S92.533
S92.533 — Displaced fracture of distal phalanx of unspecified lesser toe(s)
Non-billable headerICD-10-CM
S92.533 is a non-billable header ICD-10-CM code for displaced fracture of distal 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
S92.533 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 S92.533
7 child codes. Green means billable.
- S92.533ADisplaced fracture of distal phalanx of unspecified lesser toe(s), initial encounter for closed fracture
- S92.533BDisplaced fracture of distal phalanx of unspecified lesser toe(s), initial encounter for open fracture
- S92.533DDisplaced fracture of distal phalanx of unspecified lesser toe(s), subsequent encounter for fracture with routine healing
- S92.533GDisplaced fracture of distal phalanx of unspecified lesser toe(s), subsequent encounter for fracture with delayed healing
- S92.533KDisplaced fracture of distal phalanx of unspecified lesser toe(s), subsequent encounter for fracture with nonunion
- S92.533PDisplaced fracture of distal phalanx of unspecified lesser toe(s), subsequent encounter for fracture with malunion
- S92.533SDisplaced fracture of distal phalanx of unspecified lesser toe(s), sequela
Related codes at this level
Codes that share S92.53. If S92.533 is not quite right, the correct code is usually one of these.
- S92.531Displaced fracture of distal phalanx of right lesser toe(s)
- S92.532Displaced fracture of distal phalanx of left lesser toe(s)
- S92.534Nondisplaced fracture of distal phalanx of right lesser toe(s)
- S92.535Nondisplaced fracture of distal phalanx of left lesser toe(s)
- S92.536Nondisplaced fracture of distal phalanx of unspecified lesser toe(s)
Questions about S92.533
- Is S92.533 a billable ICD-10-CM code?
- No. S92.533 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does S92.533 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).