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ICD-10-CM Code S92.511
Displaced fracture of proximal phalanx of right lesser toe(s)

NON-BILLABLE
Non-Billable Code
Non-Billable means the code is not sufficient justification for admission to an acute care hospital when used a principal diagnosis. Use a child code to capture more detail.
7th Character Required
7th Character Required
Code requires 7th Character Extension identifier. This 7th Character usually captures Episode of Care information, such as "Initial Encounter," "Subsquent Encounter," or "Sequela."
| ICD-10 from 2011 - 2016

ICD Code S92.511 is a non-billable code. To code a diagnosis of this type, you must use specify a 7th character that describes the diagnosis 'disp fx of proximal phalanx of right lesser toe(s)' in more detail. The 7th characters that can be added, and the resulting billable codes, are as follows:


7th Digit Billable Code 7th Digit Specifies
A S92.511A initial encounter
B S92.511B initial encounter for open fracture
D S92.511D subsequent encounter
G S92.511G subsequent encounter for fracture with delayed healing
K S92.511K subsequent encounter for fracture with nonunion
P S92.511P subsequent encounter for fracture with malunion
S S92.511S sequela

What is 7th Character Extension?

For codes less than 6 characters that require a 7th character a placeholder 'X' should be assigned for all characters less than 6. The 7th character must always be the 7th position of a code. E.g. The ICD-10-CM code T67.4 (Heat exhaustion due to salt depletion) requires an Episode of Care identifier. T67.4XXA Initial Encounter or T67.4XXD Subsequent Encounter. More Info

Coding Advice SNOMET-CT

  • Episode of care information needed
  • Possible requirement for an external cause code

Parent Code: S92.51 - Fracture of proximal phalanx of lesser toe(s)

** This Document Provided By ICD.Codes **
Source: http://icd.codes/icd10cm/S92511