S90.212D
S90.212D — Contusion of left great toe with damage to nail, subsequent encounter
Billable / specific codeICD-10-CMPOA exemptleft
S90.212D is a billable, specific ICD-10-CM code for contusion of left great toe with damage to nail, subsequent encounter. It is valid for submission on a claim.
7th character "D" — subsequent encounter
The appropriate 7th character is to be added to each code from category S90
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
S90.212D does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
S90.212D is named in 7 Medicare coverage policies — 7 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52998Billing and Coding: Surgical Treatment of Nails
- A53058Billing and Coding: Home Health Physical Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
- A56459Billing and Coding: Debridement Services
Related codes at this level
Codes that share S90.212. If S90.212D is not quite right, the correct code is usually one of these.
Questions about S90.212D
- Is S90.212D a billable ICD-10-CM code?
- Yes. S90.212D is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S90.212D sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the ankle and foot (S90-S99).