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S89.81XS vs S99

S89.81XS (Other specified injuries of right lower leg, sequela) compared with S99 (Other and unspecified injuries of ankle and foot), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).

Relationship

Informational

Excludes2 relationship

S89.81XS
Other specified injuries of right lower leg, sequela
S99
Other and unspecified injuries of ankle and foot

Distinct conditions — both may be reported.

“other and unspecified injuries of ankle and foot (S99.-)”

An Excludes2 note means the excluded condition is not part of the code above it, but a patient can have both. Report both when both are documented.

Source: CMS ICD-10-CM tabular instructional notes

Informational

Excludes2 relationship

S89.81XS
Other specified injuries of right lower leg, sequela
S99
Other and unspecified injuries of ankle and foot

Distinct conditions — both may be reported.

“injuries of ankle and foot, except fracture of ankle and malleolus (S90-S99)”

An Excludes2 note means the excluded condition is not part of the code above it, but a patient can have both. Report both when both are documented.

Source: CMS ICD-10-CM tabular instructional notes

Can these codes be reported together?

Yes, when both are documented. S89.81XS carries an Excludes2 note covering S99: “other and unspecified injuries of ankle and foot (S99.-)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Yes, when both are documented. S89.81XS carries an Excludes2 note covering S99: “injuries of ankle and foot, except fracture of ankle and malleolus (S90-S99)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Side by side

S89.81XSOther specified injuries of right lower leg, sequelaS99Other and unspecified injuries of ankle and foot
Billing statusBillableNon-billable header

Report instead: S99.001A, S99.001B, S99.001D, S99.001G, S99.001K

ClassificationS00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)
DefinitionOther specified injuries of right lower leg, sequela is a billable ICD-10-CM diagnosis code (S89.81S).Other and unspecified injuries of ankle and foot is a non-billable ICD-10-CM category code (S99).
7th characterThe appropriate 7th character is to be added to each code in subcategory S89.8

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources