S92.81 — Other fracture of foot
S92.81 is a non-billable header ICD-10-CM code for other fracture of foot. 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
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Sesamoid fracture of foot
Excludes2 inherited from the categories above S92.81
Also inherited, and the opposite of Excludes1: these conditions are not part of S92.81, but a patient can have both, so you may code both.
Other codes that can never be billed with S92.81
These codes carry an Excludes1 note pointing at S92.81. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading S92.81 alone.
Risk adjustment
S92.81 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
S92.81 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.
Code to one of these instead S92.81
3 child codes. Green means billable.
Questions about S92.81
- Is S92.81 a billable ICD-10-CM code?
- No. S92.81 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does S92.81 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).