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S92.115A vs S92.115K

S92.115A (Nondisplaced fracture of neck of left talus, initial encounter for closed fracture) compared with S92.115K (Nondisplaced fracture of neck of left talus, subsequent encounter for fracture with nonunion), from the official CMS tabular data. S92.115A and S92.115K code the same injury at a different phase of treatment.

Relationship

Review

Encounter relationship

S92.115A
Initial encounter
Nondisplaced fracture of neck of left talus, initial encounter for closed fracture
S92.115K
Subsequent encounter
Nondisplaced fracture of neck of left talus, subsequent encounter for fracture with nonunion

Same underlying diagnosis, different encounter phase.

The 7th character records the phase of care for the encounter being coded, so a single encounter takes one of these characters, not several. Review whether both phases belong on the same episode of care.

Source: ICD-10-CM Official Guidelines, Section I.C.19.a

Can these codes be reported together?

Same injury, other encounter phase. S92.115A and S92.115K code the same injury at a different phase of treatment, set by the 7th character.

The 7th character records the type of care given at the encounter being coded (ICD-10-CM Official Guidelines, Section I.C.19.a), so one encounter takes one of these, not both.

Side by side

S92.115ANondisplaced fracture of neck of left talus, initial encounter for closed fractureS92.115KNondisplaced fracture of neck of left talus, subsequent encounter for fracture with nonunion
Billing statusBillableBillable
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)
DefinitionNondisplaced fracture of neck of left talus, initial encounter for closed fracture is a billable ICD-10-CM diagnosis code (S92.115A).Nondisplaced fracture of neck of left talus, subsequent encounter for fracture with nonunion is a billable ICD-10-CM diagnosis code (S92.115K).
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