S97.122S
S97.122S — Crushing injury of left lesser toe(s), sequela
Billable / specific codeICD-10-CMPOA exemptleft
S97.122S is a billable, specific ICD-10-CM code for crushing injury of left lesser toe(s), 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 S97
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
S97.122S 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
S97.122S is named in 11 Medicare coverage policies — 11 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52998Billing and Coding: Surgical Treatment of Nails
- A53057Billing and Coding: Home Health Occupational Therapy
- A53058Billing and Coding: Home Health Physical Therapy
- A53064Billing and Coding: Outpatient Occupational Therapy
Related codes at this level
Codes that share S97.122. If S97.122S is not quite right, the correct code is usually one of these.
Questions about S97.122S
- Is S97.122S a billable ICD-10-CM code?
- Yes. S97.122S is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S97.122S 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).