S96.821D — Laceration of other specified muscles and tendons at ankle and foot level, right foot, subsequent encounter
S96.821D is a billable, specific ICD-10-CM code for laceration of other specified muscles and tendons at ankle and foot level, right foot, subsequent encounter. It is valid for submission on a claim.
7th character "D" — subsequent encounter
The appropriate 7th character is to be added to each code from category S96
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
S96.821D 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
S96.821D is named in 2 Medicare coverage policies — 2 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56459Billing and Coding: Debridement Services
- A57311Billing and Coding: Physical Therapy - Home Health
Related codes at this level
Codes that share S96.821. If S96.821D is not quite right, the correct code is usually one of these.
Questions about S96.821D
- Is S96.821D a billable ICD-10-CM code?
- Yes. S96.821D is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S96.821D 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).