S92.525B (Nondisplaced fracture of middle phalanx of left lesser toe(s), initial encounter for open fracture)
compared with
S92.526B (Nondisplaced fracture of middle phalanx of unspecified lesser toe(s), initial encounter for open fracture),
from the official CMS tabular data. S92.525B and S92.526B code the same condition on opposite sides. MedCoder-derived
Nondisplaced fracture of middle phalanx of unspecified lesser toe(s), initial encounter for open fracture
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. S92.525B and S92.526B 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.
S00-T88 — Injury, poisoning and certain other consequences of external causes
S00-T88 — Injury, poisoning and certain other consequences of external causes
Definition
Nondisplaced fracture of middle phalanx of left lesser toe(s), initial encounter for open fracture is a billable ICD-10-CM diagnosis code (S92.525B).
Nondisplaced fracture of middle phalanx of unspecified lesser toe(s), initial encounter for open fracture is a billable ICD-10-CM diagnosis code (S92.526B).
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