2025 ICD-10-CM code S92.90
(Active) Effective Date: N/A Injury, poisoning and certain other consequences of external causes - Injuries to the ankle and foot 19 Feed
Unspecified fracture of the foot.
Medical necessity for using this code rests on the clinical evidence suggesting a foot fracture. This typically involves a history of trauma and corresponding physical exam findings, supported by imaging studies.
Diagnosis may involve physical examination, X-rays, and potentially other imaging studies to assess nerve or blood vessel involvement. Treatment can range from conservative measures like splinting, ice, and pain medication to surgical intervention for unstable or open fractures.
In simple words: This code refers to a broken bone in the foot, where the doctor hasn't specified which bone or what kind of break it is.
A break in the continuity of the bones of the foot, without specifying the exact location or type of fracture. This code is used when the provider does not identify a specific type of foot fracture.
Example 1: A patient presents to the ER after twisting their foot while playing basketball. X-rays reveal a fracture in the foot, but the radiologist doesn't specify the type or location. S92.90 is used., A patient falls from a ladder and injures their foot. The initial examination suggests a fracture, but further imaging is needed to determine the specifics. S92.90 can be used until a more precise diagnosis is available., A patient has chronic foot pain after a previous injury. Imaging shows evidence of an old, healed fracture, but the type was not documented at the time of injury. S92.90 can be used to code the history of the fracture.
Documentation should include details of the injury, physical exam findings (e.g., swelling, bruising, deformity), and results of imaging studies (X-rays, etc.). If a specific fracture type is later identified, the code should be updated accordingly.
** Excludes1: birth trauma (P10-P15), obstetric trauma (O70-O71) Excludes2: burns and corrosions (T20-T32), fracture of ankle and malleolus (S82.-), frostbite (T33-T34), insect bite or sting, venomous (T63.4)
- Payment Status: Valid for Submission
- Specialties:Orthopedics, Emergency Medicine, Family Medicine, Podiatry
- Place of Service:Office, Home, Inpatient Hospital, On Campus-Outpatient Hospital, Emergency Room - Hospital,Independent Clinic, Federally Qualified Health Center, Other Place of Service