S92.226A — Nondisplaced fracture of lateral cuneiform of unspecified foot, initial encounter for closed fracture
Is S92.226A billable?
Yes, but S92.226A is an unspecified code. S92.226A is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, S92.226A 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 S92.226A — the more specific alternatives are listed below.
More specific alternatives
- S92.221ADisplaced fracture of lateral cuneiform of right foot, initial encounter for closed fracture
- S92.222ADisplaced fracture of lateral cuneiform of left foot, initial encounter for closed fracture
- S92.224ANondisplaced fracture of lateral cuneiform of right foot, initial encounter for closed fracture
- S92.225ANondisplaced fracture of lateral cuneiform of left foot, initial encounter for closed fracture
S92.226A at a glance
| Code | S92.226A |
|---|---|
| Description | Nondisplaced fracture of lateral cuneiform of unspecified foot, initial encounter for closed fracture |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
| 7th character "A" | initial encounter for closed fracture |
What does the 7th character "A" mean in S92.226A?
In S92.226A, the 7th character A means initial encounter for closed fracture. The 7th character is required for S92.226A to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
- Ainitial encounter for closed fractureS92.226A
- Binitial encounter for open fractureS92.226B
- Dsubsequent encounter for fracture with routine healingS92.226D
- Gsubsequent encounter for fracture with delayed healingS92.226G
- Ksubsequent encounter for fracture with nonunionS92.226K
- Psubsequent encounter for fracture with malunionS92.226P
- SsequelaS92.226S
Which MS-DRGs does S92.226A group to?
S92.226A 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 S92.226A listed in the Alphabetic Index?
The Alphabetic Index lists these routes under S92.22, the nearest indexed parent of S92.226A. Use them to find the family, then select the specific code.
- Fracture, traumatic › tarsal bone › cuneiform › lateral (abduction) (adduction) (separation)
- Fracture, traumatic › tarsal bone › cuneiform › lateral › nondisplaced (abduction) (adduction) (separation)
Use additional code — inherited from Chapter 19
Report an additional code alongside S92.226A to fully describe the condition. S92.226A 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 S92.226A, but a patient may have both at the same time. When documentation supports it, S92.226A and the excluded code may both be reported.
Excludes2 — not included here — inherited from S90-S99
The conditions below are not part of S92.226A, but a patient may have both at the same time. When documentation supports it, S92.226A and the excluded code may both be reported.
Excludes2 — not included here — inherited from S92
The conditions below are not part of S92.226A, but a patient may have both at the same time. When documentation supports it, S92.226A and the excluded code may both be reported.
How long has S92.226A existed?
S92.226A 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.