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S92.534S vs S92.535S

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

Relationship

Review

Laterality relationship

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

S92.534SNondisplaced fracture of distal phalanx of right lesser toe(s), sequelaS92.535SNondisplaced fracture of distal phalanx of left lesser toe(s), sequela
Billing statusBillableBillable
ClassificationS00-T88 — Injury, poisoning and certain other consequences of external causesS00-T88 — Injury, poisoning and certain other consequences of external causes
DefinitionNondisplaced fracture of distal phalanx of right lesser toe(s), sequela is a billable ICD-10-CM diagnosis code (S92.534S).Nondisplaced fracture of distal phalanx of left lesser toe(s), sequela is a billable ICD-10-CM diagnosis code (S92.535S).
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