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S96.091 vs S96.092

S96.091 (Other injury of muscle and tendon of long flexor muscle of toe at ankle and foot level, right foot) compared with S96.092 (Other injury of muscle and tendon of long flexor muscle of toe at ankle and foot level, left foot), from the official CMS tabular data. S96.091 and S96.092 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S96.091
Right
Other injury of muscle and tendon of long flexor muscle of toe at ankle and foot level, right foot
S96.092
Left
Other injury of muscle and tendon of long flexor muscle of toe at ankle and foot level, left foot

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. S96.091 and S96.092 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

S96.091Other injury of muscle and tendon of long flexor muscle of toe at ankle and foot level, right footS96.092Other injury of muscle and tendon of long flexor muscle of toe at ankle and foot level, left foot
Billing statusNon-billable header

Report instead: S96.091A, S96.091D, S96.091S

Non-billable header

Report instead: S96.092A, S96.092D, S96.092S

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)
DefinitionOther injury of muscle and tendon of long flexor muscle of toe at ankle and foot level, right foot is a non-billable ICD-10-CM category code (S96.091).Other injury of muscle and tendon of long flexor muscle of toe at ankle and foot level, left foot is a non-billable ICD-10-CM category code (S96.092).
7th characterThe appropriate 7th character is to be added to each code from category S96The appropriate 7th character is to be added to each code from category S96

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