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
Excludes2 inherited from the categories above S92.513
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with S92.513
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.
Code history
Unchanged in every release from FY2024 to FY2027.
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
Other codes under S92.51
- 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)