S92.516
S92.516 — Nondisplaced fracture of proximal phalanx of unspecified lesser toe(s)
Non-billable headerICD-10-CM
S92.516 is a non-billable header ICD-10-CM code for nondisplaced 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
S92.516 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 S92.516
7 child codes. Green means billable.
- S92.516ANondisplaced fracture of proximal phalanx of unspecified lesser toe(s), initial encounter for closed fracture
- S92.516BNondisplaced fracture of proximal phalanx of unspecified lesser toe(s), initial encounter for open fracture
- S92.516DNondisplaced fracture of proximal phalanx of unspecified lesser toe(s), subsequent encounter for fracture with routine healing
- S92.516GNondisplaced fracture of proximal phalanx of unspecified lesser toe(s), subsequent encounter for fracture with delayed healing
- S92.516KNondisplaced fracture of proximal phalanx of unspecified lesser toe(s), subsequent encounter for fracture with nonunion
- S92.516PNondisplaced fracture of proximal phalanx of unspecified lesser toe(s), subsequent encounter for fracture with malunion
- S92.516SNondisplaced fracture of proximal phalanx of unspecified lesser toe(s), sequela
Related codes at this level
Codes that share S92.51. If S92.516 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)
- S92.513Displaced fracture of proximal phalanx of unspecified 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)
Questions about S92.516
- Is S92.516 a billable ICD-10-CM code?
- No. S92.516 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does S92.516 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).