S92.354B
S92.354B: Nondisplaced fracture of fifth metatarsal bone, right foot, initial encounter for open fracture
Billable / specific codeICD-10-CMright
S92.354B is a billable, specific ICD-10-CM code for nondisplaced fracture of fifth metatarsal bone, right foot, initial encounter for open fracture. It is valid for submission on a claim.
Check S92.354B with the rest of the claim: free scrubber7th character "B": initial encounter for open fracture
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 S92.354B
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with S92.354B
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
S92.354B is named in 7 Medicare coverage policies: 7 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
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- A56900Billing and Coding: Immunizations
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under S92.354
- S92.354ANondisplaced fracture of fifth metatarsal bone, right foot, initial encounter for closed fracture
- S92.354DNondisplaced fracture of fifth metatarsal bone, right foot, subsequent encounter for fracture with routine healing
- S92.354GNondisplaced fracture of fifth metatarsal bone, right foot, subsequent encounter for fracture with delayed healing
- S92.354KNondisplaced fracture of fifth metatarsal bone, right foot, subsequent encounter for fracture with nonunion
- S92.354PNondisplaced fracture of fifth metatarsal bone, right foot, subsequent encounter for fracture with malunion
- S92.354SNondisplaced fracture of fifth metatarsal bone, right foot, sequela