2026 ICD-10-CM Diagnosis Code S97.101SCrushing injury of unspecified right toe(s), sequela

ICD-10-CM Codes›S00–T88›S90-S99›S97

ICD-10-CM S97.101S
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

S97.101S is a billable ICD-10-CM diagnosis code for crushing injury of unspecified right toe(s), sequela. The 7th character S marks it as a sequela code, which reports a problem that remains after the original condition has resolved. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 604 through 605. The code is exempt from POA reporting. Coders also document this condition as crush injury of right foot. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Injury, sequela.

Code Identity

ICD-10-CM Code
S97.101S
Billable Status
Yes — Valid for Submission
Code Describes
Crushing injury of unspecified right toe(s), sequela
Short Description
Crushing injury of unspecified right toe(s), sequela
Same as the full description in the CMS dataset.
Parent Code
S97.101
Crushing injury of unspecified right toe(s)

Code Classification

ChapterS00–T88Injury, poisoning and certain other consequences of external causes
SectionS90-S99Injuries to the ankle and foot
CategoryS97Crushing injury of ankle and foot
This CodeS97.101SCrushing injury of unspecified right toe(s), sequela

Present on Admission (POA)Billing

S97.101S is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Crush injury of right foot
  • Crush injury of toe of right foot
  • Crushing injury of toe

Coding GuidelinesGuidance

The appropriate 7th character is to be added to each code from block Crushing injury of ankle and foot (S97). Use the following options for the applicable episode of care:

  • A - initial encounter
  • D - subsequent encounter
  • S - sequela

Source: ICD-10-CM Official Guidelines for Coding and Reporting, FY 2026, published by CMS and the National Center for Health Statistics.

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR INJ073
Injury, sequela
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Wounds and Injuries

An injury is damage to your body. It is a general term that refers to harm caused by accidents, falls, hits, weapons, and more. In the U.S., millions of people injure themselves every year. These injuries range from minor to life-threatening.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert S97.101S to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
906.4 Late effect of crushing
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About S97.101SOverview

Is S97.101S (Crushing injury of unspecified right toe(s)) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report crushing injury of unspecified right toe(s), sequela on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What does the 7th character S in S97.101S mean?

The final character S makes this a sequela code: it reports a lingering problem that remains after the crushing injury of unspecified right toe(s) itself has resolved, not the original event.

What MS-DRG does S97.101S group to?

When crushing injury of unspecified right toe(s), sequela is the principal diagnosis on an inpatient stay, it groups to MS-DRG 604, 605, with relative weights from 0.9160 to 1.4721 depending on complications. Higher weights mean higher Medicare reimbursement.

Is S97.101S exempt from POA reporting?

Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for crushing injury of unspecified right toe(s), sequela on inpatient claims.

What is the ICD-9 equivalent of S97.101S?

Under the General Equivalence Mappings, crushing injury of unspecified right toe(s), sequela converts to ICD-9-CM 906.4 (late effect of crushing). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.