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  6. 2024 ICD-10-CM Code S92.5
Version 2024
Non-Billable Code

2024 ICD-10-CM Diagnosis Code S92.5

Fracture of lesser toe(s)

ICD-10-CM Code:
S92.5
ICD-10 Code for:
Fracture 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)

S92.5 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 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 lesser toe(s)

Non-specific codes like S92.5 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 lesser toe(s):

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

  • S92.501 for Displaced unspecified fracture of right lesser toe(s) - NON-BILLABLE CODE

  • Use S92.501A for initial encounter for closed fracture - BILLABLE CODE

  • Use S92.501B for initial encounter for open fracture - BILLABLE CODE

  • Use S92.501D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S92.501G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S92.501K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S92.501P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S92.501S for sequela - BILLABLE CODE

  • S92.502 for Displaced unspecified fracture of left lesser toe(s) - NON-BILLABLE CODE

  • Use S92.502A for initial encounter for closed fracture - BILLABLE CODE

  • Use S92.502B for initial encounter for open fracture - BILLABLE CODE

  • Use S92.502D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S92.502G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S92.502K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S92.502P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S92.502S for sequela - BILLABLE CODE

  • S92.503 for Displaced unspecified fracture of unspecified lesser toe(s) - NON-BILLABLE CODE

  • Use S92.503A for initial encounter for closed fracture - BILLABLE CODE

  • Use S92.503B for initial encounter for open fracture - BILLABLE CODE

  • Use S92.503D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S92.503G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S92.503K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S92.503P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S92.503S for sequela - BILLABLE CODE

  • S92.504 for Nondisplaced unspecified fracture of right lesser toe(s) - NON-BILLABLE CODE

  • Use S92.504A for initial encounter for closed fracture - BILLABLE CODE

  • Use S92.504B for initial encounter for open fracture - BILLABLE CODE

  • Use S92.504D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S92.504G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S92.504K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S92.504P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S92.504S for sequela - BILLABLE CODE

  • S92.505 for Nondisplaced unspecified fracture of left lesser toe(s) - NON-BILLABLE CODE

  • Use S92.505A for initial encounter for closed fracture - BILLABLE CODE

  • Use S92.505B for initial encounter for open fracture - BILLABLE CODE

  • Use S92.505D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S92.505G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S92.505K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S92.505P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S92.505S for sequela - BILLABLE CODE

  • S92.506 for Nondisplaced unspecified fracture of unspecified lesser toe(s) - NON-BILLABLE CODE

  • Use S92.506A for initial encounter for closed fracture - BILLABLE CODE

  • Use S92.506B for initial encounter for open fracture - BILLABLE CODE

  • Use S92.506D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S92.506G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S92.506K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S92.506P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S92.506S for sequela - BILLABLE CODE

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

  • S92.511 for Displaced fracture of proximal phalanx of right lesser toe(s) - NON-BILLABLE CODE

  • Use S92.511A for initial encounter for closed fracture - BILLABLE CODE

  • Use S92.511B for initial encounter for open fracture - BILLABLE CODE

  • Use S92.511D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S92.511G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S92.511K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S92.511P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S92.511S for sequela - BILLABLE CODE

  • S92.512 for Displaced fracture of proximal phalanx of left lesser toe(s) - NON-BILLABLE CODE

  • Use S92.512A for initial encounter for closed fracture - BILLABLE CODE

  • Use S92.512B for initial encounter for open fracture - BILLABLE CODE

  • Use S92.512D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S92.512G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S92.512K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S92.512P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S92.512S for sequela - BILLABLE CODE

  • S92.513 for Displaced fracture of proximal phalanx of unspecified lesser toe(s) - NON-BILLABLE CODE

  • Use S92.513A for initial encounter for closed fracture - BILLABLE CODE

  • Use S92.513B for initial encounter for open fracture - BILLABLE CODE

  • Use S92.513D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S92.513G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S92.513K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S92.513P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S92.513S for sequela - BILLABLE CODE

  • S92.514 for Nondisplaced fracture of proximal phalanx of right lesser toe(s) - NON-BILLABLE CODE

  • Use S92.514A for initial encounter for closed fracture - BILLABLE CODE

  • Use S92.514B for initial encounter for open fracture - BILLABLE CODE

  • Use S92.514D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S92.514G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S92.514K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S92.514P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S92.514S for sequela - BILLABLE CODE

