S92.499D — Other fracture of unspecified great toe, subsequent encounter for fracture with routine healing
Is S92.499D billable?
Yes, but S92.499D is an unspecified code. S92.499D is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, S92.499D 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 S92.499D — the more specific alternatives are listed below.
S92.499D at a glance
| Code | S92.499D |
|---|---|
| Description | Other fracture of unspecified great toe, subsequent encounter for fracture with routine healing |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
| 7th character "D" | subsequent encounter for fracture with routine healing |
What does the 7th character "D" mean in S92.499D?
In S92.499D, the 7th character D means subsequent encounter for fracture with routine healing. The 7th character is required for S92.499D to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
- Ainitial encounter for closed fractureS92.499A
- Binitial encounter for open fractureS92.499B
- Dsubsequent encounter for fracture with routine healingS92.499D
- Gsubsequent encounter for fracture with delayed healingS92.499G
- Ksubsequent encounter for fracture with nonunionS92.499K
- Psubsequent encounter for fracture with malunionS92.499P
- SsequelaS92.499S
Which MS-DRGs does S92.499D group to?
S92.499D 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 S92.499D listed in the Alphabetic Index?
The Alphabetic Index lists these routes under S92.49, the nearest indexed parent of S92.499D. Use them to find the family, then select the specific code.
- Fracture, traumatic › toe › great › specified NEC (abduction) (adduction) (separation)
Use additional code — inherited from Chapter 19
Report an additional code alongside S92.499D to fully describe the condition. S92.499D 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 S92.499D, but a patient may have both at the same time. When documentation supports it, S92.499D and the excluded code may both be reported.
Excludes2 — not included here — inherited from S90-S99
The conditions below are not part of S92.499D, but a patient may have both at the same time. When documentation supports it, S92.499D and the excluded code may both be reported.
Excludes2 — not included here — inherited from S92
The conditions below are not part of S92.499D, but a patient may have both at the same time. When documentation supports it, S92.499D and the excluded code may both be reported.
Excludes2 — not included here — inherited from S92.4
The conditions below are not part of S92.499D, but a patient may have both at the same time. When documentation supports it, S92.499D and the excluded code may both be reported.
- Physeal fracture of phalanx of toe (S99.2-)
How long has S92.499D existed?
S92.499D 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.