Version 2024

2024 ICD-10-CM Diagnosis Code S92

Fracture of foot and toe, except ankle

ICD-10-CM Code:
S92
ICD-10 Code for:
Fracture of foot and toe, except ankle
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 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 foot and toe, except ankle. 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 foot and toe, except ankle

Non-specific codes like S92 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 foot and toe, except ankle:

  • S92.0 for Fracture of calcaneus - NON-BILLABLE CODE

  • S92.00 for Unspecified fracture of calcaneus - NON-BILLABLE CODE

  • S92.01 for Fracture of body of calcaneus - NON-BILLABLE CODE

  • S92.02 for Fracture of anterior process of calcaneus - NON-BILLABLE CODE

  • S92.03 for Avulsion fracture of tuberosity of calcaneus - NON-BILLABLE CODE

  • S92.04 for Other fracture of tuberosity of calcaneus - NON-BILLABLE CODE

  • S92.05 for Other extraarticular fracture of calcaneus - NON-BILLABLE CODE

  • S92.06 for Intraarticular fracture of calcaneus - NON-BILLABLE CODE

  • S92.1 for Fracture of talus - NON-BILLABLE CODE

  • S92.10 for Unspecified fracture of talus - NON-BILLABLE CODE

  • S92.11 for Fracture of neck of talus - NON-BILLABLE CODE

  • S92.12 for Fracture of body of talus - NON-BILLABLE CODE

  • S92.13 for Fracture of posterior process of talus - NON-BILLABLE CODE

  • S92.14 for Dome fracture of talus - NON-BILLABLE CODE

  • S92.15 for Avulsion fracture (chip fracture) of talus - NON-BILLABLE CODE

  • S92.19 for Other fracture of talus - NON-BILLABLE CODE

  • S92.2 for Fracture of other and unspecified tarsal bone(s) - NON-BILLABLE CODE

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

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

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

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

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

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

  • S92.3 for Fracture of metatarsal bone(s) - NON-BILLABLE CODE

  • S92.30 for Fracture of unspecified metatarsal bone(s) - NON-BILLABLE CODE

  • S92.31 for Fracture of first metatarsal bone - NON-BILLABLE CODE

  • S92.32 for Fracture of second metatarsal bone - NON-BILLABLE CODE

  • S92.33 for Fracture of third metatarsal bone - NON-BILLABLE CODE

  • S92.34 for Fracture of fourth metatarsal bone - NON-BILLABLE CODE

  • S92.35 for Fracture of fifth metatarsal bone - NON-BILLABLE CODE

  • S92.4 for Fracture of great toe - NON-BILLABLE CODE

  • S92.40 for Unspecified fracture of great toe - NON-BILLABLE CODE

  • S92.41 for Fracture of proximal phalanx of great toe - NON-BILLABLE CODE

  • S92.42 for Fracture of distal phalanx of great toe - NON-BILLABLE CODE

  • S92.49 for Other fracture of great toe - NON-BILLABLE CODE

  • S92.5 for Fracture of lesser toe(s) - NON-BILLABLE CODE

  • S92.50 for Unspecified fracture of lesser toe(s) - NON-BILLABLE CODE

  • S92.51 for Fracture of proximal phalanx of lesser toe(s) - NON-BILLABLE CODE

  • S92.52 for Fracture of middle phalanx of lesser toe(s) - NON-BILLABLE CODE

  • S92.53 for Fracture of distal phalanx of lesser toe(s) - NON-BILLABLE CODE

  • S92.59 for Other fracture of lesser toe(s) - NON-BILLABLE CODE

  • S92.8 for Other fracture of foot, except ankle - NON-BILLABLE CODE

  • S92.81 for Other fracture of foot - NON-BILLABLE CODE

  • S92.9 for Unspecified fracture of foot and toe - NON-BILLABLE CODE

  • S92.90 for Unspecified fracture of foot - NON-BILLABLE CODE

  • S92.91 for Unspecified fracture of toe - NON-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).

Tabular List of Diseases and Injuries

The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.


Type 2 Excludes

Type 2 Excludes
A type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
  • fracture of ankle S82
  • fracture of malleolus S82
  • traumatic amputation of ankle and foot S98

7th Character Note

7th Character Note
Certain ICD-10-CM categories have applicable 7th characters. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.
  • The appropriate 7th character is to be added to each code from category S92

7th Character

7th Character
Indicates that a seventh character is to be assigned to codes in a subcategory.
  • A - initial encounter for closed fracture
  • B - initial encounter for open fracture
  • D - subsequent encounter for fracture with routine healing
  • G - subsequent encounter for fracture with delayed healing
  • K - subsequent encounter for fracture with nonunion
  • P - subsequent encounter for fracture with malunion
  • S - sequela

  • A fracture not indicated as displaced or nondisplaced should be coded to displaced
  • A fracture not indicated as open or closed should be coded to closed

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]

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.