S96.999A
S96.999A: Other specified injury of unspecified muscle and tendon at ankle and foot level, unspecified foot, initial encounter
Billable / specific codeICD-10-CMunspecified
S96.999A is a billable, specific ICD-10-CM code for other specified injury of unspecified muscle and tendon at ankle and foot level, unspecified foot, initial encounter. It is valid for submission on a claim.
Check S96.999A with the rest of the claim: free scrubber7th character "A": initial 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
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
S96.999A is named in 2 Medicare coverage policies: 2 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52996Billing and Coding: Routine Foot Care
- A56680Billing and Coding: Routine Foot Care
Code history
Unchanged in every release from FY2024 to FY2027.