S92.001G
S92.001G: Unspecified fracture of right calcaneus, subsequent encounter for fracture with delayed healing
Billable / specific codeICD-10-CMPOA exemptright
S92.001G is a billable, specific ICD-10-CM code for unspecified fracture of right calcaneus, subsequent encounter for fracture with delayed healing. It is valid for submission on a claim.
Check S92.001G with the rest of the claim: free scrubber7th character "G": subsequent encounter for fracture with delayed healing
The appropriate 7th character is to be added to each code from category S92
- A
- initial encounter for closed fracture
- B
- initial encounter for open fracture
- D
- subsequent encounter for fracture with routine healing
- G
- subsequent encounter for fracture with delayed healing
- K
- subsequent encounter for fracture with nonunion
- P
- subsequent encounter for fracture with malunion
- S
- sequela
Excludes2 inherited from the categories above S92.001G
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with S92.001G
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
S92.001G is named in 2 Medicare coverage policies: 2 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A53058Billing and Coding: Home Health Physical Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under S92.001
- S92.001AUnspecified fracture of right calcaneus, initial encounter for closed fracture
- S92.001BUnspecified fracture of right calcaneus, initial encounter for open fracture
- S92.001DUnspecified fracture of right calcaneus, subsequent encounter for fracture with routine healing
- S92.001KUnspecified fracture of right calcaneus, subsequent encounter for fracture with nonunion
- S92.001PUnspecified fracture of right calcaneus, subsequent encounter for fracture with malunion
- S92.001SUnspecified fracture of right calcaneus, sequela