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S90.464A vs S90.465A

S90.464A (Insect bite (nonvenomous), right lesser toe(s), initial encounter) compared with S90.465A (Insect bite (nonvenomous), left lesser toe(s), initial encounter), from the official CMS tabular data. S90.464A and S90.465A code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S90.464A
Right
Insect bite (nonvenomous), right lesser toe(s), initial encounter
S90.465A
Left
Insect bite (nonvenomous), left lesser toe(s), initial 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. S90.464A and S90.465A 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

S90.464AInsect bite (nonvenomous), right lesser toe(s), initial encounterS90.465AInsect bite (nonvenomous), left lesser toe(s), initial 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 lesser toe(s), initial encounter is a billable ICD-10-CM diagnosis code (S90.464A).Insect bite (nonvenomous), left lesser toe(s), initial encounter is a billable ICD-10-CM diagnosis code (S90.465A).
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