S92.064B
S92.064B: Nondisplaced intraarticular fracture of right calcaneus, initial encounter for open fracture
Billable / specific codeICD-10-CMright
S92.064B is a billable, specific ICD-10-CM code for nondisplaced intraarticular fracture of right calcaneus, initial encounter for open fracture. It is valid for submission on a claim.
Check S92.064B with the rest of the claim: free scrubber7th character "B": initial encounter for open 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 S92.064B
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with S92.064B
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
S92.064B is named in 6 Medicare coverage policies: 6 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
- A56900Billing and Coding: Immunizations
- A57311Billing and Coding: Physical Therapy - Home Health
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under S92.064
- S92.064ANondisplaced intraarticular fracture of right calcaneus, initial encounter for closed fracture
- S92.064DNondisplaced intraarticular fracture of right calcaneus, subsequent encounter for fracture with routine healing
- S92.064GNondisplaced intraarticular fracture of right calcaneus, subsequent encounter for fracture with delayed healing
- S92.064KNondisplaced intraarticular fracture of right calcaneus, subsequent encounter for fracture with nonunion
- S92.064PNondisplaced intraarticular fracture of right calcaneus, subsequent encounter for fracture with malunion
- S92.064SNondisplaced intraarticular fracture of right calcaneus, sequela