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S92.531G vs S92.533G

S92.531G (Displaced fracture of distal phalanx of right lesser toe(s), subsequent encounter for fracture with delayed healing) compared with S92.533G (Displaced fracture of distal phalanx of unspecified lesser toe(s), subsequent encounter for fracture with delayed healing), from the official CMS tabular data. S92.531G and S92.533G code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

S92.531G
Right
Displaced fracture of distal phalanx of right lesser toe(s), subsequent encounter for fracture with delayed healing
S92.533G
Unspecified
Displaced fracture of distal phalanx of unspecified lesser toe(s), subsequent encounter for fracture with delayed 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. S92.531G and S92.533G 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

S92.531GDisplaced fracture of distal phalanx of right lesser toe(s), subsequent encounter for fracture with delayed healingS92.533GDisplaced fracture of distal phalanx of unspecified lesser toe(s), subsequent encounter for fracture with delayed 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)
DefinitionDisplaced fracture of distal phalanx of right lesser toe(s), subsequent encounter for fracture with delayed healing is a billable ICD-10-CM diagnosis code (S92.531G).Displaced fracture of distal phalanx of unspecified lesser toe(s), subsequent encounter for fracture with delayed healing is a billable ICD-10-CM diagnosis code (S92.533G).
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