S92.811S — Other fracture of right foot, sequela
S92.811S is a billable, specific ICD-10-CM code for other fracture of right foot, sequela. It is valid for submission on a claim.
7th 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 S92.811S
Also inherited, and the opposite of Excludes1: these conditions are not part of S92.811S, but a patient can have both, so you may code both.
Other codes that can never be billed with S92.811S
These codes carry an Excludes1 note pointing at S92.811S. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading S92.811S alone.
Risk adjustment
S92.811S 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.
Medicare coverage
S92.811S is named in 4 Medicare coverage policies — 4 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53057Billing and Coding: Home Health Occupational Therapy
- A53058Billing and Coding: Home Health Physical Therapy
- A53064Billing and Coding: Outpatient Occupational Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
Code history
S92.811S 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 S92.811. If S92.811S is not quite right, the correct code is usually one of these.
- S92.811AOther fracture of right foot, initial encounter for closed fracture
- S92.811BOther fracture of right foot, initial encounter for open fracture
- S92.811DOther fracture of right foot, subsequent encounter for fracture with routine healing
- S92.811GOther fracture of right foot, subsequent encounter for fracture with delayed healing
- S92.811KOther fracture of right foot, subsequent encounter for fracture with nonunion
- S92.811POther fracture of right foot, subsequent encounter for fracture with malunion
Questions about S92.811S
- Is S92.811S a billable ICD-10-CM code?
- Yes. S92.811S is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S92.811S 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).