ICD-10-CM Billable Code

S90.01

Contusion of right ankle

Clinical Classification Guidelines

Medical Intelligence & Overview

A contusion of the right ankle, classified under ICD-10 code S90.01, is commonly known as a bruise caused by a direct impact or trauma to the ankle. This injury involves damage to blood vessels within the tissues, leading to bleeding under the skin and resulting in swelling, pain, and discoloration. While often considered minor, a contusion can vary in severity and impact daily activities depending on its extent.

Causes & Symptoms

Clinical Causes: Falling onto the ankle Direct blow or impact from objects, sports injuries, or accidents Twisting or rolling the ankle forcefully Workplace injuries involving heavy equipment or falling objects Motor vehicle accidents affecting the lower limbs

Key Symptoms: Pain and tenderness around the ankle Swelling in the affected area Discoloration or bruising of the skin, often appearing blue, purple, or yellow Stiffness and reduced mobility Sensitivity to touch Possible warmth over the area due to inflammation

Diagnostic & Treatment

Diagnosis Path: Diagnosis is primarily based on a physical examination where a healthcare provider assesses the ankle's appearance, swelling, and pain levels. They may inquire about recent trauma or injuries. In some cases, imaging tests like X-rays are performed to rule out fractures or other injuries, especially if the pain persists or the swelling is severe.

Treatment Protocols: Management of a contusion of the right ankle generally involves measures to reduce pain and swelling, promote healing, and restore mobility. Common treatments include:

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is S90.01 a billable ICD-10 code?
Yes, S90.01 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report S90.01?
Clinical documentation must specify the nature of Contusion of right ankle and any associated comorbidities for accurate reporting.

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