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S92.101 vs S92.109

S92.101 (Unspecified fracture of right talus) compared with S92.109 (Unspecified fracture of unspecified talus), from the official CMS tabular data. S92.101 and S92.109 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S92.101
Right
Unspecified fracture of right talus
S92.109
Unspecified
Unspecified fracture of unspecified talus

Same condition; these differ only in which side is documented.

These codes share a category and title and differ only in the side affected. The documentation decides which applies, and a bilateral code is reported only where the code set provides one.

Source: ICD-10-CM tabular list (laterality variant derived from the code title)

Can these codes be reported together?

Same condition, opposite side. S92.101 and S92.109 name the same condition on opposite sides of the body.

Same category and title, differing only in which side is affected — the documentation decides which one applies, and a bilateral code is reported only where the code set provides one.

Side by side

S92.101Unspecified fracture of right talusS92.109Unspecified fracture of unspecified talus
Billing statusNon-billable header

Report instead: S92.101A, S92.101B, S92.101D, S92.101G, S92.101K

Non-billable header

Report instead: S92.109A, S92.109B, S92.109D, S92.109G, S92.109K

ClassificationS00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)
DefinitionUnspecified fracture of right talus is a non-billable ICD-10-CM category code (S92.101).Unspecified fracture of unspecified talus is a non-billable ICD-10-CM category code (S92.109).
7th characterThe appropriate 7th character is to be added to each code from category S92The appropriate 7th character is to be added to each code from category S92

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources