S92.533S
S92.533S: Displaced fracture of distal phalanx of unspecified lesser toe(s), sequela
Billable / specific codeICD-10-CMPOA exempt
S92.533S is a billable, specific ICD-10-CM code for displaced fracture of distal phalanx of unspecified lesser toe(s), sequela. It is valid for submission on a claim.
Check S92.533S with the rest of the claim: free scrubber7th character "S": sequela
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 S92.533S
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with S92.533S
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.
Medicare coverage
S92.533S is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A53064Billing and Coding: Outpatient Occupational Therapy
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under S92.533
- 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