S96.099S — Other injury of muscle and tendon of long flexor muscle of toe at ankle and foot level, unspecified foot, sequela
S96.099S is a billable, specific ICD-10-CM code for other injury of muscle and tendon of long flexor muscle of toe at ankle and foot level, unspecified 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 S96
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
S96.099S 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
S96.099S is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56680Billing and Coding: Routine Foot Care
Related codes at this level
Codes that share S96.099. If S96.099S is not quite right, the correct code is usually one of these.
Questions about S96.099S
- Is S96.099S a billable ICD-10-CM code?
- Yes. S96.099S is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S96.099S 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).