S92.415K — Nondisplaced fracture of proximal phalanx of left great toe, subsequent encounter for fracture with nonunion
Is S92.415K billable?
Yes — S92.415K is billable for FY2027. S92.415K is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. S92.415K may be submitted for encounters from October 1, 2026 through September 30, 2027.
S92.415K at a glance
| Code | S92.415K |
|---|---|
| Description | Nondisplaced fracture of proximal phalanx of left great toe, subsequent encounter for fracture with nonunion |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
| 7th character "K" | subsequent encounter for fracture with nonunion |
What does the 7th character "K" mean in S92.415K?
In S92.415K, the 7th character K means subsequent encounter for fracture with nonunion. The 7th character is required for S92.415K to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
- Ainitial encounter for closed fractureS92.415A
- Binitial encounter for open fractureS92.415B
- Dsubsequent encounter for fracture with routine healingS92.415D
- Gsubsequent encounter for fracture with delayed healingS92.415G
- Ksubsequent encounter for fracture with nonunionS92.415K
- Psubsequent encounter for fracture with malunionS92.415P
- SsequelaS92.415S
Which MS-DRGs does S92.415K group to?
S92.415K sits in MDC 08 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 564Other Musculoskeletal System and Connective Tissue Diagnoses with MCCmedical
- 565Other Musculoskeletal System and Connective Tissue Diagnoses with CCmedical
- 566Other Musculoskeletal System and Connective Tissue Diagnoses without CC/MCCmedical
As a secondary diagnosis, S92.415K is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.
How is S92.415K listed in the Alphabetic Index?
The Alphabetic Index lists these routes under S92.41, the nearest indexed parent of S92.415K. Use them to find the family, then select the specific code.
- Fracture, traumatic › toe › great › proximal phalanx (abduction) (adduction) (separation)
- Fracture, traumatic › toe › great › proximal phalanx › nondisplaced (abduction) (adduction) (separation)
Use additional code — inherited from Chapter 19
Report an additional code alongside S92.415K to fully describe the condition. S92.415K 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 S92.415K, but a patient may have both at the same time. When documentation supports it, S92.415K and the excluded code may both be reported.
Excludes2 — not included here — inherited from S90-S99
The conditions below are not part of S92.415K, but a patient may have both at the same time. When documentation supports it, S92.415K and the excluded code may both be reported.
Excludes2 — not included here — inherited from S92
The conditions below are not part of S92.415K, but a patient may have both at the same time. When documentation supports it, S92.415K and the excluded code may both be reported.
Excludes2 — not included here — inherited from S92.4
The conditions below are not part of S92.415K, but a patient may have both at the same time. When documentation supports it, S92.415K and the excluded code may both be reported.
- Physeal fracture of phalanx of toe (S99.2-)
How long has S92.415K existed?
S92.415K 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.