S92.311S
S92.311S: Displaced fracture of first metatarsal bone, right foot, sequela
Billable / specific codeICD-10-CMPOA exemptright
S92.311S is a billable, specific ICD-10-CM code for displaced fracture of first metatarsal bone, right foot, sequela. It is valid for submission on a claim.
Check S92.311S 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 S92.311S
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with S92.311S
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
S92.311S is named in 4 Medicare coverage policies: 4 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A53057Billing and Coding: Home Health Occupational Therapy
- 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 S92.311
- S92.311ADisplaced fracture of first metatarsal bone, right foot, initial encounter for closed fracture
- S92.311BDisplaced fracture of first metatarsal bone, right foot, initial encounter for open fracture
- S92.311DDisplaced fracture of first metatarsal bone, right foot, subsequent encounter for fracture with routine healing
- S92.311GDisplaced fracture of first metatarsal bone, right foot, subsequent encounter for fracture with delayed healing
- S92.311KDisplaced fracture of first metatarsal bone, right foot, subsequent encounter for fracture with nonunion
- S92.311PDisplaced fracture of first metatarsal bone, right foot, subsequent encounter for fracture with malunion