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S92.405D vs S92.406D

S92.405D (Nondisplaced unspecified fracture of left great toe, subsequent encounter for fracture with routine healing) compared with S92.406D (Nondisplaced unspecified fracture of unspecified great toe, subsequent encounter for fracture with routine healing), from the official CMS tabular data. S92.405D and S92.406D code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S92.405D
Left
Nondisplaced unspecified fracture of left great toe, subsequent encounter for fracture with routine healing
S92.406D
Unspecified
Nondisplaced unspecified fracture of unspecified great toe, subsequent encounter for fracture with routine healing

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. S92.405D and S92.406D 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

S92.405DNondisplaced unspecified fracture of left great toe, subsequent encounter for fracture with routine healingS92.406DNondisplaced unspecified fracture of unspecified great toe, subsequent encounter for fracture with routine healing
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 left great toe, subsequent encounter for fracture with routine healing is a billable ICD-10-CM diagnosis code (S92.405D).Nondisplaced unspecified fracture of unspecified great toe, subsequent encounter for fracture with routine healing is a billable ICD-10-CM diagnosis code (S92.406D).
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