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S93.52 vs T34

S93.52 (Sprain of metatarsophalangeal joint of toe) compared with T34 (Frostbite with tissue necrosis), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).

Can these codes be reported together?

Yes, when both are documented. S93.52 carries an Excludes2 note covering T34: “frostbite (T33-T34)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Side by side

S93.52Sprain of metatarsophalangeal joint of toeT34Frostbite with tissue necrosis
Billing statusNon-billable header

Report instead: S93.521A, S93.521D, S93.521S, S93.522A, S93.522D

Non-billable header

Report instead: T34.011A, T34.011D, T34.011S, T34.012A, T34.012D

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 metatarsophalangeal joint of toe is a non-billable ICD-10-CM category code (S93.52).Frostbite with tissue necrosis is a non-billable ICD-10-CM category code (T34).
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 T34
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

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