S92.513
S92.513 — Displaced fracture of proximal phalanx of unspecified lesser toe(s)
Non-billable headerICD-10-CM
S92.513 is a non-billable header ICD-10-CM code for displaced fracture of proximal phalanx of unspecified lesser toe(s). It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.
This code requires a 7th character
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
S92.513 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.
Code to one of these instead S92.513
7 child codes. Green means billable.
- S92.513ADisplaced fracture of proximal phalanx of unspecified lesser toe(s), initial encounter for closed fracture
- S92.513BDisplaced fracture of proximal phalanx of unspecified lesser toe(s), initial encounter for open fracture
- S92.513DDisplaced fracture of proximal phalanx of unspecified lesser toe(s), subsequent encounter for fracture with routine healing
- S92.513GDisplaced fracture of proximal phalanx of unspecified lesser toe(s), subsequent encounter for fracture with delayed healing
- S92.513KDisplaced fracture of proximal phalanx of unspecified lesser toe(s), subsequent encounter for fracture with nonunion
- S92.513PDisplaced fracture of proximal phalanx of unspecified lesser toe(s), subsequent encounter for fracture with malunion
- S92.513SDisplaced fracture of proximal phalanx of unspecified lesser toe(s), sequela
Related codes at this level
Codes that share S92.51. If S92.513 is not quite right, the correct code is usually one of these.
- S92.511Displaced fracture of proximal phalanx of right lesser toe(s)
- S92.512Displaced fracture of proximal phalanx of left lesser toe(s)
- S92.514Nondisplaced fracture of proximal phalanx of right lesser toe(s)
- S92.515Nondisplaced fracture of proximal phalanx of left lesser toe(s)
- S92.516Nondisplaced fracture of proximal phalanx of unspecified lesser toe(s)
Questions about S92.513
- Is S92.513 a billable ICD-10-CM code?
- No. S92.513 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does S92.513 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).