Skip to content
Dx

ICD-10-CM 2027 diagnosis code

S96.019AStrain of muscle and tendon of long flexor muscle of toe at ankle and foot level, unspecified foot, initial encounter

✓ Billable / specificRequires 7th character

S96.019A is a valid, billable ICD-10-CM code for strain of muscle and tendon of long flexor muscle of toe at ankle and foot level, unspecified foot, initial encounter. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.Short description: Strain msl/tnd lng flxr msl toe at ank/ft lev, unsp ft, init

Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About S96.019A

S96.019A is the ICD-10-CM diagnosis code for strain of muscle and tendon of long flexor muscle of toe at ankle and foot level, unspecified foot, initial encounter. It belongs to category S96 (injury of muscle and tendon at ankle and foot level), block S90-S99 (injuries to the ankle and foot) and chapter 19 (injury, poisoning and certain other consequences of external causes). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

The 7th character "A" means initial encounter: use it while the patient is receiving active treatment for the condition.

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 562 (Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh with MCC, relative weight 1.398), DRG 563 (Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without MCC, relative weight 0.8985), DRG 963 (Other Multiple Significant Trauma with MCC, relative weight 2.6363), DRG 964 (Other Multiple Significant Trauma with CC, relative weight 1.4972) and DRG 965 (Other Multiple Significant Trauma without CC/MCC, relative weight 1.0059), in MDC 08 (Diseases and Disorders of the Musculoskeletal System and Connective Tissue) and MDC 24 (Multiple Significant Trauma), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Before ICD-10, this condition was coded in ICD-9-CM as 845.09 (other sprains and strains of ankle) and 845.19 (other sprain of foot).

7th character

Ainitial encounter

Other encounter types for S96.019:

Notes that apply from higher levels

Instructions written at a parent level also apply to S96.019A.

› From S96 Injury of muscle and tendon at ankle and foot level
Excludes2
  • injury of Achilles tendon (S86.0-)
  • sprain of joints and ligaments of ankle and foot (S93.-)
Code also
  • any associated open wound (S91.-)

Broader instructions also apply from S90-S99 Injuries to the ankle and foot and Chapter 19: Injury, poisoning and certain other consequences of external causes.

MS-DRG v44.0 grouping

All DRGs →

Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.

ICD-9-CM equivalent

Converter →
  • 845.09Other sprains and strains of ankleapproximate
  • 845.19Other sprain of footapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about S96.019A

Is S96.019A billable?

Yes. S96.019A is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

What does the "A" at the end of S96.019A mean?

It is the 7th character for initial encounter. Per the official guidelines, use it while the patient is receiving active treatment for the condition.

Can S96.019A be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict S96.019A as a principal diagnosis.

Is S96.019A a CC or MCC?

No. S96.019A is neither a CC nor an MCC under MS-DRG v44.0.

What DRG does S96.019A group to?

S96.019A is used in the MS-DRG v44.0 logic for MS-DRG 562 (Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh with MCC), MS-DRG 563 (Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without MCC), MS-DRG 963 (Other Multiple Significant Trauma with MCC), MS-DRG 964 (Other Multiple Significant Trauma with CC) and MS-DRG 965 (Other Multiple Significant Trauma without CC/MCC). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.

What is the ICD-9 code for S96.019A?

The CMS General Equivalence Mappings map S96.019A to ICD-9-CM 845.09 and 845.19.