ICDcodes.org
FY2027

S92.416G — Nondisplaced fracture of proximal phalanx of unspecified great toe, subsequent encounter for fracture with delayed healing

BillableUnspecified

Is S92.416G billable?

Yes, but S92.416G is an unspecified code. S92.416G is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, S92.416G 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 S92.416G — the more specific alternatives are listed below.

S92.416G at a glance

CodeS92.416G
DescriptionNondisplaced fracture of proximal phalanx of unspecified great toe, subsequent encounter for fracture with delayed healing
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027
7th character "G"subsequent encounter for fracture with delayed healing

What does the 7th character "G" mean in S92.416G?

In S92.416G, the 7th character G means subsequent encounter for fracture with delayed healing. The 7th character is required for S92.416G to be a valid, complete code.

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

Which MS-DRGs does S92.416G group to?

S92.416G 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.

  • 559Aftercare, Musculoskeletal System and Connective Tissue with MCCmedical
  • 560Aftercare, Musculoskeletal System and Connective Tissue with CCmedical
  • 561Aftercare, Musculoskeletal System and Connective Tissue without CC/MCCmedical

How is S92.416G listed in the Alphabetic Index?

The Alphabetic Index lists these routes under S92.41, the nearest indexed parent of S92.416G. 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 S92.416G to fully describe the condition. S92.416G 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 S92.416G, but a patient may have both at the same time. When documentation supports it, S92.416G 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 S92.416G, but a patient may have both at the same time. When documentation supports it, S92.416G 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 S92.416G, but a patient may have both at the same time. When documentation supports it, S92.416G 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 S92.4

The conditions below are not part of S92.416G, but a patient may have both at the same time. When documentation supports it, S92.416G and the excluded code may both be reported.

  • Physeal fracture of phalanx of toe (S99.2-)

How long has S92.416G existed?

S92.416G 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.