S92.042A
S92.042A: Displaced other fracture of tuberosity of left calcaneus, initial encounter for closed fracture
Billable / specific codeICD-10-CMleft
S92.042A is a billable, specific ICD-10-CM code for displaced other fracture of tuberosity of left calcaneus, initial encounter for closed fracture. It is valid for submission on a claim.
Check S92.042A with the rest of the claim: free scrubber7th character "A": initial encounter for closed fracture
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 S92.042A
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with S92.042A
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
S92.042A is named in 3 Medicare coverage policies: 3 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
- A57311Billing and Coding: Physical Therapy - Home Health
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under S92.042
- S92.042BDisplaced other fracture of tuberosity of left calcaneus, initial encounter for open fracture
- S92.042DDisplaced other fracture of tuberosity of left calcaneus, subsequent encounter for fracture with routine healing
- S92.042GDisplaced other fracture of tuberosity of left calcaneus, subsequent encounter for fracture with delayed healing
- S92.042KDisplaced other fracture of tuberosity of left calcaneus, subsequent encounter for fracture with nonunion
- S92.042PDisplaced other fracture of tuberosity of left calcaneus, subsequent encounter for fracture with malunion
- S92.042SDisplaced other fracture of tuberosity of left calcaneus, sequela