ICD-10 Coding for Fracture of Toe(S91.2O, S92.4, S92.401A)
Learn about ICD-10 coding for toe fractures, including specific codes for great and lesser toes, documentation requirements, and common pitfalls.
Complete code families applicable to Fracture of Toe
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| S92.401A | Displaced fracture of proximal phalanx of right great toe, initial encounter | Use for initial encounters with displaced fractures of the right great toe. |
|
| S92.515A | Displaced fracture of proximal phalanx of right lesser toe(s), initial encounter | Use for initial encounters with displaced fractures of the right lesser toes. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information
Essential facts and insights aboutFracture of Toe
Alternative codes to consider when ruling out similar conditions
Documentation & Coding Risks
Avoid these common issues when documenting Fracture of Toe.
Failure to document displacement.
Impact
Clinical: May affect treatment decisions., Regulatory: Non-compliance with coding guidelines., Financial: Potential for denied claims.
Mitigation
Always document displacement in the clinical notes.
Using unspecified codes when specific details are available.
Impact
Reimbursement: May lead to reduced reimbursement., Compliance: Increases risk of audit failures., Data Quality: Decreases accuracy of clinical data.
Mitigation
Always document and code the specific toe and type of fracture.
Unspecified codes
Impact
Using unspecified codes increases audit risk.
Mitigation
Ensure documentation is detailed and specific.