Skip to main content

S90.461 vs S90.462

S90.461 (Insect bite (nonvenomous), right great toe) compared with S90.462 (Insect bite (nonvenomous), left great toe), from the official CMS tabular data. S90.461 and S90.462 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S90.461
Right
Insect bite (nonvenomous), right great toe
S90.462
Left
Insect bite (nonvenomous), left great toe

Same condition; these differ only in which side is documented.

These codes share a category and title and differ only in the side affected. The documentation decides which applies, and a bilateral code is reported only where the code set provides one.

Source: ICD-10-CM tabular list (laterality variant derived from the code title)

Can these codes be reported together?

Same condition, opposite side. S90.461 and S90.462 name the same condition on opposite sides of the body.

Same category and title, differing only in which side is affected — the documentation decides which one applies, and a bilateral code is reported only where the code set provides one.

Side by side

S90.461Insect bite (nonvenomous), right great toeS90.462Insect bite (nonvenomous), left great toe
Billing statusNon-billable header

Report instead: S90.461A, S90.461D, S90.461S

Non-billable header

Report instead: S90.462A, S90.462D, S90.462S

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)
DefinitionInsect bite (nonvenomous), right great toe is a non-billable ICD-10-CM category code (S90.461).Insect bite (nonvenomous), left great toe is a non-billable ICD-10-CM category code (S90.462).
7th characterThe appropriate 7th character is to be added to each code from category S90The 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