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S89.91XS vs S90

S89.91XS (Unspecified injury of right lower leg, sequela) compared with S90 (Superficial injury of ankle, foot and toes), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).

Can these codes be reported together?

Yes, when both are documented. S89.91XS carries an Excludes2 note covering S90: “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

S89.91XSUnspecified injury of right lower leg, sequelaS90Superficial injury of ankle, foot and toes
Billing statusBillableNon-billable header

Report instead: S90.00XA, S90.00XD, S90.00XS, S90.01XA, S90.01XD

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, sequela is a billable ICD-10-CM diagnosis code (S89.91S).Superficial injury of ankle, foot and toes is a non-billable ICD-10-CM category code (S90).
7th characterThe appropriate 7th character is to be added to each code in subcategory S89.9The appropriate 7th character is to be added to each code from category S90

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