ICD-10-CM Billable Code

S92.411

Displaced fracture of proximal phalanx of right great toe

Clinical Classification Guidelines

Medical Intelligence & Overview

A displaced fracture of the proximal phalanx of the right great toe involves a break in the bone located near the base of the big toe. This type of injury typically results from trauma or injury, such as dropping a heavy object on the toe or stubbing the toe forcefully. Such fractures can cause pain, swelling, and difficulty in walking or bearing weight on the affected foot. Prompt diagnosis and management are essential to promote healing and restore normal toe function.

Causes & Symptoms

Clinical Causes: Direct trauma from dropping heavy objects on the toe Stubbing or kicking a hard object with force Falls or accidents that involve impact to the foot Sports injuries involving abrupt force to the toe Twisting injury that causes the bone to fracture

Key Symptoms: Sudden onset of pain near the base of the big toe Swelling and tenderness around the toe Deformity or misalignment of the toe Bruising or discoloration of the skin Difficulty walking or putting weight on the affected foot In some cases, a visible bump or bone protrusion

Diagnostic & Treatment

Diagnosis Path: A healthcare professional will likely perform a physical examination of the toe to assess swelling, deformity, and ability to move the toe. To confirm the diagnosis and determine the extent of the fracture, imaging tests such as X-rays are typically ordered. These images help identify the exact location, type, and displacement of the fracture, which guides the treatment plan.

Treatment Protocols: Management of a displaced fracture of the proximal phalanx generally involves several approaches, depending on the severity and displacement of the fracture:

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is S92.411 a billable ICD-10 code?
Yes, S92.411 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report S92.411?
Clinical documentation must specify the nature of Displaced fracture of proximal phalanx of right great toe and any associated comorbidities for accurate reporting.

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