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S93.491 vs S93.499

S93.491 (Sprain of other ligament of right ankle) compared with S93.499 (Sprain of other ligament of unspecified ankle), from the official CMS tabular data. S93.491 and S93.499 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S93.491
Right
Sprain of other ligament of right ankle
S93.499
Unspecified
Sprain of other ligament of unspecified ankle

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. S93.491 and S93.499 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

S93.491Sprain of other ligament of right ankleS93.499Sprain of other ligament of unspecified ankle
Billing statusNon-billable header

Report instead: S93.491A, S93.491D, S93.491S

Non-billable header

Report instead: S93.499A, S93.499D, S93.499S

ClassificationS00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)
DefinitionSprain of other ligament of right ankle is a non-billable ICD-10-CM category code (S93.491).Sprain of other ligament of unspecified ankle is a non-billable ICD-10-CM category code (S93.499).
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