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  6. 2024 ICD-10-CM Code S92.9

2024 ICD-10-CM Diagnosis Code S92.9

Unspecified fracture of foot and toe

ICD-10-CM Code:
S92.9
ICD-10 Code for:
Unspecified fracture of foot and toe
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)

S92.9 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 foot and toe. 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 S92.9 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 foot and toe

Non-specific codes like S92.9 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 foot and toe:

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

  • S92.901 for Unspecified fracture of right foot - NON-BILLABLE CODE

  • Use S92.901A for initial encounter for closed fracture - BILLABLE CODE

  • Use S92.901B for initial encounter for open fracture - BILLABLE CODE

  • Use S92.901D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S92.901G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S92.901K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S92.901P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S92.901S for sequela - BILLABLE CODE

  • S92.902 for Unspecified fracture of left foot - NON-BILLABLE CODE

  • Use S92.902A for initial encounter for closed fracture - BILLABLE CODE

  • Use S92.902B for initial encounter for open fracture - BILLABLE CODE

  • Use S92.902D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S92.902G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S92.902K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S92.902P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S92.902S for sequela - BILLABLE CODE

  • S92.909 for Unspecified fracture of unspecified foot - NON-BILLABLE CODE

  • Use S92.909A for initial encounter for closed fracture - BILLABLE CODE

  • Use S92.909B for initial encounter for open fracture - BILLABLE CODE

  • Use S92.909D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S92.909G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S92.909K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S92.909P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S92.909S for sequela - BILLABLE CODE

  • S92.91 for Unspecified fracture of toe - NON-BILLABLE CODE

  • S92.911 for Unspecified fracture of right toe(s) - NON-BILLABLE CODE

  • Use S92.911A for initial encounter for closed fracture - BILLABLE CODE

  • Use S92.911B for initial encounter for open fracture - BILLABLE CODE

  • Use S92.911D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S92.911G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S92.911K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S92.911P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S92.911S for sequela - BILLABLE CODE

  • S92.912 for Unspecified fracture of left toe(s) - NON-BILLABLE CODE

  • Use S92.912A for initial encounter for closed fracture - BILLABLE CODE

  • Use S92.912B for initial encounter for open fracture - BILLABLE CODE

  • Use S92.912D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S92.912G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S92.912K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S92.912P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S92.912S for sequela - BILLABLE CODE

  • S92.919 for Unspecified fracture of unspecified toe(s) - NON-BILLABLE CODE

  • 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

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


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.