLE CODE

  • Use S92.356B for initial encounter for open fracture - BILLABLE CODE

  • Use S92.356D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S92.356G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S92.356K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S92.356P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S92.356S 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).

Index to Diseases and Injuries References

The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).

Patient Education


Foot Injuries and Disorders

Each of your feet has 26 bones, 33 joints, and more than 100 tendons, muscles, and ligaments. No wonder a lot of things can go wrong. Here are a few common problems:

  • Bunions - hard, painful bumps on the big toe joint
  • Corns and calluses - thickened skin from friction or pressure
  • Plantar warts - warts on the soles of your feet
  • Fallen arches - also called flat feet

Ill-fitting shoes often cause these problems. Aging and being overweight also increase your chances of having foot problems.


[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.