S92.911P
S92.911P: Unspecified fracture of right toe(s), subsequent encounter for fracture with malunion
Billable / specific codeICD-10-CMPOA exemptright
S92.911P is a billable, specific ICD-10-CM code for unspecified fracture of right toe(s), subsequent encounter for fracture with malunion. It is valid for submission on a claim.
Check S92.911P with the rest of the claim: free scrubber7th character "P": subsequent encounter for fracture with malunion
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
Other codes that can never be billed with S92.911P
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
S92.911P is named in 2 Medicare coverage policies: 2 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A53058Billing and Coding: Home Health Physical Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under S92.911
- S92.911AUnspecified fracture of right toe(s), initial encounter for closed fracture
- S92.911BUnspecified fracture of right toe(s), initial encounter for open fracture
- S92.911DUnspecified fracture of right toe(s), subsequent encounter for fracture with routine healing
- S92.911GUnspecified fracture of right toe(s), subsequent encounter for fracture with delayed healing
- S92.911KUnspecified fracture of right toe(s), subsequent encounter for fracture with nonunion
- S92.911SUnspecified fracture of right toe(s), sequela