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ICD-10-CM S92.531B: Displaced fracture of distal phalanx of right lesser toe(s), initial encounter for open fracture
ICD-10-CM code S92.531B identifies a displaced fracture of the distal phalanx of the right lesser toe(s) during an initial encounter for an open fracture. This diagnostic label is classified under the semantic type of injury or poisoning. The available sources establish the code's official description and structural hierarchy but do not provide specific treatment guidelines for this exact toe injury. 3 6
Plain-language overview
Code S92.531B represents an injury or poisoning concept specifically identified as a displaced fracture of the distal phalanx of the right lesser toe(s) for an initial encounter for an open fracture. 3
What this code represents
The code S92.531B is listed alongside S92.531A, which identifies a displaced fracture of the distal phalanx of the right lesser toe(s) for an initial encounter for a closed fracture. 6
The broader coding category includes distinct variations such as S92.532B for a displaced fracture of the distal phalanx of the left lesser toe(s) during an initial encounter for an open fracture. 6
Coding details
The S92.53 code tree further differentiates injuries by displacement status, listing S92.534B as a nondisplaced fracture of the distal phalanx of the right lesser toe(s) for an initial encounter for an open fracture. 6
Documentation considerations
The official code label explicitly specifies right laterality, displaced fracture status, the distal phalanx of the lesser toe(s), and an initial encounter for an open fracture. 3
Clinical context
Clinical literature indicates that open fractures of foot bones require thorough debridement, wound lavage, fracture stabilization, and postoperative antibiotics. 2
What the sources add
The EVS Explore source provides the official code label and its semantic type, while the Unbound Medicine source provides the surrounding code tree showing laterality and encounter variations. 3 6
The clinical literature source discusses management for open metatarsal fractures, while the terminology source defines the distal phalanx toe fracture code, establishing a distinction between general foot injury management and the specific diagnosis. 2 3
Coverage and utilization context
Centers for Medicare and Medicaid Services articles list the S92.531B code description within billing and coding documents for tetanus immunization and preventive vaccine coverage. 4 5
Sources
- Update on diagnosis and management of cuboid fractures — pmc.ncbi.nlm.nih.gov; accessed 2026-07-26.
- Bookshelf — ncbi.nlm.nih.gov; accessed 2026-07-26.
- EVS Explore — evsexplore.semantics.cancer.gov; accessed 2026-07-26.
- Article - Billing and Coding: Tetanus Immunization (A58872) — cms.gov; accessed 2026-07-26.
- Article - Billing and Coding: Medicare Preventive Coverage for Certain Vaccines (A54767) — cms.gov; accessed 2026-07-26.
- ICD-10-CM 2024 | S92.53 - Fracture of distal phalanx of lesser toe(s) — unboundmedicine.com; accessed 2026-07-26.
S92.531B policy automation walkthrough
Walk through the policies, prior authorization requirements, and workflow automation opportunities connected to this code.