2024 ICD-10-CM Diagnosis Code S93.5
Sprain of toe
- ICD-10-CM Code:
- S93.5
- ICD-10 Code for:
- Sprain of toe
- Is Billable?
- Not Valid for Submission
- Code Navigator:
S93.5 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of sprain of toe. The code is not specific and is NOT valid for the year 2024 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.
Specific Coding Applicable to Sprain of toe
Non-specific codes like S93.5 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10-CM codes with a higher level of specificity when coding for sprain of toe:
S93.50 for Unspecified sprain of toe - NON-BILLABLE CODE
S93.501 for Unspecified sprain of right great toe - NON-BILLABLE CODE
Use S93.501A for initial encounter - BILLABLE CODE
Use S93.501D for subsequent encounter - BILLABLE CODE
Use S93.501S for sequela - BILLABLE CODE
S93.502 for Unspecified sprain of left great toe - NON-BILLABLE CODE
Use S93.502A for initial encounter - BILLABLE CODE
Use S93.502D for subsequent encounter - BILLABLE CODE
Use S93.502S for sequela - BILLABLE CODE
S93.503 for Unspecified sprain of unspecified great toe - NON-BILLABLE CODE
Use S93.503A for initial encounter - BILLABLE CODE
Use S93.503D for subsequent encounter - BILLABLE CODE
Use S93.503S for sequela - BILLABLE CODE
S93.504 for Unspecified sprain of right lesser toe(s) - NON-BILLABLE CODE
Use S93.504A for initial encounter - BILLABLE CODE
Use S93.504D for subsequent encounter - BILLABLE CODE
Use S93.504S for sequela - BILLABLE CODE
S93.505 for Unspecified sprain of left lesser toe(s) - NON-BILLABLE CODE
Use S93.505A for initial encounter - BILLABLE CODE
Use S93.505D for subsequent encounter - BILLABLE CODE
Use S93.505S for sequela - BILLABLE CODE
S93.506 for Unspecified sprain of unspecified lesser toe(s) - NON-BILLABLE CODE
Use S93.506A for initial encounter - BILLABLE CODE
Use S93.506D for subsequent encounter - BILLABLE CODE
Use S93.506S for sequela - BILLABLE CODE
S93.509 for Unspecified sprain of unspecified toe(s) - NON-BILLABLE CODE
Use S93.509A for initial encounter - BILLABLE CODE
Use S93.509D for subsequent encounter - BILLABLE CODE
Use S93.509S for sequela - BILLABLE CODE
S93.51 for Sprain of interphalangeal joint of toe - NON-BILLABLE CODE
S93.511 for Sprain of interphalangeal joint of right great toe - NON-BILLABLE CODE
Use S93.511A for initial encounter - BILLABLE CODE
Use S93.511D for subsequent encounter - BILLABLE CODE
Use S93.511S for sequela - BILLABLE CODE
S93.512 for Sprain of interphalangeal joint of left great toe - NON-BILLABLE CODE
Use S93.512A for initial encounter - BILLABLE CODE
Use S93.512D for subsequent encounter - BILLABLE CODE
Use S93.512S for sequela - BILLABLE CODE
S93.513 for Sprain of interphalangeal joint of unspecified great toe - NON-BILLABLE CODE
Use S93.513A for initial encounter - BILLABLE CODE
Use S93.513D for subsequent encounter - BILLABLE CODE
Use S93.513S for sequela - BILLABLE CODE
S93.514 for Sprain of interphalangeal joint of right lesser toe(s) - NON-BILLABLE CODE
Use S93.514A for initial encounter - BILLABLE CODE
Use S93.514D for subsequent encounter - BILLABLE CODE
Use S93.514S for sequela - BILLABLE CODE
S93.515 for Sprain of interphalangeal joint of left lesser toe(s) - NON-BILLABLE CODE
Use S93.515A for initial encounter - BILLABLE CODE
Use S93.515D for subsequent encounter - BILLABLE CODE
Use S93.515S for sequela - BILLABLE CODE
S93.516 for Sprain of interphalangeal joint of unspecified lesser toe(s) - NON-BILLABLE CODE
Use S93.516A for initial encounter - BILLABLE CODE
Use S93.516D for subsequent encounter - BILLABLE CODE
Use S93.516S for sequela - BILLABLE CODE
S93.519 for Sprain of interphalangeal joint of unspecified toe(s) - NON-BILLABLE CODE
Use S93.519A for initial encounter - BILLABLE CODE
Use S93.519D for subsequent encounter - BILLABLE CODE
Use S93.519S for sequela - BILLABLE CODE
S93.52 for Sprain of metatarsophalangeal joint of toe - NON-BILLABLE CODE
