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S89.91XD vs S99

S89.91XD (Unspecified injury of right lower leg, subsequent encounter) 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

S89.91XD
Unspecified injury of right lower leg, subsequent encounter
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

Can these codes be reported together?

Yes, when both are documented. S89.91XD 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.

Side by side

S89.91XDUnspecified injury of right lower leg, subsequent encounterS99Other 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)
DefinitionUnspecified injury of right lower leg, subsequent encounter is a billable ICD-10-CM diagnosis code (S89.91D).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 S89.9

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