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Home/Diagnosis/ICD-10 Coding for Sprain of Left Ankle

ICD-10 Coding for Sprain of Left Ankle

S93.402A
S93.432A

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

Also Known as:
Left Ankle Ligament Injury
Left Ankle Sprain
left ankle twist
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Key Information: ICD-10 Coding for Sprain of Left Ankle

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

Use ICD-10 code S93.402A for sprain of unspecified ligament of left ankle, initial encounter, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Sprain of unspecified ligament of left ankle, initial encounter

Billable Code
S93.402A
Billable

Diagnostic Criteria

clinical:
  • • Presence of swelling and tenderness in the left ankle without specific ligament identification.
documentation:
  • • Lack of specific ligament identification in the medical record.

Applicable To

  • • Left ankle sprain without specific ligament identification

Important Notes

  • • Ensure documentation specifies laterality and attempt to identify the ligament involved.

Sprain of tibiofibular ligament of left ankle, initial encounter

Billable Code
S93.432A
Billable

Diagnostic Criteria

clinical:
  • • MRI showing tibiofibular ligament involvement
  • • Positive clinical tests such as anterior drawer test

Applicable To

  • • Tibiofibular ligament sprain confirmed by imaging or clinical tests

Important Notes

  • • Ensure ligament involvement is confirmed through imaging or clinical tests.
Ancillary Codes

Additional codes that may be used with this diagnosis

M25.572

Pain in left ankle

Use for documenting chronic pain following the initial sprain.

Frequently Asked Questions

What is the ICD-10 code for a sprain of the left ankle?

The ICD-10 code for a sprain of the left ankle with unspecified ligament is S93.402A. If the tibiofibular ligament is involved, use S93.432A.

How do you document a left ankle sprain?

Document the specific ligament involved, laterality, and clinical findings such as swelling and tenderness. Use imaging results to confirm ligament involvement.

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