2021 ICD-10-CM Code S92.511P

Displaced fracture of proximal phalanx of right lesser toe(s), subsequent encounter for fracture with malunion

  1. ICD-10-CM Index
  2. Chapter: S00–T98
  3. Section: S90-S99
  4. Block: S92
  5. S92.511P - Disp fx of prox phalanx of r less toe(s), 7thP
Version 2021
Billable Code
7th Character Code
Subsequent Code
MS-DRG Mapping
POA Exempt

Valid for Submission

S92.511P is a billable diagnosis code used to specify a medical diagnosis of displaced fracture of proximal phalanx of right lesser toe(s), subsequent encounter for fracture with malunion. The code S92.511P is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.

The ICD-10-CM code S92.511P might also be used to specify conditions or terms like closed fracture of phalanx of right foot, closed fracture of phalanx of right lesser toe, closed fracture of proximal phalanx of lesser toe of right foot, closed fracture proximal phalanx, toe, open fracture of phalanx of right foot , open fracture of proximal phalanx of lesser toe of right foot, etc. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

S92.511P is a subsequent encounter code, includes a 7th character and should be used after the patient has completed active treatment for a condition like displaced fracture of proximal phalanx of right lesser toe(s) for fracture with malunion. According to ICD-10-CM Guidelines a "subsequent encounter" occurs when the patient is receiving routine care for the condition during the healing or recovery phase of treatment. Subsequent diagnosis codes are appropriate during the recovery phase, no matter how many times the patient has seen the provider for this condition. If the provider needs to adjust the patient's care plan due to a setback or other complication, the encounter becomes active again.

ICD-10:S92.511P
Short Description:Disp fx of prox phalanx of r less toe(s), 7thP
Long Description:Displaced fracture of proximal phalanx of right lesser toe(s), subsequent encounter for fracture with malunion

Code Classification

Approximate Synonyms

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

Present on Admission (POA)

S92.511P is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here .

CMS POA Indicator Options and Definitions
POA Indicator CodePOA Reason for CodeCMS will pay the CC/MCC DRG?
YDiagnosis was present at time of inpatient admission.YES
NDiagnosis was not present at time of inpatient admission.NO
UDocumentation insufficient to determine if the condition was present at the time of inpatient admission.NO
WClinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.YES
1Unreported/Not used - Exempt from POA reporting. NO

Convert S92.511P to ICD-9 Code

The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code S92.511P its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.

Information for Patients


Fractures

Also called: Broken bone

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

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]

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

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]

Code History

  • 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 (First year ICD-10-CM implemented into the HIPAA code set)

Previous Code: S92.511K

Related Codes

Next Code: S92.511S