Is S95.101S a billable ICD-10-CM code?

Yes. S95.101S is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does S95.101S 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).

S95.101S

S95.101S — Unspecified injury of plantar artery of right foot, sequela

Billable / specific codeICD-10-CMPOA exemptright

S95.101S is a billable, specific ICD-10-CM code for unspecified injury of plantar artery of right foot, 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 S95

A: initial encounter
D: subsequent encounter
S: sequela

Excludes2 inherited from the categories above S95.101S

Also inherited, and the opposite of Excludes1: these conditions are not part of S95.101S, but a patient can have both, so you may code both.

Written on S95 — Injury of blood vessels at ankle and foot level

injury of posterior tibial artery and vein (S85.1-, S85.8-)

Risk adjustment

S95.101S 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

S95.101S is named in 3 Medicare coverage policies — 3 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A53065Billing and Coding: Outpatient Physical Therapy
A56758Billing and Coding: Non-Invasive Vascular Studies
A56775Billing and Coding: Magnetic Resonance Angiography

Code history

S95.101S has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share S95.101. If S95.101S is not quite right, the correct code is usually one of these.

Questions about S95.101S

Is S95.101S a billable ICD-10-CM code?: Yes. S95.101S is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does S95.101S 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).