ICDcodes.org
FY2027

S92.016A — Nondisplaced fracture of body of unspecified calcaneus, initial encounter for closed fracture

BillableUnspecified

Is S92.016A billable?

Yes, but S92.016A is an unspecified code. S92.016A is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, S92.016A is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting S92.016A — the more specific alternatives are listed below.

S92.016A at a glance

CodeS92.016A
DescriptionNondisplaced fracture of body of unspecified calcaneus, initial encounter for closed fracture
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027
7th character "A"initial encounter for closed fracture

What does the 7th character "A" mean in S92.016A?

In S92.016A, the 7th character A means initial encounter for closed fracture. The 7th character is required for S92.016A to be a valid, complete code.

Same condition, different episode of care — switch the 7th character:

Which MS-DRGs does S92.016A group to?

S92.016A sits in MDC 08 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

  • 562Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh with MCCmedical
  • 563Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without MCCmedical

How is S92.016A listed in the Alphabetic Index?

The Alphabetic Index lists these routes under S92.01, the nearest indexed parent of S92.016A. Use them to find the family, then select the specific code.

  • Fracture, traumatic › tarsal bone › calcaneus › body (abduction) (adduction) (separation)
  • Fracture, traumatic › tarsal bone › calcaneus › body › nondisplaced (abduction) (adduction) (separation)

Use additional code — inherited from Chapter 19

Report an additional code alongside S92.016A to fully describe the condition. S92.016A is sequenced first.

  • code to identify any retained foreign body, if applicable (Z18.-)

Excludes2 — not included here — inherited from Chapter 19

The conditions below are not part of S92.016A, but a patient may have both at the same time. When documentation supports it, S92.016A and the excluded code may both be reported.

  • birth trauma (P10-P15)
  • obstetric trauma (O70-O71)

Excludes2 — not included here — inherited from S90-S99

The conditions below are not part of S92.016A, but a patient may have both at the same time. When documentation supports it, S92.016A and the excluded code may both be reported.

  • burns and corrosions (T20-T32)
  • fracture of ankle and malleolus (S82.-)
  • frostbite (T33-T34)
  • insect bite or sting, venomous (T63.4)

Excludes2 — not included here — inherited from S92

The conditions below are not part of S92.016A, but a patient may have both at the same time. When documentation supports it, S92.016A and the excluded code may both be reported.

  • fracture of ankle (S82.-)
  • fracture of malleolus (S82.-)
  • traumatic amputation of ankle and foot (S98.-)

Excludes2 — not included here — inherited from S92.0

The conditions below are not part of S92.016A, but a patient may have both at the same time. When documentation supports it, S92.016A and the excluded code may both be reported.

  • Physeal fracture of calcaneus (S99.0-)

How long has S92.016A existed?

S92.016A has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.

Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.