S92.491B Other fracture of right great toe, initial encounter for open fracture

Billable ICD-10-CM code, FY2026.

Built from S92.491 with 7th character B (initial encounter for open fracture).

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-)

Code annotations containing back-references to S92.491B

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

• S92.426P Nondisplaced fracture of distal phalanx of unspecified great toe, subsequent encounter for fracture with malunion
• S92.426S Nondisplaced fracture of distal phalanx of unspecified great toe, sequela
• S92.49 Other fracture of great toe
• S92.491 Other fracture of right great toe
• S92.491A Other fracture of right great toe, initial encounter for closed fracture
• S92.491B Other fracture of right great toe, initial encounter for open fracture (this code)
• S92.491D Other fracture of right great toe, subsequent encounter for fracture with routine healing
• S92.491G Other fracture of right great toe, subsequent encounter for fracture with delayed healing
• S92.491K Other fracture of right great toe, subsequent encounter for fracture with nonunion
• S92.491P Other fracture of right great toe, subsequent encounter for fracture with malunion
• S92.491S Other fracture of right great toe, sequela