Is S96.999 a billable ICD-10-CM code?

No. S96.999 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does S96.999 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).

S96.999

S96.999 — Other specified injury of unspecified muscle and tendon at ankle and foot level, unspecified foot

Non-billable headerICD-10-CMunspecified

S96.999 is a non-billable header ICD-10-CM code for other specified injury of unspecified muscle and tendon at ankle and foot level, unspecified foot. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.

This code requires a 7th character

The appropriate 7th character is to be added to each code from category S96

A: initial encounter
D: subsequent encounter
S: sequela

Risk adjustment

S96.999 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.

Code to one of these instead S96.999

3 child codes. Green means billable.

Related codes at this level

Codes that share S96.99. If S96.999 is not quite right, the correct code is usually one of these.

Questions about S96.999

Is S96.999 a billable ICD-10-CM code?: No. S96.999 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does S96.999 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).