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S92.491 vs S92.492

S92.491 (Other fracture of right great toe) compared with S92.492 (Other fracture of left great toe), from the official CMS tabular data. S92.491 and S92.492 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S92.491
Right
Other fracture of right great toe
S92.492
Left
Other fracture of left great toe

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. S92.491 and S92.492 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

S92.491Other fracture of right great toeS92.492Other fracture of left great toe
Billing statusNon-billable header

Report instead: S92.491A, S92.491B, S92.491D, S92.491G, S92.491K

Non-billable header

Report instead: S92.492A, S92.492B, S92.492D, S92.492G, S92.492K

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)
DefinitionOther fracture of right great toe is a non-billable ICD-10-CM category code (S92.491).Other fracture of left great toe is a non-billable ICD-10-CM category code (S92.492).
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