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S91.002S vs S91.009S

S91.002S (Unspecified open wound, left ankle, sequela) compared with S91.009S (Unspecified open wound, unspecified ankle, sequela), from the official CMS tabular data. S91.002S and S91.009S code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S91.002S
Left
Unspecified open wound, left ankle, sequela
S91.009S
Unspecified
Unspecified open wound, unspecified ankle, sequela

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. S91.002S and S91.009S 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

S91.002SUnspecified open wound, left ankle, sequelaS91.009SUnspecified open wound, unspecified ankle, sequela
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)
DefinitionUnspecified open wound, left ankle, sequela is a billable ICD-10-CM diagnosis code (S91.002S).Unspecified open wound, unspecified ankle, sequela is a billable ICD-10-CM diagnosis code (S91.009S).
7th characterThe appropriate 7th character is to be added to each code from category S91The appropriate 7th character is to be added to each code from category S91

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