S93.526S

S93.526S: Sprain of metatarsophalangeal joint of unspecified lesser toe(s), sequela

Billable / specific codeICD-10-CMPOA exempt

S93.526S is a billable, specific ICD-10-CM code for sprain of metatarsophalangeal joint of unspecified lesser toe(s), sequela. It is valid for submission on a claim.

Check S93.526S with the rest of the claim: free scrubber

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

Excludes2 inherited from the categories above S93.526S

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

S93.526S is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A53064Billing and Coding: Outpatient Occupational Therapy

Code history

Unchanged in every release from FY2024 to FY2027.