S91.205A (Unspecified open wound of left lesser toe(s) with damage to nail, initial encounter) compared with S91.205S (Unspecified open wound of left lesser toe(s) with damage to nail, sequela), from the official CMS tabular data. S91.205A and S91.205S code the same injury at a different phase of treatment.
Same underlying diagnosis, different encounter phase.
The 7th character records the phase of care for the encounter being coded, so a single encounter takes one of these characters, not several. Review whether both phases belong on the same episode of care.
Source: ICD-10-CM Official Guidelines, Section I.C.19.a
Same injury, other encounter phase. S91.205A and S91.205S code the same injury at a different phase of treatment, set by the 7th character.
The 7th character records the type of care given at the encounter being coded (ICD-10-CM Official Guidelines, Section I.C.19.a), so one encounter takes one of these, not both.
| S91.205AUnspecified open wound of left lesser toe(s) with damage to nail, initial encounter | S91.205SUnspecified open wound of left lesser toe(s) with damage to nail, sequela | |
|---|---|---|
| Billing status | Billable | Billable |
| Classification | S00-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) |
| Definition | Unspecified open wound of left lesser toe(s) with damage to nail, initial encounter is a billable ICD-10-CM diagnosis code (S91.205A). | Unspecified open wound of left lesser toe(s) with damage to nail, sequela is a billable ICD-10-CM diagnosis code (S91.205S). |
| 7th character | The appropriate 7th character is to be added to each code from category S91 | The 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