Fracture of foot and toe, except ankle
In Injuries to the ankle and foot (S90-S99), chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes
1,386 billable codes under S92: 543 are a CC; none map to an HCC.A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment.
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Instructional notes
Also applies, from Injuries to the ankle and foot (S90-S99)
These notes sit on S90-S99 and apply to every code under it, including S92.
Official coding guidelines
From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.
- Section I.C.19.c Coding of Traumatic Fractures (page 79), covers S92
Code fractures by site; default to closed and displaced when not specified. Use initial 7th characters during active treatment and subsequent ones during healing, not aftercare Z codes; use M80 for osteoporotic fractures from minor trauma.
Other Chapter 19 topics:
- Application of 7th Characters in Chapter 19 (page 77)
- Coding of Injuries (page 78)
- Coding of Burns and Corrosions (page 80)
- Adverse Effects, Poisoning, Underdosing and Toxic Effects (page 82)
- Adult and child abuse, neglect and other maltreatment (page 85)
- Complications of care (page 85)
Codes under S92
S92 can't be used on a claim. Pick a billable code below; grey headings group them.
S92 MS-DRGs
As the principal diagnosis, the billable codes under S92 group to these 11 MS-DRGs (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
- DRG 559 Aftercare, Musculoskeletal System and Connective Tissue with MCC (594 of 1386 codes)
- DRG 560 Aftercare, Musculoskeletal System and Connective Tissue with CC (594 of 1386 codes)
- DRG 561 Aftercare, Musculoskeletal System and Connective Tissue without CC/MCC (594 of 1386 codes)
- DRG 562 Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh with MCC (396 of 1386 codes)
- DRG 563 Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without MCC (396 of 1386 codes)
- DRG 564 Other Musculoskeletal System and Connective Tissue Diagnoses with MCC (396 of 1386 codes)
- DRG 565 Other Musculoskeletal System and Connective Tissue Diagnoses with CC (396 of 1386 codes)
- DRG 566 Other Musculoskeletal System and Connective Tissue Diagnoses without CC/MCC (396 of 1386 codes)
- DRG 963 Other Multiple Significant Trauma with MCC (396 of 1386 codes)
- DRG 964 Other Multiple Significant Trauma with CC (396 of 1386 codes)
- DRG 965 Other Multiple Significant Trauma without CC/MCC (396 of 1386 codes)
Other codes that refer to S92
Notes on these codes point to S92.
- M84.3 Excludes1: traumatic fracture (S12.-, S22.-, S32.-, S42.-, S52.-, S62.-, S72.-, S82.-, S92.-)
- M84.4 Excludes1: traumatic fracture (S12.-, S22.-, S32.-, S42.-, S52.-, S62.-, S72.-, S82.-, S92.-)
- S72 Excludes2: fracture of foot (S92.-)
- S82 Excludes2: fracture of foot, except ankle (S92.-)
- S91 Excludes1: open fracture of ankle, foot and toes (S92.-with 7th character B)
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Foot Injuries and Disorders
Each of your feet has 26 bones, 33 joints, and more than 100 tendons, muscles, and ligaments. No wonder a lot of things can go wrong. Here are a few common problems:
Read more about foot injuries and disorders on MedlinePlusFractures
A fracture is a break in a bone. Fractures are usually caused by injuries. Since they can sometimes be serious, it's important to get medical care right away if you think you have a fracture.
Read more about fractures on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.