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S92.534 vs S92.535

S92.534 (Nondisplaced fracture of distal phalanx of right lesser toe(s)) compared with S92.535 (Nondisplaced fracture of distal phalanx of left lesser toe(s)), from the official CMS tabular data. S92.534 and S92.535 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S92.534
Right
Nondisplaced fracture of distal phalanx of right lesser toe(s)
S92.535
Left
Nondisplaced fracture of distal phalanx of left lesser toe(s)

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. S92.534 and S92.535 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

S92.534Nondisplaced fracture of distal phalanx of right lesser toe(s)S92.535Nondisplaced fracture of distal phalanx of left lesser toe(s)
Billing statusNon-billable header

Report instead: S92.534A, S92.534B, S92.534D, S92.534G, S92.534K

Non-billable header

Report instead: S92.535A, S92.535B, S92.535D, S92.535G, S92.535K

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)
DefinitionNondisplaced fracture of distal phalanx of right lesser toe(s) is a non-billable ICD-10-CM category code (S92.534).Nondisplaced fracture of distal phalanx of left lesser toe(s) is a non-billable ICD-10-CM category code (S92.535).
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