S92.225D
S92.225D: Nondisplaced fracture of lateral cuneiform of left foot, subsequent encounter for fracture with routine healing
Billable / specific codeICD-10-CMPOA exemptleft
S92.225D is a billable, specific ICD-10-CM code for nondisplaced fracture of lateral cuneiform of left foot, subsequent encounter for fracture with routine healing. It is valid for submission on a claim.
Check S92.225D with the rest of the claim: free scrubber7th character "D": subsequent encounter for fracture with routine 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
Other codes that can never be billed with S92.225D
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
S92.225D is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
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- 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 S92.225
- S92.225ANondisplaced fracture of lateral cuneiform of left foot, initial encounter for closed fracture
- S92.225BNondisplaced fracture of lateral cuneiform of left foot, initial encounter for open fracture
- S92.225GNondisplaced fracture of lateral cuneiform of left foot, subsequent encounter for fracture with delayed healing
- S92.225KNondisplaced fracture of lateral cuneiform of left foot, subsequent encounter for fracture with nonunion
- S92.225PNondisplaced fracture of lateral cuneiform of left foot, subsequent encounter for fracture with malunion
- S92.225SNondisplaced fracture of lateral cuneiform of left foot, sequela