S92.043S
S92.043S: Displaced other fracture of tuberosity of unspecified calcaneus, sequela
Billable / specific codeICD-10-CMPOA exempt
S92.043S is a billable, specific ICD-10-CM code for displaced other fracture of tuberosity of unspecified calcaneus, sequela. It is valid for submission on a claim.
Check S92.043S 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 S92.043S
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with S92.043S
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
S92.043S is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A53064Billing and Coding: Outpatient Occupational Therapy
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under S92.043
- S92.043ADisplaced other fracture of tuberosity of unspecified calcaneus, initial encounter for closed fracture
- S92.043BDisplaced other fracture of tuberosity of unspecified calcaneus, initial encounter for open fracture
- S92.043DDisplaced other fracture of tuberosity of unspecified calcaneus, subsequent encounter for fracture with routine healing
- S92.043GDisplaced other fracture of tuberosity of unspecified calcaneus, subsequent encounter for fracture with delayed healing
- S92.043KDisplaced other fracture of tuberosity of unspecified calcaneus, subsequent encounter for fracture with nonunion
- S92.043PDisplaced other fracture of tuberosity of unspecified calcaneus, subsequent encounter for fracture with malunion