Version 2024

2024 ICD-10-CM Diagnosis Code S92.53

Fracture of distal phalanx of lesser toe(s)

ICD-10-CM Code:
S92.53
ICD-10 Code for:
Fracture of distal phalanx of lesser toe(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)

S92.53 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 distal phalanx of lesser toe(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.

Specific Coding Applicable to Fracture of distal phalanx of lesser toe(s)

Non-specific codes like S92.53 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 distal phalanx of lesser toe(s):

  • S92.531 for Displaced fracture of distal phalanx of right lesser toe(s) - NON-BILLABLE CODE

  • Use S92.531A for initial encounter for closed fracture - BILLABLE CODE

  • Use S92.531B for initial encounter for open fracture - BILLABLE CODE

  • Use S92.531D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S92.531G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S92.531K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S92.531P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S92.531S for sequela - BILLABLE CODE

  • S92.532 for Displaced fracture of distal phalanx of left lesser toe(s) - NON-BILLABLE CODE

  • Use S92.532A for initial encounter for closed fracture - BILLABLE CODE

  • Use S92.532B for initial encounter for open fracture - BILLABLE CODE

  • Use S92.532D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S92.532G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S92.532K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S92.532P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S92.532S for sequela - BILLABLE CODE

  • S92.533 for Displaced fracture of distal phalanx of unspecified lesser toe(s) - NON-BILLABLE CODE

  • Use S92.533A for initial encounter for closed fracture - BILLABLE CODE

  • Use S92.533B for initial encounter for open fracture - BILLABLE CODE

  • Use S92.533D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S92.533G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S92.533K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S92.533P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S92.533S for sequela - BILLABLE CODE

  • S92.534 for Nondisplaced fracture of distal phalanx of right lesser toe(s) - NON-BILLABLE CODE

  • Use S92.534A for initial encounter for closed fracture - BILLABLE CODE

  • Use S92.534B for initial encounter for open fracture - BILLABLE CODE

  • Use S92.534D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S92.534G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S92.534K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S92.534P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S92.534S for sequela - BILLABLE CODE

  • S92.535 for Nondisplaced fracture of distal phalanx of left lesser toe(s) - NON-BILLABLE CODE

  • Use S92.535A for initial encounter for closed fracture - BILLABLE CODE

  • Use S92.535B for initial encounter for open fracture - BILLABLE CODE

  • Use S92.535D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S92.535G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S92.535K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S92.535P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S92.535S for sequela - BILLABLE CODE

  • S92.536 for Nondisplaced fracture of distal phalanx of unspecified lesser toe(s) - NON-BILLABLE CODE

  • Use S92.536A for initial encounter for closed fracture - BILLABLE CODE

  • Use S92.536B for initial encounter for open fracture - BILLABLE CODE

  • Use S92.536D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S92.536G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S92.536K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S92.536P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S92.536S 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


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]

Toe Injuries and Disorders

Fourteen of the 26 bones in your feet are in your toes. The toes, particularly your big toe, help you move and keep your balance. Playing sports, running, stubbing your toe, and dropping something on your foot can damage your toes. Wearing shoes that are too loose or too tight can also cause toe problems. Certain diseases, such as severe arthritis, can cause toe problems and pain. Gout often causes pain in the big toe.

Common toe problems include :

  • Corns and bunions
  • Ingrown toenails
  • Sprains and dislocations
  • Fractures (broken bones)

Treatments for toe injuries and disorders vary. They might include shoe inserts or special shoes, padding, taping, medicines, rest, and in severe cases, surgery.


[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.