S92.415P — Nondisplaced fracture of proximal phalanx of left great toe, subsequent encounter for fracture with malunion
Is S92.415P billable?
Yes — S92.415P is billable for FY2027. S92.415P is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. S92.415P may be submitted for encounters from October 1, 2026 through September 30, 2027.
S92.415P at a glance
| Code | S92.415P |
|---|---|
| Description | Nondisplaced fracture of proximal phalanx of left great toe, subsequent encounter for fracture with malunion |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
| 7th character "P" | subsequent encounter for fracture with malunion |
What does the 7th character "P" mean in S92.415P?
In S92.415P, the 7th character P means subsequent encounter for fracture with malunion. The 7th character is required for S92.415P 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 S92.415P group to?
S92.415P 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, S92.415P is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.
How is S92.415P listed in the Alphabetic Index?
The Alphabetic Index lists these routes under S92.41, the nearest indexed parent of S92.415P. 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 S92.415P to fully describe the condition. S92.415P 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 S92.415P, but a patient may have both at the same time. When documentation supports it, S92.415P and the excluded code may both be reported.
Excludes2 — not included here — inherited from S90-S99
The conditions below are not part of S92.415P, but a patient may have both at the same time. When documentation supports it, S92.415P and the excluded code may both be reported.
Excludes2 — not included here — inherited from S92
The conditions below are not part of S92.415P, but a patient may have both at the same time. When documentation supports it, S92.415P and the excluded code may both be reported.
Excludes2 — not included here — inherited from S92.4
The conditions below are not part of S92.415P, but a patient may have both at the same time. When documentation supports it, S92.415P and the excluded code may both be reported.
- Physeal fracture of phalanx of toe (S99.2-)
How long has S92.415P existed?
S92.415P 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.