ICD-10-CM Billable Code

S93.521

Sprain of metatarsophalangeal joint of right great toe

Clinical Classification Guidelines

Medical Intelligence & Overview

A sprain of the metatarsophalangeal joint of the right great toe involves overstretching or tearing of the ligaments that support this joint. It commonly occurs due to trauma or a sudden twist, leading to pain, swelling, and difficulty in movement. This injury can affect daily activities and requires proper management for recovery.

Causes & Symptoms

Clinical Causes: Sudden twisting or hyperextension of the toe Direct impact or trauma to the toe during sports or accidents Stubbing the toe forcefully against an object Repetitive stress or overuse from activities like running or jumping Uneven or unstable footwear causing abnormal stress on the joint

Key Symptoms: Pain localized at the base of the big toe Swelling around the metatarsophalangeal joint Bruising or discoloration in the affected area Tenderness when touching or moving the toe Reduced range of motion or stiffness Difficulty walking or bearing weight on the affected foot

Diagnostic & Treatment

Diagnosis Path: Diagnosis typically involves a physical examination, where a healthcare provider assesses the swelling, tenderness, and range of motion of the toe. Imaging studies like X-rays may be ordered to rule out fractures and confirm ligament injury, ensuring accurate diagnosis and appropriate treatment planning.

Treatment Protocols: The primary goal is to reduce pain and promote healing of the ligaments. Common treatment options 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 S93.521 a billable ICD-10 code?
Yes, S93.521 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report S93.521?
Clinical documentation must specify the nature of Sprain of metatarsophalangeal joint of right great toe and any associated comorbidities for accurate reporting.

Cite this Clinical Reference