S97.109D — Crushing injury of unspecified toe(s), subsequent encounter
S97.109D is a billable, specific ICD-10-CM code for crushing injury of unspecified toe(s), 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 S97
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Crushing injury of toe NOS
Risk adjustment
S97.109D 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
S97.109D 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.
- A53058Billing and Coding: Home Health Physical Therapy
Related codes at this level
Codes that share S97.109. If S97.109D is not quite right, the correct code is usually one of these.
Questions about S97.109D
- Is S97.109D a billable ICD-10-CM code?
- Yes. S97.109D is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S97.109D 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).