S93.491S
S93.491S — Sprain of other ligament of right ankle, sequela
Billable / specific codeICD-10-CMPOA exemptright
S93.491S is a billable, specific ICD-10-CM code for sprain of other ligament of right ankle, sequela. It is valid for submission on a claim.
7th character "S" — sequela
The appropriate 7th character is to be added to each code from category S93
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
S93.491S 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
S93.491S is named in 6 Medicare coverage policies — 6 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53057Billing and Coding: Home Health Occupational Therapy
- A53058Billing and Coding: Home Health Physical Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
- A56787Billing and Coding: Nonvascular Extremity Ultrasound
Related codes at this level
Codes that share S93.491. If S93.491S is not quite right, the correct code is usually one of these.
Questions about S93.491S
- Is S93.491S a billable ICD-10-CM code?
- Yes. S93.491S is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S93.491S 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).