  • S92.515 for Nondisplaced fracture of proximal phalanx of left lesser toe(s) - NON-BILLABLE CODE

  • Use S92.515A for initial encounter for closed fracture - BILLABLE CODE

  • Use S92.515B for initial encounter for open fracture - BILLABLE CODE

  • Use S92.515D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S92.515G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S92.515K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S92.515P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S92.515S for sequela - BILLABLE CODE

  • S92.516 for Nondisplaced fracture of proximal phalanx of unspecified lesser toe(s) - NON-BILLABLE CODE

  • Use S92.516A for initial encounter for closed fracture - BILLABLE CODE

  • Use S92.516B for initial encounter for open fracture - BILLABLE CODE

  • Use S92.516D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S92.516G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S92.516K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S92.516P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S92.516S for sequela - BILLABLE CODE

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

  • S92.521 for Displaced fracture of middle phalanx of right lesser toe(s) - NON-BILLABLE CODE

  • Use S92.521A for initial encounter for closed fracture - BILLABLE CODE

  • Use S92.521B for initial encounter for open fracture - BILLABLE CODE

  • Use S92.521D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S92.521G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S92.521K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S92.521P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S92.521S for sequela - BILLABLE CODE

  • S92.522 for Displaced fracture of middle phalanx of left lesser toe(s) - NON-BILLABLE CODE

  • Use S92.522A for initial encounter for closed fracture - BILLABLE CODE

  • Use S92.522B for initial encounter for open fracture - BILLABLE CODE

  • Use S92.522D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S92.522G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S92.522K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S92.522P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S92.522S for sequela - BILLABLE CODE

  • S92.523 for Displaced fracture of middle phalanx of unspecified lesser toe(s) - NON-BILLABLE CODE

  • Use S92.523A for initial encounter for closed fracture - BILLABLE CODE

  • Use S92.523B for initial encounter for open fracture - BILLABLE CODE

  • Use S92.523D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S92.523G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S92.523K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S92.523P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S92.523S for sequela - BILLABLE CODE

  • S92.524 for Nondisplaced fracture of middle phalanx of right lesser toe(s) - NON-BILLABLE CODE

  • Use S92.524A for initial encounter for closed fracture - BILLABLE CODE

  • Use S92.524B for initial encounter for open fracture - BILLABLE CODE

  • Use S92.524D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S92.524G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S92.524K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S92.524P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S92.524S for sequela - BILLABLE CODE

  • S92.525 for Nondisplaced fracture of middle phalanx of left lesser toe(s) - NON-BILLABLE CODE

  • Use S92.525A for initial encounter for closed fracture - BILLABLE CODE

  • Use S92.525B for initial encounter for open fracture - BILLABLE CODE

  • Use S92.525D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S92.525G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S92.525K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S92.525P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S92.525S for sequela - BILLABLE CODE

  • S92.526 for Nondisplaced fracture of middle phalanx of unspecified lesser toe(s) - NON-BILLABLE CODE

  • Use S92.526A for initial encounter for closed fracture - BILLABLE CODE

  • Use S92.526B for initial encounter for open fracture - BILLABLE CODE

  • Use S92.526D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S92.526G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S92.526K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S92.526P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S92.526S for sequela - BILLABLE CODE

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

  • 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

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

  • S92.591 for Other fracture of right lesser toe(s) - NON-BILLABLE CODE

  • Use S92.591A for initial encounter for closed fracture - BILLABLE CODE

  • Use S92.591B for initial encounter for open fracture - BILLABLE CODE

  • Use S92.591D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S92.591G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S92.591K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S92.591P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S92.591S for sequela - BILLABLE CODE

  • S92.592 for Other fracture of left lesser toe(s) - NON-BILLABLE CODE

  • Use S92.592A for initial encounter for closed fracture - BILLABLE CODE

  • Use S92.592B for initial encounter for open fracture - BILLABLE CODE

  • Use S92.592D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S92.592G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S92.592K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S92.592P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S92.592S for sequela - BILLABLE CODE

  • S92.599 for Other fracture of unspecified lesser toe(s) - NON-BILLABLE CODE

  • Use S92.599A for initial encounter for closed fracture - BILLABLE CODE

  • Use S92.599B for initial encounter for open fracture - BILLABLE CODE

  • Use S92.599D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S92.599G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S92.599K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S92.599P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S92.599S 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).

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.
  • Physeal fracture of phalanx of toe S99.2

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.