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S93.491S vs S93.492S

S93.491S (Sprain of other ligament of right ankle, sequela) compared with S93.492S (Sprain of other ligament of left ankle, sequela), from the official CMS tabular data. S93.491S and S93.492S code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S93.491S
Right
Sprain of other ligament of right ankle, sequela
S93.492S
Left
Sprain of other ligament of left ankle, sequela

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. S93.491S and S93.492S 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

S93.491SSprain of other ligament of right ankle, sequelaS93.492SSprain of other ligament of left ankle, sequela
Billing statusBillableBillable
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, sequela is a billable ICD-10-CM diagnosis code (S93.491S).Sprain of other ligament of left ankle, sequela is a billable ICD-10-CM diagnosis code (S93.492S).
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