S92.499S
S92.499S: Other fracture of unspecified great toe, sequela
Billable / specific codeICD-10-CMPOA exempt
S92.499S is a billable, specific ICD-10-CM code for other fracture of unspecified great toe, sequela. It is valid for submission on a claim.
Check S92.499S 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 S92.499S
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with S92.499S
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
S92.499S 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 S92.499
- S92.499AOther fracture of unspecified great toe, initial encounter for closed fracture
- S92.499BOther fracture of unspecified great toe, initial encounter for open fracture
- S92.499DOther fracture of unspecified great toe, subsequent encounter for fracture with routine healing
- S92.499GOther fracture of unspecified great toe, subsequent encounter for fracture with delayed healing
- S92.499KOther fracture of unspecified great toe, subsequent encounter for fracture with nonunion
- S92.499POther fracture of unspecified great toe, subsequent encounter for fracture with malunion