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S92.491D vs S92.492D

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

Relationship

Review

Laterality relationship

S92.491D
Right
Other fracture of right great toe, subsequent encounter for fracture with routine healing
↔
S92.492D
Left
Other fracture of left 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. S92.491D and S92.492D 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

S92.491DOther fracture of right great toe, subsequent encounter for fracture with routine healingS92.492DOther fracture of left 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)
DefinitionOther fracture of right great toe, subsequent encounter for fracture with routine healing is a billable ICD-10-CM diagnosis code (S92.491D).Other fracture of left great toe, subsequent encounter for fracture with routine healing is a billable ICD-10-CM diagnosis code (S92.492D).
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