2027 ICD-10-CM Diagnosis Code S92Fracture of foot and toe, except ankle
S92 is a non-billable ICD-10-CM category code for fracture of foot and toe, except ankle, so it cannot be submitted on claims. Use a more specific code from this category instead, such as S92.001A, S92.001B, S92.001D, and S92.001G.
Code Identity
Code Classification
Specific Coding for Fracture of foot and toe, except ankleOverview
Non-specific codes like S92 require more characters. Use one of these billable codes instead:
S92.0 for Fracture of calcaneus
S92.00 for Unspecified fracture of calcaneus
S92.01 for Fracture of body of calcaneus
S92.02 for Fracture of anterior process of calcaneus
S92.03 for Avulsion fracture of tuberosity of calcaneus
S92.04 for Other fracture of tuberosity of calcaneus
S92.05 for Other extraarticular fracture of calcaneus
S92.06 for Intraarticular fracture of calcaneus
S92.1 for Fracture of talus
S92.10 for Unspecified fracture of talus
S92.11 for Fracture of neck of talus
S92.12 for Fracture of body of talus
S92.13 for Fracture of posterior process of talus
S92.14 for Dome fracture of talus
S92.15 for Avulsion fracture (chip fracture) of talus
S92.19 for Other fracture of talus
S92.2 for Fracture of other and unspecified tarsal bone(s)
S92.20 for Fracture of unspecified tarsal bone(s)
S92.21 for Fracture of cuboid bone
S92.22 for Fracture of lateral cuneiform
S92.23 for Fracture of intermediate cuneiform
S92.24 for Fracture of medial cuneiform
S92.25 for Fracture of navicular [scaphoid] of foot
S92.3 for Fracture of metatarsal bone(s)
S92.30 for Fracture of unspecified metatarsal bone(s)
S92.31 for Fracture of first metatarsal bone
S92.32 for Fracture of second metatarsal bone
S92.33 for Fracture of third metatarsal bone
S92.34 for Fracture of fourth metatarsal bone
S92.35 for Fracture of fifth metatarsal bone
S92.4 for Fracture of great toe
S92.40 for Unspecified fracture of great toe
S92.41 for Fracture of proximal phalanx of great toe
S92.42 for Fracture of distal phalanx of great toe
S92.49 for Other fracture of great toe
S92.5 for Fracture of lesser toe(s)
S92.50 for Unspecified fracture of lesser toe(s)
S92.51 for Fracture of proximal phalanx of lesser toe(s)
S92.52 for Fracture of middle phalanx of lesser toe(s)
S92.53 for Fracture of distal phalanx of lesser toe(s)
S92.59 for Other fracture of lesser toe(s)
S92.8 for Other fracture of foot, except ankle
S92.81 for Other fracture of foot
S92.9 for Unspecified fracture of foot and toe
S92.90 for Unspecified fracture of foot
S92.91 for Unspecified fracture of toe
Coding GuidelinesGuidance
The principles of multiple coding of injuries should be followed in coding fractures. Fractures of specified sites are coded individually by site, to 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) while 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).
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).
Source: ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027, published by CMS and the National Center for Health Statistics.
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to S92: its own notes plus those printed at block S90-S99 and Chapter 19. A note printed at a category, block or chapter applies to every code under it.
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
Use Additional Code
Add a second code, after this one, to fully describe the condition.
- code to identify any retained foreign body, if applicable (Z18.-)
Notes
General instructions on how these codes are used.
- 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
- Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
- The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.
7th Character
Every code in the category takes a 7th character from the listed values, with the placeholder X filling any empty positions before it.
- The appropriate 7th character is to be added to each code from category S92
- Ainitial encounter for closed fracture
- Binitial encounter for open fracture
- Dsubsequent encounter for fracture with routine healing
- Gsubsequent encounter for fracture with delayed healing
- Ksubsequent encounter for fracture with nonunion
- Psubsequent encounter for fracture with malunion
- Ssequela
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name S92, its category, or a range that includes it.
Excludes1 3
These codes carry an Excludes1 note naming S92: they are not reported together with it, unless the two conditions are unrelated.
- M84.3 Stress fracturetraumatic fracture (S12.-, S22.-, S32.-, S42.-, S52.-, S62.-, S72.-, S82.-, S92.-)
- M84.4 Pathological fracture, not elsewhere classifiedtraumatic fracture (S12.-, S22.-, S32.-, S42.-, S52.-, S62.-, S72.-, S82.-, S92.-)
- S91 Open wound of ankle, foot and toesopen fracture of ankle, foot and toes (S92.-with 7th character B)
Patient EducationClinical
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:
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Code HistoryHistory
Questions About S92Overview
What is the ICD-10 code for fracture of foot and toe, except ankle?
S92 is the ICD-10-CM category for fracture of foot and toe, except ankle, but it is a non-billable header: claims need a more specific code from this category, listed on this page.
Is S92 (Fracture of foot and toe, except ankle) a billable code?
No. This is a category header that groups the codes for fracture of foot and toe, except ankle, and headers cannot be submitted on claims. Claims for fracture of foot and toe, except ankle need a more specific code from this category, such as S92.001A, S92.001B, and S92.001D.