S92.413S
S92.413S: Displaced fracture of proximal phalanx of unspecified great toe, sequela
Billable / specific codeICD-10-CMPOA exempt
S92.413S is a billable, specific ICD-10-CM code for displaced fracture of proximal phalanx of unspecified great toe, sequela. It is valid for submission on a claim.
Check S92.413S 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 S92.413S
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with S92.413S
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
S92.413S is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A53064Billing and Coding: Outpatient Occupational Therapy
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under S92.413
- S92.413ADisplaced fracture of proximal phalanx of unspecified great toe, initial encounter for closed fracture
- S92.413BDisplaced fracture of proximal phalanx of unspecified great toe, initial encounter for open fracture
- S92.413DDisplaced fracture of proximal phalanx of unspecified great toe, subsequent encounter for fracture with routine healing
- S92.413GDisplaced fracture of proximal phalanx of unspecified great toe, subsequent encounter for fracture with delayed healing
- S92.413KDisplaced fracture of proximal phalanx of unspecified great toe, subsequent encounter for fracture with nonunion
- S92.413PDisplaced fracture of proximal phalanx of unspecified great toe, subsequent encounter for fracture with malunion