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Home/Diagnosis/ICD-10 Coding for Sprained Ankle

ICD-10 Coding for Sprained Ankle

S93.409A
S93.491A

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

Also Known as:
Ankle Sprain
Twisted Ankle
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Key Information: ICD-10 Coding for Sprained Ankle

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

Use ICD-10 code S93.409A for sprain of unspecified ligament of unspecified ankle, initial encounter, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Sprain of unspecified ligament of unspecified ankle, initial encounter

Billable Code
S93.409A
Billable

Diagnostic Criteria

  • • Clinical examination indicating ankle sprain
  • • Absence of specific ligament identification

Applicable To

  • • Initial encounter for unspecified ankle ligament sprain

Important Notes

  • • Ensure laterality and encounter type are documented.

Sprain of anterior talofibular ligament of right ankle, initial encounter

Billable Code
S93.491A
Billable

Diagnostic Criteria

  • • Positive anterior drawer test
  • • Swelling and tenderness over the anterior talofibular ligament

Applicable To

  • • Initial encounter for anterior talofibular ligament sprain

Important Notes

  • • Ensure documentation includes specific ligament and encounter type.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z01.00

Encounter for examination of eyes and vision without abnormal findings

Use if imaging is performed to rule out fractures.

Z47.89

Encounter for other orthopedic aftercare

Use for follow-up visits involving rehabilitation.

Frequently Asked Questions

What is the ICD-10 code for a sprained ankle?

The ICD-10 code for a sprained ankle depends on the specific ligament involved. For an unspecified ligament, use S93.409A. For the anterior talofibular ligament, use S93.491A.

How do you code a recurrent ankle sprain?

For a recurrent ankle sprain with chronic instability, use S93.419D for the sprain and M24.271 for chronic instability.

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