S93.512A

S93.512A: Sprain of interphalangeal joint of left great toe, initial encounter

Billable / specific codeICD-10-CMleft

S93.512A is a billable, specific ICD-10-CM code for sprain of interphalangeal joint of left great toe, initial encounter. It is valid for submission on a claim.

Check S93.512A with the rest of the claim: free scrubber

7th character "A": initial encounter

The appropriate 7th character is to be added to each code from category S93

A: initial encounter
D: subsequent encounter
S: sequela

Excludes2 inherited from the categories above S93.512A

Not part of this code, but both may be coded when both are present.

Written on S93: Dislocation and sprain of joints and ligaments at ankle, foot and toe level

strain of muscle and tendon of ankle and foot (S96.-)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

S93.512A is named in 4 Medicare coverage policies: 4 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A53058Billing and Coding: Home Health Physical Therapy
A53065Billing and Coding: Outpatient Physical Therapy
A56787Billing and Coding: Nonvascular Extremity Ultrasound
A57311Billing and Coding: Physical Therapy - Home Health

Code history

Unchanged in every release from FY2024 to FY2027.