S92.034S
S92.034S: Nondisplaced avulsion fracture of tuberosity of right calcaneus, sequela
Billable / specific codeICD-10-CMPOA exemptright
S92.034S is a billable, specific ICD-10-CM code for nondisplaced avulsion fracture of tuberosity of right calcaneus, sequela. It is valid for submission on a claim.
Check S92.034S with the rest of the claim: free scrubber7th character "S": sequela
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 S92.034S
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with S92.034S
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
S92.034S is named in 4 Medicare coverage policies: 4 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A53057Billing and Coding: Home Health Occupational Therapy
- A53058Billing and Coding: Home Health Physical Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
- A57311Billing and Coding: Physical Therapy - Home Health
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under S92.034
- S92.034ANondisplaced avulsion fracture of tuberosity of right calcaneus, initial encounter for closed fracture
- S92.034BNondisplaced avulsion fracture of tuberosity of right calcaneus, initial encounter for open fracture
- S92.034DNondisplaced avulsion fracture of tuberosity of right calcaneus, subsequent encounter for fracture with routine healing
- S92.034GNondisplaced avulsion fracture of tuberosity of right calcaneus, subsequent encounter for fracture with delayed healing
- S92.034KNondisplaced avulsion fracture of tuberosity of right calcaneus, subsequent encounter for fracture with nonunion
- S92.034PNondisplaced avulsion fracture of tuberosity of right calcaneus, subsequent encounter for fracture with malunion