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ICD-10/S92.819P

S92.819P ICD-10-CM Code: Other fracture of unspecified foot, subsequent encounter for fracture with malunion

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Inpatient Payment Groups (MS-DRG)

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0, Appendix B.

  • MS-DRG 564 — OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC (MDC 08)
  • MS-DRG 565 — OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC (MDC 08)
  • MS-DRG 566 — OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC (MDC 08)

A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.

Official Registry Overview & Definition

Other fracture of unspecified foot, subsequent encounter for fracture with malunion is a billable ICD-10-CM diagnosis code (S92.819P).

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for S92.819P in the official ICD-10-CM tabular list.

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

Change history

  • FY2017 — 2016-10-01
    Added to the code set
    Other fracture of unspecified foot, subsequent encounter for fracture with malunion
    FY2017 changes

Verify Before Coding

  • Billable — reportable as written.

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.

Contextual Map

Every relationship of S92.819P in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Hierarchy

  • S00-T88 — Chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) (S00-T88) [Hierarchy]
  • S90-S99 — Injuries to the ankle and foot [Hierarchy]

Referenced by Excludes1 notes

  • M84.3 — Stress fracture [Excludes1](via S92.-): “traumatic fracture (S12.-, S22.-, S32.-, S42.-, S52.-, S62.-, S72.-, S82.-, S92.-)” · check together
  • M84.4 — Pathological fracture, not elsewhere classified [Excludes1](via S92.-): “traumatic fracture (S12.-, S22.-, S32.-, S42.-, S52.-, S62.-, S72.-, S82.-, S92.-)” · check together
  • S91 — Open wound of ankle, foot and toes [Excludes1](via S92.-): “open fracture of ankle, foot and toes (S92.-with 7th character B)” · check together

Referenced by Excludes2 notes

  • S72 — Fracture of femur [Excludes2](via S92.-): “fracture of foot (S92.-)” · check together
  • S82 — Fracture of lower leg, including ankle [Excludes2](via S92.-): “fracture of foot, except ankle (S92.-)” · check together

Clinical classification (CCSR)

  • INJ042 — Fracture of lower limb (except hip), subsequent encounter [CCSR]

Potential MS-DRG

  • DRG 564 — OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC [MS-DRG]: “OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC (MDC 08)”
  • DRG 565 — OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC [MS-DRG]: “OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC (MDC 08)”
  • DRG 566 — OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC [MS-DRG]: “OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC (MDC 08)”

MDC crossing · procedures (18508)

  • MDC 08 — Diseases and Disorders of the Musculoskeletal System and Connective Tissue [MDC crossing]: “Diseases and Disorders of the Musculoskeletal System and Connective Tissue — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”
  • 005T0ZZ — Destruction of Spinal Meninges, Open Approach [Same-MDC procedure]: “Destruction of Spinal Meninges, Open Approach — grouped in MDC 08, the procedure side of this code's crossing.” · check together
  • 005T3ZZ — Destruction of Spinal Meninges, Percutaneous Approach [Same-MDC procedure]: “Destruction of Spinal Meninges, Percutaneous Approach — grouped in MDC 08, the procedure side of this code's crossing.” · check together
  • 005T4ZZ — Destruction of Spinal Meninges, Percutaneous Endoscopic Approach [Same-MDC procedure]: “Destruction of Spinal Meninges, Percutaneous Endoscopic Approach — grouped in MDC 08, the procedure side of this code's crossing.” · check together
  • 005W0Z3 — Destruction of Cervical Spinal Cord using Laser Interstitial Thermal Therapy, Open Approach [Same-MDC procedure]: “Destruction of Cervical Spinal Cord using Laser Interstitial Thermal Therapy, Open Approach — grouped in MDC 08, the procedure side of this code's crossing.” · check together
  • 005W0ZZ — Destruction of Cervical Spinal Cord, Open Approach [Same-MDC procedure]: “Destruction of Cervical Spinal Cord, Open Approach — grouped in MDC 08, the procedure side of this code's crossing.” · check together
  • and 18503 more

Nearest codes (40)

  • S92 — Fracture of foot and toe, except ankle [Sibling]
  • S92.811B — Other fracture of right foot, initial encounter for open fracture [Sibling]
  • S92.811D — Other fracture of right foot, subsequent encounter for fracture with routine healing [Sibling]
  • S92.811G — Other fracture of right foot, subsequent encounter for fracture with delayed healing [Sibling]
  • S92.811K — Other fracture of right foot, subsequent encounter for fracture with nonunion [Sibling]
  • S92.811P — Other fracture of right foot, subsequent encounter for fracture with malunion [Sibling]
  • S92.811S — Other fracture of right foot, sequela [Sibling]
  • S92.812 — Other fracture of left foot [Sibling]
  • and 32 more

Change history

  • FY2017 — Added to the code set [Change history]

Referenced by Other Codes

Clinical classification (AHRQ CCSR):INJ042 — Fracture of lower limb (except hip), subsequent encounter (default).

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Potential MS-DRG Relationships (FY2026)

Not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity.

Named in the grouper logic of 3 MS-DRGs: DRG 564 (MDC 08), DRG 565 (MDC 08), DRG 566 (MDC 08).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Official ICD-10-CM tabular notes on other codes that name S92.819P or its code family.

3 Excludes1 notes across 2 chapters: M84.3 (via S92.-), M84.4 (via S92.-), S91 (via S92.-).

2 Excludes2 notes: S72 (via S92.-), S82 (via S92.-).

Frequently Asked Questions (FAQ) & Clinical Guidance

Does S92.819P require a 7th character?

Yes. The appropriate 7th character is to be added to each code from category S92.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to S92.819P in its code family, with their registry titles.

  • S92.819A — Other fracture of unspecified foot, initial encounter for closed fracture
  • S92.819B — Other fracture of unspecified foot, initial encounter for open fracture
  • S92.819D — Other fracture of unspecified foot, subsequent encounter for fracture with routine healing
  • S92.819G — Other fracture of unspecified foot, subsequent encounter for fracture with delayed healing
  • S92.819K — Other fracture of unspecified foot, subsequent encounter for fracture with nonunion
  • S92.819S — Other fracture of unspecified foot, sequela
  • S92.9 — Unspecified fracture of foot and toe
  • S92.90 — Unspecified fracture of foot
  • S92.901 — Unspecified fracture of right foot
  • S92.901A — Unspecified fracture of right foot, initial encounter for closed fracture

View all codes in the S92 family