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S93.401A vs S93.409A

S93.401A (Sprain of unspecified ligament of right ankle, initial encounter) compared with S93.409A (Sprain of unspecified ligament of unspecified ankle, initial encounter), from the official CMS tabular data. S93.401A and S93.409A code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

S93.401A
Right
Sprain of unspecified ligament of right ankle, initial encounter
S93.409A
Unspecified
Sprain of unspecified ligament of unspecified ankle, initial encounter

Same condition; these differ only in which side is documented.

These codes share a category and title and differ only in the side affected. The documentation decides which applies, and a bilateral code is reported only where the code set provides one.

Source: ICD-10-CM tabular list (laterality variant derived from the code title)

Can these codes be reported together?

Same condition, opposite side. S93.401A and S93.409A name the same condition on opposite sides of the body.

Same category and title, differing only in which side is affected — the documentation decides which one applies, and a bilateral code is reported only where the code set provides one.

Side by side

S93.401ASprain of unspecified ligament of right ankle, initial encounterS93.409ASprain of unspecified ligament of unspecified ankle, initial encounter
Billing statusBillableBillable
ClassificationS00-T88 — Injury, poisoning and certain other consequences of external causesS00-T88 — Injury, poisoning and certain other consequences of external causes
DefinitionSprain of unspecified ligament of right ankle, initial encounter is a billable ICD-10-CM diagnosis code (S93.401A).Sprain of unspecified ligament of unspecified ankle, initial encounter is a billable ICD-10-CM diagnosis code (S93.409A).
7th characterThe appropriate 7th character is to be added to each code from category S93The appropriate 7th character is to be added to each code from category S93
Includes
avulsion of joint or ligament of ankle, foot and toe
laceration of cartilage, joint or ligament of ankle, foot and toe
sprain of cartilage, joint or ligament of ankle, foot and toe
traumatic hemarthrosis of joint or ligament of ankle, foot and toe
avulsion of joint or ligament of ankle, foot and toe
laceration of cartilage, joint or ligament of ankle, foot and toe
sprain of cartilage, joint or ligament of ankle, foot and toe
traumatic hemarthrosis of joint or ligament of ankle, foot and toe

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources