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  6. 2024 ICD-10-CM Code S92.919

2024 ICD-10-CM Diagnosis Code S92.919

Unspecified fracture of unspecified toe(s)

ICD-10-CM Code:
S92.919
ICD-10 Code for:
Unspecified fracture of unspecified 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)

S92.919 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of unspecified fracture of unspecified 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.

Unspecified diagnosis codes like S92.919 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 Unspecified fracture of unspecified toe(s)

Non-specific codes like S92.919 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 unspecified fracture of unspecified toe(s):

  • Use S92.919A for initial encounter for closed fracture - BILLABLE CODE

  • Use S92.919B for initial encounter for open fracture - BILLABLE CODE

  • Use S92.919D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S92.919G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S92.919K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S92.919P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S92.919S for sequela - BILLABLE CODE

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Closed fracture dislocation of interphalangeal joint of multiple toes
  • Closed fracture dislocation of interphalangeal joint of toe
  • Closed fracture distal phalanx, toe
  • Closed fracture middle phalanx, toe
  • Closed fracture of multiple phalanges of toe
  • Closed fracture of phalanx of foot
  • Closed fracture proximal phalanx, toe
  • Closed fracture subluxation digit
  • Closed fracture subluxation of foot
  • Closed fracture subluxation of interphalangeal joint of multiple toes
  • Closed fracture subluxation of interphalangeal joint of single toe
  • Closed traumatic dislocation multiple digits
  • Closed traumatic dislocation of interphalangeal joint of toe
  • Closed traumatic dislocation toe, interphalangeal joint, multiple
  • Closed traumatic subluxation, foot
  • Fracture dislocation of toe joint
  • Fracture of phalanx of foot
  • Fracture subluxation of interphalangeal joint of toe
  • Multiple fractures of foot
  • Multiple fractures of foot
  • Multiple fractures of foot
  • Open comminuted fracture of phalanx of toe
  • Open fracture dislocation multiple digits
  • Open fracture dislocation multiple digits
  • Open fracture dislocation of interphalangeal joint of multiple toes
  • Open fracture dislocation of interphalangeal joint of multiple toes
  • Open fracture dislocation of interphalangeal joint of single toe
  • Open fracture dislocation of interphalangeal joint of toe
  • Open fracture dislocation of interphalangeal joint of toe
  • Open fracture dislocation of interphalangeal joint of toe
  • Open fracture dislocation of metatarsophalangeal joint
  • Open fracture dislocation of metatarsophalangeal joint
  • Open fracture dislocation of multiple metatarsophalangeal joints
  • Open fracture dislocation of multiple metatarsophalangeal joints
  • Open fracture dislocation of single metatarsophalangeal joint
  • Open fracture distal phalanx, toe
  • Open fracture middle phalanx, toe
  • Open fracture of multiple phalanges of toe
  • Open fracture of phalanges of multiple toes
  • Open fracture of phalanx of foot
  • Open fracture proximal phalanx, toe
  • Open fracture subluxation digit
  • Open fracture subluxation digit
  • Open fracture subluxation of foot
  • Open fracture subluxation of foot
  • Open fracture subluxation of foot
  • Open fracture subluxation of foot
  • Open fracture subluxation of interphalangeal joint of multiple toes
  • Open fracture subluxation of interphalangeal joint of single toe
  • Open fracture subluxation of multiple digits
  • Open fracture subluxation of multiple metatarsophalangeal joints
  • Open fracture subluxation of single metatarsophalangeal joint
  • Open traumatic dislocation multiple digits
  • Open traumatic dislocation multiple digits
  • Open traumatic subluxation of multiple interphalangeal joints of toe

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


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.