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S92.492S vs S92.499S

S92.492S (Other fracture of left great toe, sequela) compared with S92.499S (Other fracture of unspecified great toe, sequela), from the official CMS tabular data. S92.492S and S92.499S code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S92.492S
Left
Other fracture of left great toe, sequela
S92.499S
Unspecified
Other fracture of unspecified great toe, sequela

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. S92.492S and S92.499S 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

S92.492SOther fracture of left great toe, sequelaS92.499SOther fracture of unspecified great toe, sequela
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 left great toe, sequela is a billable ICD-10-CM diagnosis code (S92.492S).Other fracture of unspecified great toe, sequela is a billable ICD-10-CM diagnosis code (S92.499S).
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