ICD-10-CM Billable Code

S92.316

Nondisplaced fracture of first metatarsal bone, unspecified foot

Clinical Classification Guidelines

Medical Intelligence & Overview

A nondisplaced fracture of the first metatarsal bone affects one of the long bones in the foot, specifically the bone connected to the big toe. This type of fracture occurs when the bone is cracked or broken but remains aligned without shifting out of place. It is a common injury often resulting from trauma or excessive pressure on the foot. Despite being less severe than displaced fractures, it still requires proper diagnosis and treatment to ensure proper healing and return to normal activity.

Causes & Symptoms

Clinical Causes: Trauma from dropping heavy objects on the foot Sports injuries involving twists or impacts Falls or missteps causing direct impact to the foot Repetitive stress from high-impact activities Sudden increased activity or overuse Foot deformities or abnormal gait contributing to stress

Key Symptoms: Pain in the area of the first metatarsal, especially during weight-bearing activities Swelling and tenderness around the base of the big toe Bruising or discoloration may appear over the affected area Difficulty walking or putting weight on the foot Possible numbness or a feeling of instability in the toe

Diagnostic & Treatment

Diagnosis Path: Diagnosis typically involves a physical examination and medical history review, focusing on the injury mechanism and symptoms. Imaging tests are essential:

Treatment Protocols: Treatment options aim to promote healing while maintaining foot function and preventing further injury:

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 S92.316 a billable ICD-10 code?
Yes, S92.316 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report S92.316?
Clinical documentation must specify the nature of Nondisplaced fracture of first metatarsal bone, unspecified foot and any associated comorbidities for accurate reporting.

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