S92.536
S92.536: Nondisplaced fracture of distal phalanx of unspecified lesser toe(s)
Non-billable headerICD-10-CM
S92.536 is a non-billable header ICD-10-CM code for nondisplaced 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
Excludes2 inherited from the categories above S92.536
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with S92.536
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 S92.536
7 child codes. Green means billable.
- S92.536ANondisplaced fracture of distal phalanx of unspecified lesser toe(s), initial encounter for closed fracture
- S92.536BNondisplaced fracture of distal phalanx of unspecified lesser toe(s), initial encounter for open fracture
- S92.536DNondisplaced fracture of distal phalanx of unspecified lesser toe(s), subsequent encounter for fracture with routine healing
- S92.536GNondisplaced fracture of distal phalanx of unspecified lesser toe(s), subsequent encounter for fracture with delayed healing
- S92.536KNondisplaced fracture of distal phalanx of unspecified lesser toe(s), subsequent encounter for fracture with nonunion
- S92.536PNondisplaced fracture of distal phalanx of unspecified lesser toe(s), subsequent encounter for fracture with malunion
- S92.536SNondisplaced fracture of distal phalanx of unspecified lesser toe(s), sequela
Other codes under S92.53
- S92.531Displaced fracture of distal phalanx of right lesser toe(s)
- S92.532Displaced fracture of distal phalanx of left lesser toe(s)
- S92.533Displaced fracture of distal phalanx of unspecified 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)