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S90.461D vs S90.463D

S90.461D (Insect bite (nonvenomous), right great toe, subsequent encounter) compared with S90.463D (Insect bite (nonvenomous), unspecified great toe, subsequent encounter), from the official CMS tabular data. S90.461D and S90.463D code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S90.461D
Right
Insect bite (nonvenomous), right great toe, subsequent encounter
S90.463D
Unspecified
Insect bite (nonvenomous), unspecified great toe, subsequent encounter

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. S90.461D and S90.463D 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

S90.461DInsect bite (nonvenomous), right great toe, subsequent encounterS90.463DInsect bite (nonvenomous), unspecified great toe, subsequent encounter
Billing statusBillableBillable
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, subsequent encounter is a billable ICD-10-CM diagnosis code (S90.461D).Insect bite (nonvenomous), unspecified great toe, subsequent encounter is a billable ICD-10-CM diagnosis code (S90.463D).
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