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Home/Diagnosis/ICD-10 Coding for Toe Fracture

ICD-10 Coding for Toe Fracture

S92.401A
S92.402A

Complete ICD-10-CM coding and documentation guide for icd-10 coding for toe fracture includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Broken Toe
Phalanx Fracture
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Key Information: ICD-10 Coding for Toe Fracture

Essential facts and insights about ICD-10 Coding for Toe Fracture

Use ICD-10 code S92.401A for fracture of right great toe, initial encounter, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Fracture of right great toe, initial encounter

Billable Code
S92.401A
Billable

Diagnostic Criteria

clinical:
  • • Presence of fracture confirmed by imaging
documentation:
  • • Detailed notes on fracture location and type

Applicable To

  • • Displaced fracture of right great toe
  • • Non-displaced fracture of right great toe

Important Notes

  • • Ensure laterality and fracture type are clearly documented.

Fracture of left great toe, initial encounter

Billable Code
S92.402A
Billable

Diagnostic Criteria

clinical:
  • • Presence of fracture confirmed by imaging
documentation:
  • • Detailed notes on fracture location and type

Applicable To

  • • Displaced fracture of left great toe
  • • Non-displaced fracture of left great toe

Important Notes

  • • Ensure laterality and fracture type are clearly documented.
Ancillary Codes

Additional codes that may be used with this diagnosis

S91.211A

Open wound of right great toe with nail damage, initial encounter

Use when there is an open wound with nail damage accompanying the fracture.

S91.212A

Open wound of left great toe with nail damage, initial encounter

Use when there is an open wound with nail damage accompanying the fracture.

Frequently Asked Questions

What is the ICD-10 code for a toe fracture?

The ICD-10 code for a toe fracture is S92.4 for the great toe and S92.5 for lesser toes, with additional specificity for open or closed fractures.

How do you code a toe fracture with nail damage?

For a toe fracture with nail damage, use S92.4 for the fracture and S91.2 for the open wound with nail damage.

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