S92.525S — Nondisplaced fracture of middle phalanx of left lesser toe(s), sequela
Is S92.525S billable?
Yes — S92.525S is billable for FY2027. S92.525S is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. S92.525S may be submitted for encounters from October 1, 2026 through September 30, 2027.
S92.525S at a glance
| Code | S92.525S |
|---|---|
| Description | Nondisplaced fracture of middle phalanx of left lesser toe(s), sequela |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
| 7th character "S" | sequela |
What does the 7th character "S" mean in S92.525S?
In S92.525S, the 7th character S means sequela. The 7th character is required for S92.525S to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
- Ainitial encounter for closed fractureS92.525A
- Binitial encounter for open fractureS92.525B
- Dsubsequent encounter for fracture with routine healingS92.525D
- Gsubsequent encounter for fracture with delayed healingS92.525G
- Ksubsequent encounter for fracture with nonunionS92.525K
- Psubsequent encounter for fracture with malunionS92.525P
- SsequelaS92.525S
Which MS-DRGs does S92.525S group to?
S92.525S 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 S92.525S listed in the Alphabetic Index?
The Alphabetic Index lists these routes under S92.52, the nearest indexed parent of S92.525S. Use them to find the family, then select the specific code.
- Fracture, traumatic › toe › lesser › middle phalanx (abduction) (adduction) (separation)
- Fracture, traumatic › toe › lesser › middle phalanx › nondisplaced (abduction) (adduction) (separation)
Use additional code — inherited from Chapter 19
Report an additional code alongside S92.525S to fully describe the condition. S92.525S 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 S92.525S, but a patient may have both at the same time. When documentation supports it, S92.525S and the excluded code may both be reported.
Excludes2 — not included here — inherited from S90-S99
The conditions below are not part of S92.525S, but a patient may have both at the same time. When documentation supports it, S92.525S and the excluded code may both be reported.
Excludes2 — not included here — inherited from S92
The conditions below are not part of S92.525S, but a patient may have both at the same time. When documentation supports it, S92.525S and the excluded code may both be reported.
Excludes2 — not included here — inherited from S92.5
The conditions below are not part of S92.525S, but a patient may have both at the same time. When documentation supports it, S92.525S and the excluded code may both be reported.
- Physeal fracture of phalanx of toe (S99.2-)
How long has S92.525S existed?
S92.525S has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
- FY2018Nondisplaced fracture of medial phalanx of left lesser toe(s), sequelaNondisplaced fracture of middle phalanx of left lesser toe(s), sequela
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.