S93.513A — Sprain of interphalangeal joint of unspecified great toe, initial encounter
Is S93.513A billable?
Yes, but S93.513A is an unspecified code. S93.513A is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, S93.513A is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting S93.513A — the more specific alternatives are listed below.
More specific alternatives
- S93.511ASprain of interphalangeal joint of right great toe, initial encounter
- S93.512ASprain of interphalangeal joint of left great toe, initial encounter
- S93.514ASprain of interphalangeal joint of right lesser toe(s), initial encounter
- S93.515ASprain of interphalangeal joint of left lesser toe(s), initial encounter
S93.513A at a glance
| Code | S93.513A |
|---|---|
| Description | Sprain of interphalangeal joint of unspecified great toe, initial encounter |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
| 7th character "A" | initial encounter |
What does the 7th character "A" mean in S93.513A?
In S93.513A, the 7th character A means initial encounter. The 7th character is required for S93.513A to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
Which MS-DRGs does S93.513A group to?
S93.513A sits in MDC 08 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 562Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh with MCCmedical
- 563Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without MCCmedical
How is S93.513A listed in the Alphabetic Index?
The Alphabetic Index lists these routes under S93.51, the nearest indexed parent of S93.513A. Use them to find the family, then select the specific code.
- Sprain › toe › interphalangeal joint (joint) (ligament)
- Sprain › toe › interphalangeal joint › great (joint) (ligament)
- Sprain › toe › interphalangeal joint › lesser (joint) (ligament)
Use additional code — inherited from Chapter 19
Report an additional code alongside S93.513A to fully describe the condition. S93.513A is sequenced first.
- code to identify any retained foreign body, if applicable (Z18.-)
Excludes2 — not included here — inherited from Chapter 19
The conditions below are not part of S93.513A, but a patient may have both at the same time. When documentation supports it, S93.513A and the excluded code may both be reported.
Excludes2 — not included here — inherited from S90-S99
The conditions below are not part of S93.513A, but a patient may have both at the same time. When documentation supports it, S93.513A and the excluded code may both be reported.
Excludes2 — not included here — inherited from S93
The conditions below are not part of S93.513A, but a patient may have both at the same time. When documentation supports it, S93.513A and the excluded code may both be reported.
- strain of muscle and tendon of ankle and foot (S96.-)
Code also — inherited from S93
Two codes may be needed to describe the condition fully. Whether S93.513A is sequenced first depends on the reason for the encounter.
- any associated open wound
How long has S93.513A existed?
S93.513A has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.