S93.422S
Sprain of deltoid ligament of left ankle, sequela
S93.422S (also written S93422S) is a billable ICD-10-CM diagnosis code for sprain of deltoid ligament of left ankle, sequela. It is part of the FY2027 code set, effective October 1, 2026. It is one of the 336 codes in category S93 (Dislocation and sprain of joints and ligaments at ankle, foot and toe level). Its 7th character, S, means sequela. Its coding notes include a Use additional code instruction, a Code also instruction and 8 Excludes2 entries.
7th character
Category S93 requires a 7th character.
Guidelines tips
From the FY2027 Official Guidelines. ICD10Ref adds no rules of its own.
The 7th character depends on whether the patient is in active treatment, not on who sees the patient. An aftercare Z code is not used for injury aftercare.
Each injury gets its own code unless a combination code exists, with the most serious injury first. Superficial injuries at the same site as a more severe injury are not coded. Injuries during medical care are coded as complications.
Use additional code
Add the listed code as a secondary code, if known.
Also from chapter/block level (1 note)
- code to identify any retained foreign body, if applicable (Z18.-)
Code also
Two codes may be needed to describe the condition. This note gives no sequencing order.
- any associated open wound
Excludes2
Not included here. Both codes may be reported if the patient has both conditions.
- strain of muscle and tendon of ankle and foot (S96.-)
Also from chapter/block level (6 notes)
- birth trauma (P10-P15)
- obstetric trauma (O70-O71)
Care settings
How CMS programs treat this code. These are CMS claim edits and list entries, not coverage or eligibility rules.
Home Health Primary
Accepted as the primary (principal) diagnosis on a home health claim. The Home Health Grouper assigns it to the Musculoskeletal Rehabilitation clinical group.
Source: CMS Home Health Grouper Software v07.2.26, effective October 1, 2026Includes
Further defines or gives examples of the content of the category.
- 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
Notes
Also from chapter/block level (2 notes)
- Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
- The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.