ICD-10-CM Billable Code

S92.535

Nondisplaced fracture of distal phalanx of left lesser toe(s)

Clinical Classification Guidelines

Medical Intelligence & Overview

A nondisplaced fracture of the distal phalanx of the left lesser toe(s) involves a break in the small bone at the tip of the toe, without the bone fragments shifting out of place. This type of injury affects the bones at the tips of the toes, which are crucial for balance and walking. Recognizing this condition early is important for proper treatment and recovery.

Causes & Symptoms

Clinical Causes: Stubbing or hitting the toe against a hard object Drop or fall onto the toe Repetitive stress or overuse Sports injuries involving trauma to the foot Accidental trauma from heavy objects falling on the toe

Key Symptoms: Pain at the tip of the toe, especially when pressure is applied Swelling around the affected joint Bruising or discoloration of the toe Tenderness to touch Difficulty moving or walking comfortably Possible deformity or misalignment (less common in nondisplaced fractures)

Diagnostic & Treatment

Diagnosis Path: Diagnosis typically involves a physical examination and an imaging study such as an X-ray. The healthcare provider will look for signs of swelling, deformity, and tenderness. An X-ray confirms whether a fracture has occurred and whether it is displaced or nondisplaced. Other imaging methods may be employed if the diagnosis is uncertain.

Treatment Protocols: Treatment options focus on promoting healing while minimizing discomfort and preventing complications. Common approaches include:

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 S92.535 a billable ICD-10 code?
Yes, S92.535 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report S92.535?
Clinical documentation must specify the nature of Nondisplaced fracture of distal phalanx of left lesser toe(s) and any associated comorbidities for accurate reporting.

Cite this Clinical Reference