S92.316K — Nondisplaced fracture of first metatarsal bone, unspecified foot, subsequent encounter for fracture with nonunion
S92.316K is a billable, specific ICD-10-CM code for nondisplaced fracture of first metatarsal bone, unspecified foot, subsequent encounter for fracture with nonunion. It is valid for submission on a claim.
7th character "K" — subsequent encounter for fracture with nonunion
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
S92.316K 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.
Medicare coverage
S92.316K is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53065Billing and Coding: Outpatient Physical Therapy
Related codes at this level
Codes that share S92.316. If S92.316K is not quite right, the correct code is usually one of these.
- 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
- S92.316DNondisplaced fracture of first metatarsal bone, unspecified foot, subsequent encounter for fracture with routine healing
- S92.316GNondisplaced fracture of first metatarsal bone, unspecified foot, subsequent encounter for fracture with delayed healing
- 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
Questions about S92.316K
- Is S92.316K a billable ICD-10-CM code?
- Yes. S92.316K is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S92.316K 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).