S92.316D
S92.316D: Nondisplaced fracture of first metatarsal bone, unspecified foot, subsequent encounter for fracture with routine healing
Billable / specific codeICD-10-CMPOA exemptunspecified
S92.316D is a billable, specific ICD-10-CM code for nondisplaced fracture of first metatarsal bone, unspecified foot, subsequent encounter for fracture with routine healing. It is valid for submission on a claim.
Check S92.316D 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
Excludes2 inherited from the categories above S92.316D
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with S92.316D
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
S92.316D is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A53065Billing and Coding: Outpatient Physical Therapy
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under S92.316
- S92.316ANondisplaced fracture of first metatarsal bone, unspecified foot, initial encounter for closed fracture
- S92.316BNondisplaced fracture of first metatarsal bone, unspecified foot, initial encounter for open fracture
- S92.316GNondisplaced fracture of first metatarsal bone, unspecified foot, subsequent encounter for fracture with delayed healing
- S92.316KNondisplaced fracture of first metatarsal bone, unspecified foot, subsequent encounter for fracture with nonunion
- S92.316PNondisplaced fracture of first metatarsal bone, unspecified foot, subsequent encounter for fracture with malunion
- S92.316SNondisplaced fracture of first metatarsal bone, unspecified foot, sequela