S93.521 for Sprain of metatarsophalangeal joint of right great toe - NON-BILLABLE CODE
Use S93.521A for initial encounter - BILLABLE CODE
Use S93.521D for subsequent encounter - BILLABLE CODE
Use S93.521S for sequela - BILLABLE CODE
S93.522 for Sprain of metatarsophalangeal joint of left great toe - NON-BILLABLE CODE
Use S93.522A for initial encounter - BILLABLE CODE
Use S93.522D for subsequent encounter - BILLABLE CODE
Use S93.522S for sequela - BILLABLE CODE
S93.523 for Sprain of metatarsophalangeal joint of unspecified great toe - NON-BILLABLE CODE
Use S93.523A for initial encounter - BILLABLE CODE
Use S93.523D for subsequent encounter - BILLABLE CODE
Use S93.523S for sequela - BILLABLE CODE
S93.524 for Sprain of metatarsophalangeal joint of right lesser toe(s) - NON-BILLABLE CODE
Use S93.524A for initial encounter - BILLABLE CODE
Use S93.524D for subsequent encounter - BILLABLE CODE
Use S93.524S for sequela - BILLABLE CODE
S93.525 for Sprain of metatarsophalangeal joint of left lesser toe(s) - NON-BILLABLE CODE
Use S93.525A for initial encounter - BILLABLE CODE
Use S93.525D for subsequent encounter - BILLABLE CODE
Use S93.525S for sequela - BILLABLE CODE
S93.526 for Sprain of metatarsophalangeal joint of unspecified lesser toe(s) - NON-BILLABLE CODE
Use S93.526A for initial encounter - BILLABLE CODE
Use S93.526D for subsequent encounter - BILLABLE CODE
Use S93.526S for sequela - BILLABLE CODE
S93.529 for Sprain of metatarsophalangeal joint of unspecified toe(s) - NON-BILLABLE CODE
Use S93.529A for initial encounter - BILLABLE CODE
Use S93.529D for subsequent encounter - BILLABLE CODE
Use S93.529S for sequela - BILLABLE CODE
Coding Guidelines
The appropriate 7th character is to be added to each code from block Dislocation and sprain of joints and ligaments at ankle, foot and toe level (S93). Use the following options for the aplicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
Patient Education
Sprains and Strains
A sprain is a stretched or torn ligament. Ligaments are tissues that connect bones at a joint. Falling, twisting, or getting hit can all cause a sprain. Ankle and wrist sprains are common. Symptoms include pain, swelling, bruising, and being unable to move your joint. You might feel a pop or tear when the injury happens.
A strain is a stretched or torn muscle or tendon. Tendons are tissues that connect muscle to bone. Twisting or pulling these tissues can cause a strain. Strains can happen suddenly or develop over time. Back and hamstring muscle strains are common. Many people get strains playing sports. Symptoms include pain, muscle spasms, swelling, and trouble moving the muscle.
At first, treatment of both sprains and strains usually involves resting the injured area, icing it, wearing a bandage or device that compresses the area, and medicines. Later treatment might include exercise and physical therapy.
NIH: National Institute of Arthritis and Musculoskeletal and Skin Diseases
[Learn More in MedlinePlus]
Toe Injuries and Disorders
Fourteen of the 26 bones in your feet are in your toes. The toes, particularly your big toe, help you move and keep your balance. Playing sports, running, stubbing your toe, and dropping something on your foot can damage your toes. Wearing shoes that are too loose or too tight can also cause toe problems. Certain diseases, such as severe arthritis, can cause toe problems and pain. Gout often causes pain in the big toe.
Common toe problems include :
- Corns and bunions
- Ingrown toenails
- Sprains and dislocations
- Fractures (broken bones)
Treatments for toe injuries and disorders vary. They might include shoe inserts or special shoes, padding, taping, medicines, rest, and in severe cases, surgery.
[Learn More in MedlinePlus]
Code History
- FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
- FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
- FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.