2025 ICD-10-CM code S92
Fracture of foot and toe, except ankle.
The seventh character of the code specifies details such as initial or subsequent encounter, and the type of healing (routine, delayed, nonunion, or malunion).
Medical necessity is established by the presence of a fracture confirmed by imaging studies (X-ray, CT, or MRI) and the need for treatment to ensure proper healing and prevent complications.
Providers diagnose the condition on the basis of the patient’s personal history of trauma and a physical examination to assess the wound, nerves, or blood supply; imaging techniques such as X–rays, CT scan, and MRI to determine the extent of damage; laboratory examination as appropriate. Treatment options include medications such as analgesics, corticosteroids, muscle relaxants, nonsteroidal antiinflammatory drugs for pain relief, and thrombolytics or anticoagulants to reduce the risk of blood clots; calcium and vitamin D supplements to improve the bone strength; a splint or cast for immobilization to prevent further damage and promote healing; rest; application of ice, compression, and elevation of affected part to reduce the swelling; physical therapy to improve the range of motion, flexibility, and muscle strength; and reduction of the fracture, either via closed reduction or surgical open reduction and internal fixation as appropriate.
- Injury, poisoning and certain other consequences of external causes (S00-T88)
- Injuries to the ankle and foot (S90-S99)
In simple words: A broken bone in your foot or toe, but not your ankle. This can happen from things like dropping something heavy on your foot, stubbing your toe really hard, or twisting your foot.
Fracture of the foot and toe except the ankle refers to a break in the bones of the foot and toe, not involving the bones of the ankle, due to trauma.A fracture not indicated as displaced or nondisplaced should be coded to displaced. A fracture not indicated as open or closed should be coded to closed.
Example 1: A patient drops a heavy box on their foot, fracturing their second toe., A soccer player kicks another player's foot during a game, resulting in a fracture to one of their metatarsals., A marathon runner develops a stress fracture in their foot after significantly increasing their training mileage.
Documentation should include the type of fracture (displaced or nondisplaced, open or closed), the specific bone(s) involved, the mechanism of injury, and associated signs and symptoms.
** 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).
- Specialties:Orthopedics, podiatry, emergency medicine, sports medicine
- Place of Service:Office, Inpatient Hospital, Emergency Room - Hospital, Outpatient Hospital, Urgent Care Facility