S92.511 (Displaced fracture of proximal phalanx of right lesser toe(s)) compared with S92.513 (Displaced fracture of proximal phalanx of unspecified lesser toe(s)), from the official CMS tabular data. S92.511 and S92.513 code the same condition on opposite sides.
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)
Same condition, opposite side. S92.511 and S92.513 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.
| S92.511Displaced fracture of proximal phalanx of right lesser toe(s) | S92.513Displaced fracture of proximal phalanx of unspecified lesser toe(s) | |
|---|---|---|
| Billing status | Non-billable header Report instead: S92.511A, S92.511B, S92.511D, S92.511G, S92.511K | Non-billable header Report instead: S92.513A, S92.513B, S92.513D, S92.513G, S92.513K |
| Classification | S00-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) |
| Definition | Displaced fracture of proximal phalanx of right lesser toe(s) is a non-billable ICD-10-CM category code (S92.511). | Displaced fracture of proximal phalanx of unspecified lesser toe(s) is a non-billable ICD-10-CM category code (S92.513). |
| 7th character | The appropriate 7th character is to be added to each code from category S92 | The 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