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S92.911A vs S92.911G

S92.911A (Unspecified fracture of right toe(s), initial encounter for closed fracture) compared with S92.911G (Unspecified fracture of right toe(s), subsequent encounter for fracture with delayed healing), from the official CMS tabular data. S92.911A and S92.911G code the same injury at a different phase of treatment.

Relationship

Review

Encounter relationship

S92.911A
Initial encounter
Unspecified fracture of right toe(s), initial encounter for closed fracture
↔
S92.911G
Subsequent encounter
Unspecified fracture of right toe(s), subsequent encounter for fracture with delayed healing

Same underlying diagnosis, different encounter phase.

The 7th character records the phase of care for the encounter being coded, so a single encounter takes one of these characters, not several. Review whether both phases belong on the same episode of care.

Source: ICD-10-CM Official Guidelines, Section I.C.19.a

Can these codes be reported together?

Same injury, other encounter phase. S92.911A and S92.911G code the same injury at a different phase of treatment, set by the 7th character.

The 7th character records the type of care given at the encounter being coded (ICD-10-CM Official Guidelines, Section I.C.19.a), so one encounter takes one of these, not both.

Side by side

S92.911AUnspecified fracture of right toe(s), initial encounter for closed fractureS92.911GUnspecified fracture of right 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)
DefinitionUnspecified fracture of right toe(s), initial encounter for closed fracture is a billable ICD-10-CM diagnosis code (S92.911A).Unspecified fracture of right toe(s), subsequent encounter for fracture with delayed healing is a billable ICD-10-CM diagnosis code (S92.911G).
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
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Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources