ICD-10-CM Code S92.919S

Unspecified fracture of unspecified toe(s), sequela

Version 2020 Billable Code POA Exempt

Valid for Submission

S92.919S is a billable code used to specify a medical diagnosis of unspecified fracture of unspecified toe(s), sequela. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code S92.919S might also be used to specify conditions or terms like closed fracture distal phalanx, toe, closed fracture middle phalanx, toe, closed fracture multiple phalanges, toe, closed fracture of phalanx of foot, closed fracture proximal phalanx, toe, closed fracture subluxation of interphalangeal joint of multiple toes, etc The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

ICD-10:S92.919S
Short Description:Unspecified fracture of unspecified toe(s), sequela
Long Description:Unspecified fracture of unspecified toe(s), sequela

Synonyms

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

  • Closed fracture distal phalanx, toe
  • Closed fracture middle phalanx, toe
  • Closed fracture multiple phalanges, toe
  • Closed fracture of phalanx of foot
  • Closed fracture proximal phalanx, toe
  • Closed fracture subluxation of interphalangeal joint of multiple toes
  • Closed fracture subluxation of interphalangeal joint of single toe
  • Fracture dislocation of toe joint
  • Fracture of phalanx of foot
  • Fracture subluxation of interphalangeal joint of toe
  • Open dislocation of interphalangeal joint of foot
  • Open dislocation of metatarsophalangeal joint
  • Open dislocation of metatarsophalangeal joint
  • Open dislocation of metatarsophalangeal joint
  • Open fracture dislocation of interphalangeal joint of multiple toes
  • Open fracture dislocation of interphalangeal joint of single toe
  • Open fracture dislocation of interphalangeal joint of toe
  • Open fracture dislocation of metatarsophalangeal joint
  • Open fracture dislocation of multiple metatarsophalangeal joints
  • Open fracture dislocation of single metatarsophalangeal joint
  • Open fracture distal phalanx, toe
  • Open fracture middle phalanx, toe
  • Open fracture multiple phalanges, toe
  • Open fracture of phalanx of foot
  • Open fracture proximal phalanx, toe
  • Open fracture subluxation digit
  • Open fracture subluxation digit
  • Open fracture subluxation of foot
  • Open fracture subluxation of foot
  • Open fracture subluxation of foot
  • Open fracture subluxation of foot
  • Open fracture subluxation of interphalangeal joint of multiple toes
  • Open fracture subluxation of interphalangeal joint of single toe
  • Open fracture subluxation of multiple metatarsophalangeal joints
  • Open fracture subluxation of single metatarsophalangeal joint
  • Open traumatic dislocation multiple digits

Diagnostic Related Groups

The ICD-10 code S92.919S is grouped in the following groups for version MS-DRG V37.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC).
applicable from 10/01/2019 through 09/30/2020.

  • 559 - AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC
  • 560 - AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC
  • 561 - AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC

Present on Admission (POA)

S92.919S 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 S92.919S to ICD-9

  • 905.4 - Late effect leg fx (Approximate Flag)

Code Classification

  • Injury, poisoning and certain other consequences of external causes (S00–T98)
    • Injuries to the ankle and foot (S90-S99)
      • Fracture of foot and toe, except ankle (S92)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


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]

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

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]