S92.919
S92.919 — Unspecified fracture of unspecified toe(s)
Non-billable headerICD-10-CM
S92.919 is a non-billable header ICD-10-CM code for unspecified fracture of unspecified 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
Risk adjustment
S92.919 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 to one of these instead S92.919
7 child codes. Green means billable.
- S92.919AUnspecified fracture of unspecified toe(s), initial encounter for closed fracture
- S92.919BUnspecified fracture of unspecified toe(s), initial encounter for open fracture
- S92.919DUnspecified fracture of unspecified toe(s), subsequent encounter for fracture with routine healing
- S92.919GUnspecified fracture of unspecified toe(s), subsequent encounter for fracture with delayed healing
- S92.919KUnspecified fracture of unspecified toe(s), subsequent encounter for fracture with nonunion
- S92.919PUnspecified fracture of unspecified toe(s), subsequent encounter for fracture with malunion
- S92.919SUnspecified fracture of unspecified toe(s), sequela
Related codes at this level
Codes that share S92.91. If S92.919 is not quite right, the correct code is usually one of these.
Questions about S92.919
- Is S92.919 a billable ICD-10-CM code?
- No. S92.919 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does S92.919 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).