S92.25
S92.25 — Fracture of navicular [scaphoid] of foot
Non-billable headerICD-10-CM
S92.25 is a non-billable header ICD-10-CM code for fracture of navicular [scaphoid] of foot. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.
This code requires a 7th character
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
Risk adjustment
S92.25 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead S92.25
6 child codes. Green means billable.
- S92.251Displaced fracture of navicular [scaphoid] of right foot
- S92.252Displaced fracture of navicular [scaphoid] of left foot
- S92.253Displaced fracture of navicular [scaphoid] of unspecified foot
- S92.254Nondisplaced fracture of navicular [scaphoid] of right foot
- S92.255Nondisplaced fracture of navicular [scaphoid] of left foot
- S92.256Nondisplaced fracture of navicular [scaphoid] of unspecified foot
Related codes at this level
Codes that share S92.2. If S92.25 is not quite right, the correct code is usually one of these.
Questions about S92.25
- Is S92.25 a billable ICD-10-CM code?
- No. S92.25 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does S92.25 sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the ankle and foot (S90-S99).