Is S92.499P a billable ICD-10-CM code?

Yes. S92.499P is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does S92.499P 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).

S92.499P

S92.499P — Other fracture of unspecified great toe, subsequent encounter for fracture with malunion

Billable / specific codeICD-10-CMPOA exempt

S92.499P is a billable, specific ICD-10-CM code for other fracture of unspecified great toe, subsequent encounter for fracture with malunion. It is valid for submission on a claim.

7th character "P" — subsequent encounter for fracture with malunion

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

S92.499P 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.

Related codes at this level

Codes that share S92.499. If S92.499P is not quite right, the correct code is usually one of these.

Questions about S92.499P

Is S92.499P a billable ICD-10-CM code?: Yes. S92.499P is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does S92.499P 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).