S90.475A
S90.475A — Other superficial bite of left lesser toe(s), initial encounter
Billable / specific codeICD-10-CMleft
S90.475A is a billable, specific ICD-10-CM code for other superficial bite of left lesser toe(s), initial encounter. It is valid for submission on a claim.
7th character "A" — initial 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
S90.475A 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
S90.475A is named in 5 Medicare coverage policies — 5 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52438Billing and Coding: Tetanus Immunization
- A54767Billing and Coding: Medicare Preventive Coverage for Certain Vaccines
- A56900Billing and Coding: Immunizations
- A58872Billing and Coding: Tetanus Immunization
Related codes at this level
Codes that share S90.475. If S90.475A is not quite right, the correct code is usually one of these.
Questions about S90.475A
- Is S90.475A a billable ICD-10-CM code?
- Yes. S90.475A is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S90.475A 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).