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Home/Diagnosis/ICD-10 Coding for Ankle Sprain

ICD-10 Coding for Ankle Sprain

S93.401A
S93.411A

Complete ICD-10-CM coding and documentation guide for icd-10 coding for ankle sprain includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Twisted Ankle
Ankle Ligament Injury
rolled ankle
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Key Information: ICD-10 Coding for Ankle Sprain

Essential facts and insights about ICD-10 Coding for Ankle Sprain

Use ICD-10 code S93.401A for sprain of unspecified ligament of right ankle, initial encounter, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Sprain of unspecified ligament of right ankle, initial encounter

Billable Code
S93.401A
Billable

Diagnostic Criteria

clinical:
  • • Presence of swelling and tenderness in the right ankle
documentation:
  • • Lack of specific ligament identification

Applicable To

  • • Right ankle sprain

Important Notes

  • • Ensure to specify the encounter type and laterality to avoid unspecified coding.

Sprain of calcaneofibular ligament of right ankle, initial encounter

Billable Code
S93.411A
Billable

Diagnostic Criteria

clinical:
  • • Positive anterior drawer test
  • • MRI showing ligament tear

Applicable To

  • • Right calcaneofibular ligament sprain

Important Notes

  • • Ensure documentation specifies the ligament involved and encounter type.
Ancillary Codes

Additional codes that may be used with this diagnosis

M25.571

Pain in right ankle

Use if pain persists after initial treatment.

Z01.818

Encounter for other preprocedural examination

Use for pre-surgical clearance.

Frequently Asked Questions

What is the ICD-10 code for an ankle sprain?

The ICD-10 code for an ankle sprain is S93.4, with additional specificity required for laterality and ligament involvement.

How do you code a right ankle sprain?

For a right ankle sprain, use S93.401A for unspecified ligament or S93.411A for calcaneofibular ligament, specifying the encounter type.

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