S92.526D — Nondisplaced fracture of middle phalanx of unspecified lesser toe(s), subsequent encounter for fracture with routine healing
S92.526D is a billable, specific ICD-10-CM code for nondisplaced fracture of middle phalanx of unspecified lesser toe(s), subsequent encounter for fracture with routine healing. It is valid for submission on a claim.
7th character "D" — subsequent encounter for fracture with routine healing
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 S92.526D
Also inherited, and the opposite of Excludes1: these conditions are not part of S92.526D, but a patient can have both, so you may code both.
Other codes that can never be billed with S92.526D
These codes carry an Excludes1 note pointing at S92.526D. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading S92.526D alone.
Risk adjustment
S92.526D 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 history
S92.526D has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.
Related codes at this level
Codes that share S92.526. If S92.526D is not quite right, the correct code is usually one of these.
- S92.526ANondisplaced fracture of middle phalanx of unspecified lesser toe(s), initial encounter for closed fracture
- S92.526BNondisplaced fracture of middle phalanx of unspecified lesser toe(s), initial encounter for open fracture
- S92.526GNondisplaced fracture of middle phalanx of unspecified lesser toe(s), subsequent encounter for fracture with delayed healing
- S92.526KNondisplaced fracture of middle phalanx of unspecified lesser toe(s), subsequent encounter for fracture with nonunion
- S92.526PNondisplaced fracture of middle phalanx of unspecified lesser toe(s), subsequent encounter for fracture with malunion
- S92.526SNondisplaced fracture of middle phalanx of unspecified lesser toe(s), sequela
Questions about S92.526D
- Is S92.526D a billable ICD-10-CM code?
- Yes. S92.526D is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S92.526D 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).