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S92.404A vs S92.406A

S92.404A (Nondisplaced unspecified fracture of right great toe, initial encounter for closed fracture) compared with S92.406A (Nondisplaced unspecified fracture of unspecified great toe, initial encounter for closed fracture), from the official CMS tabular data. S92.404A and S92.406A code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S92.404A
Right
Nondisplaced unspecified fracture of right great toe, initial encounter for closed fracture
↔
S92.406A
Unspecified
Nondisplaced unspecified fracture of unspecified great toe, initial encounter for closed fracture

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. S92.404A and S92.406A 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

S92.404ANondisplaced unspecified fracture of right great toe, initial encounter for closed fractureS92.406ANondisplaced unspecified fracture of unspecified great toe, initial encounter for closed fracture
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 unspecified fracture of right great toe, initial encounter for closed fracture is a billable ICD-10-CM diagnosis code (S92.404A).Nondisplaced unspecified fracture of unspecified great toe, initial encounter for closed fracture is a billable ICD-10-CM diagnosis code (S92.406A).
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
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Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources