S92.416P Nondisplaced fracture of proximal phalanx of unspecified great toe, subsequent encounter for fracture with malunion

Billable ICD-10-CM code, FY2026.

Built from S92.416 with 7th character P (subsequent encounter for fracture with malunion).

Applies from S92 Fracture of foot and toe, except ankle

Excludes2 (not included here)

• fracture of ankle (S82.-)
• fracture of malleolus (S82.-)
• traumatic amputation of ankle and foot (S98.-)

7th character note

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

Notes

• A fracture not indicated as displaced or nondisplaced should be coded to displaced
• A fracture not indicated as open or closed should be coded to closed

7th character required

• A — initial encounter for closed fracture
• B — initial encounter for open fracture
• D — subsequent encounter for fracture with routine healing
• G — subsequent encounter for fracture with delayed healing
• K — subsequent encounter for fracture with nonunion
• P — subsequent encounter for fracture with malunion
• S — sequela

Applies from S92.4 Fracture of great toe

Excludes2 (not included here)

• Physeal fracture of phalanx of toe (S99.2-)

Medicare Code Edits (MCE v43.1 (April 2026))

• Unspecified code (laterality): Unspecified codes for which a more specific code identifying laterality (right, left, bilateral) exists within the same code family.

Code annotations containing back-references to S92.416P

Back-references to S92

• Type 1 Excludes: M84.3 Stress fracture ("traumatic fracture (S12.-, S22.-, S32.-, S42.-, S52.-, S62.-, S72.-, S82.-, S92.-)")
• Type 1 Excludes: M84.4 Pathological fracture, not elsewhere classified ("traumatic fracture (S12.-, S22.-, S32.-, S42.-, S52.-, S62.-, S72.-, S82.-, S92.-)")
• Type 2 Excludes: S72 Fracture of femur ("fracture of foot (S92.-)")
• Type 2 Excludes: S82 Fracture of lower leg, including ankle ("fracture of foot, except ankle (S92.-)")
• Type 1 Excludes: S91 Open wound of ankle, foot and toes ("open fracture of ankle, foot and toes (S92.-with 7th character B)")

Nearby codes

• S92.416A Nondisplaced fracture of proximal phalanx of unspecified great toe, initial encounter for closed fracture
• S92.416B Nondisplaced fracture of proximal phalanx of unspecified great toe, initial encounter for open fracture
• S92.416D Nondisplaced fracture of proximal phalanx of unspecified great toe, subsequent encounter for fracture with routine healing
• S92.416G Nondisplaced fracture of proximal phalanx of unspecified great toe, subsequent encounter for fracture with delayed healing
• S92.416K Nondisplaced fracture of proximal phalanx of unspecified great toe, subsequent encounter for fracture with nonunion
• S92.416P Nondisplaced fracture of proximal phalanx of unspecified great toe, subsequent encounter for fracture with malunion (this code)
• S92.416S Nondisplaced fracture of proximal phalanx of unspecified great toe, sequela
• S92.42 Fracture of distal phalanx of great toe
• S92.421 Displaced fracture of distal phalanx of right great toe
• S92.421A Displaced fracture of distal phalanx of right great toe, initial encounter for closed fracture
• S92.421B Displaced fracture of distal phalanx of right great toe, initial encounter for open fracture