S93.52 ICD-10-CM Code: Sprain of metatarsophalangeal joint of toe
Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.
Official Registry Overview & Definition
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for S93.52 in the official ICD-10-CM tabular list.
Includes
Conditions the official ICD-10-CM tabular list includes under this code.
- 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
- traumatic rupture of joint or ligament of ankle, foot and toe
- traumatic subluxation of joint or ligament of ankle, foot and toe
- traumatic tear of joint or ligament of ankle, foot and toe
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- strain of muscle and tendon of ankle and foot (S96.-) Compare S93.52 vs S96 →
- burns and corrosions (T20-T32) Compare S93.52 vs T20 →
- fracture of ankle and malleolus (S82.-) Compare S93.52 vs S82 →
- frostbite (T33-T34) Compare S93.52 vs T33 →
- insect bite or sting, venomous (T63.4) Compare S93.52 vs T63.4 →
Code Also
Additional codes that may be required to fully describe the encounter.
- any associated open wound
Frequently Compared Codes
The official Excludes notes on S93.52 name these codes. Each comparison page covers when the two can — or must not — be reported together.
Change history
No changes recorded for this code — unchanged since the FY2016 baseline of the change ledger.
Verify Before Coding
- Not billable as written — a more specific code is required: S93.521A, S93.521D, S93.521S, S93.522A, S93.522D.
- Requires a 7th character. "The appropriate 7th character is to be added to each code from category S93" Options: S93.521A, S93.521D, S93.521S, S93.522A, S93.522D, S93.522S
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.
Contextual Map
Every relationship of S93.52 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Hierarchy
- S00-T88 — Chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) (S00-T88) [Hierarchy]
Referenced by Excludes2 notes
- S93.6 — Sprain of foot [Excludes2](via S93.5.-): “sprain of toe (S93.5-)” · check together
- S93.6 — Sprain of foot [Excludes2]: “sprain of metatarsophalangeal joint of toe (S93.52-)” · check together
- S96 — Injury of muscle and tendon at ankle and foot level [Excludes2](via S93.-): “sprain of joints and ligaments of ankle and foot (S93.-)” · check together
Nearest codes (40)
- S93 — Dislocation and sprain of joints and ligaments at ankle, foot and toe level [Sibling]
- S93.513 — Sprain of interphalangeal joint of unspecified great toe [Sibling]
- S93.513A — Sprain of interphalangeal joint of unspecified great toe, initial encounter [Sibling]
- S93.513D — Sprain of interphalangeal joint of unspecified great toe, subsequent encounter [Sibling]
- S93.513S — Sprain of interphalangeal joint of unspecified great toe, sequela [Sibling]
- S93.514 — Sprain of interphalangeal joint of right lesser toe(s) [Sibling]
- S93.514A — Sprain of interphalangeal joint of right lesser toe(s), initial encounter [Sibling]
- S93.514D — Sprain of interphalangeal joint of right lesser toe(s), subsequent encounter [Sibling]
- and 32 more
Referenced by Other Codes
Official ICD-10-CM tabular notes on other codes that name S93.52 or its code family.
3 Excludes2 notes: S93.6 (via S93.5.-), S93.6, S96 (via S93.-).
Frequently Asked Questions (FAQ) & Clinical Guidance
Can S93.52 be billed directly?
No. S93.52 (Sprain of metatarsophalangeal joint of toe) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.
Does S93.52 require a 7th character?
Yes. The appropriate 7th character is to be added to each code from category S93.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to S93.52 in its code family, with their registry titles.
- S93.516S — Sprain of interphalangeal joint of unspecified lesser toe(s), sequela
- S93.519 — Sprain of interphalangeal joint of unspecified toe(s)
- S93.519A — Sprain of interphalangeal joint of unspecified toe(s), initial encounter
- S93.519D — Sprain of interphalangeal joint of unspecified toe(s), subsequent encounter
- S93.519S — Sprain of interphalangeal joint of unspecified toe(s), sequela
- S93.521 — Sprain of metatarsophalangeal joint of right great toe
- S93.521A — Sprain of metatarsophalangeal joint of right great toe, initial encounter
- S93.521D — Sprain of metatarsophalangeal joint of right great toe, subsequent encounter
- S93.521S — Sprain of metatarsophalangeal joint of right great toe, sequela
- S93.522 — Sprain of metatarsophalangeal joint of left great toe