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ICD-10-CM S92.025G: Nondisplaced fracture of anterior process of left calcaneus, subsequent encounter for fracture with delayed healing
ICD-10-CM code S92.025G identifies a subsequent encounter for a nondisplaced fracture of the anterior process of the left calcaneus where the bone is exhibiting delayed healing. The supplied sources establish this as a billable diagnosis code and differentiate it from routine healing and nonunion encounters. Clinical literature indicates that delayed treatment of foot fractures can lead to poor outcomes, though payer coverage is distinct from code assignment. 4 5 1
Plain-language overview
Code S92.025G represents a subsequent encounter for a nondisplaced fracture of the anterior process of the left calcaneus with delayed healing. The sources explicitly identify this code and its corresponding diagnosis description without defining the clinical parameters of delayed healing or nondisplacement. 5
What this code represents
The code S92.025G is listed as a billable diagnosis code for a nondisplaced fracture of the anterior process of the left calcaneus, specifically for a subsequent encounter for fracture with delayed healing. This designation distinguishes it from initial encounter codes and routine healing subsequent encounters. 5 4
Coding details
Within the ICD-10-CM code tree for calcaneus fractures, S92.025G is distinct from S92.025D, which represents a subsequent encounter for routine healing, and S92.025P, which designates a subsequent encounter for malunion. The code S92.022G is also listed for a displaced fracture of the anterior process of the left calcaneus with delayed healing. 4
Documentation considerations
The supplied coding sources list the official code description and billable status for S92.025G but do not specify the clinical documentation elements required to support this diagnosis. The sources establish the code's title and laterality but omit explicit documentation rules or guidelines. 4 5
Clinical context
Clinical literature notes that delayed diagnosis and treatment of foot process fractures can potentially lead to poor outcomes, resulting in long-term pain, disability, nonunion, and degenerative changes. The literature also indicates that nonunion can result in poor outcomes in 50 to 70 percent of cases. 1
Fractures of the anterior process of the calcaneus are characterized alongside tuberosity and sustentaculum tali fractures as accounting for roughly 25 percent of all calcaneal fractures. The primary cause of most tuberosity fractures of the calcaneus is traumatic stress to the heel induced by sudden, violent contractions of the Achilles tendon resulting from forced dorsiflexion. 2
What the sources add
The clinical literature from PMC emphasizes the significant disability and poor outcomes associated with delayed or inadequate treatment of foot process fractures, while the CMS and coding sources focus strictly on the alphanumeric code assignment and encounter status. This comparison highlights the distinction between clinical risk and administrative coding. 1 3 5
Coverage and utilization context
A Centers for Medicare and Medicaid Services article includes the phrase "subsequent encounter for fracture with delayed healing" within a physical therapy home health billing and coding context. This inclusion demonstrates the code's relevance to service utilization, though it does not imply guaranteed coverage. 3
Sources
- Talar process fractures — pmc.ncbi.nlm.nih.gov; accessed 2026-07-26.
- Modified Two-Stage Approach for the Surgical Treatment of Type II Calcaneal Tuberosity Avulsion “Beak” Fracture: A Case Report — pmc.ncbi.nlm.nih.gov; accessed 2026-07-26.
- Article - Billing and Coding: Physical Therapy - Home Health (A57311) — cms.gov; accessed 2026-07-26.
- ICD-10-CM 2024 | S92.0 - Fracture of calcaneus — unboundmedicine.com; accessed 2026-07-26.
- Codigo. The #1 Billing Agency for Medical Practices — codigo.care; accessed 2026-07-26.
S92.025G policy automation walkthrough
Walk through the policies, prior authorization requirements, and workflow automation opportunities connected to this code.