S90.30XD ICD-10-CM Code: Contusion of unspecified foot, subsequent encounter
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Coding at a Glance
- 7th character
- Required — see the character table on this page
- Tabular directives
- 1 inclusion term · 5 Excludes2
Inpatient Payment Groups (MS-DRG)
Potential MS-DRG participation — not a DRG assignment.
MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0, Appendix B.
- MS-DRG 949 — AFTERCARE WITH CC/MCC (MDC 23)
- MS-DRG 950 — AFTERCARE WITHOUT CC/MCC (MDC 23)
A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.
Code Overview
MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for S90.30XD in the official ICD-10-CM tabular list.
Notes without a marker are published on S90.30XD itself; “inherited from” names the category or block whose note applies here.
Inclusion Terms
Alternative terms the tabular list files under this code.
- Contusion of foot NOS
Source: inherited from S90.30
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- contusion of toes (S90.1-, S90.2-) inherited from S90.3Compare S90.30XD vs S90.1 →
- burns and corrosions (T20-T32) inherited from S90-S99Compare S90.30XD vs T20 →
- fracture of ankle and malleolus (S82.-) inherited from S90-S99Compare S90.30XD vs S82 →
- frostbite (T33-T34) inherited from S90-S99Compare S90.30XD vs T33 →
- insect bite or sting, venomous (T63.4) inherited from S90-S99Compare S90.30XD vs T63.4 →
7th Character Guide
"The appropriate 7th character is to be added to each code from category S90"
- A — initial encounter
- D — subsequent encounter (this page’s code)
- S — sequela
How the encounter character is assigned. “Initial encounter” means the patient is receiving active treatment for the condition — it is not limited to the first visit, and a different or new provider giving active treatment still assigns it. “Subsequent encounter” covers care during the healing or recovery phase after active treatment. “Sequela” is for complications or conditions that arise as a direct result of the original condition.
ICD-10-CM Official Guidelines for Coding and Reporting, Section I.C.19.a (paraphrased by MedCoder).
Variant codes in this family
Character meanings are CMS's official 7th-character extensions for this family, as carried in each variant code's official description; variant codes are registry rows. The explanation of how the encounter character is assigned is MedCoder editorial, distinct from the official content above it.
Change history
- FY2016 — October 1, 2015In the code set at ICD-10-CM adoptionContusion of unspecified foot, subsequent encounter
No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027 (effective October 1, 2026), and none are recorded for this code. Note changes are tracked from FY2027 only.
Verify Before Coding
- No Medicare Code Editor or MS-DRG Definitions Manual restrictions apply to this code.
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.
Relationships & Classification
Other codes that name S90.30XD or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.
Referenced by 11 Excludes2 notes: S80 — Superficial injury of knee and lower leg (via S90.-), S80-S89 — Injuries to the knee and lower leg (S80-S89) (via S90.-), S81 — Open wound of knee and lower leg (via S90.-), S82 — Fracture of lower leg, including ankle (via S90.-), S83 — Dislocation and sprain of joints and ligaments of knee (via S90.-), S84 — Injury of nerves at lower leg level (via S90.-), S85 — Injury of blood vessels at lower leg level (via S90.-), S86 — Injury of muscle, fascia and tendon at lower leg level (via S90.-), S87 — Crushing injury of lower leg (via S90.-), S88 — Traumatic amputation of lower leg (via S90.-), S89 — Other and unspecified injuries of lower leg (via S90.-).
These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.
MS-DRG Grouper Relationships (FY2026)
Not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity.
Potential MS-DRG participation — not a DRG assignment.
Named in the grouper logic of 2 MS-DRGs: DRG 949 (MDC 23), DRG 950 (MDC 23).
From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.
Clinical classification (AHRQ CCSR):INJ054 — Superficial injury; contusion, subsequent encounter (default).
Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.
Related Codes
Same condition, opposite side
Same category and title, differing only in which side of the body is affected.
S90.31XD — Contusion of right foot, subsequent encounter (right)Compare S90.30XD vs S90.31XD →, S90.32XD — Contusion of left foot, subsequent encounter (left)Compare S90.30XD vs S90.32XD →
Same injury, other encounter phase
Same injury, coded at a different phase of treatment via the 7th character.
S90.30XA — Contusion of unspecified foot, initial encounterCompare S90.30XD vs S90.30XA →, S90.30XS — Contusion of unspecified foot, sequela
Same clinical category (CCSR)
AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Superficial injury; contusion, subsequent encounter).
Same Index main term, other category
The ICD-10-CM Index to Diseases and Injuries files this code under the main terms “Contusion”, “Black”; these codes share that main term but sit in a different category of the Tabular List.
S50.1 — Contusion of forearm (forearm), S60.00 — Contusion of unspecified finger without damage to nail (finger), S60.01 — Contusion of thumb without damage to nail (thumb), S60.02 — Contusion of index finger without damage to nail (finger, index), S60.03 — Contusion of middle finger without damage to nail (finger, middle), S60.04 — Contusion of ring finger without damage to nail (finger, ring), S60.05 — Contusion of little finger without damage to nail (finger, little), S60.10 — Contusion of unspecified finger with damage to nail (finger, with damage to nail), S60.11 — Contusion of thumb with damage to nail (thumb, with damage to nail), S60.12 — Contusion of index finger with damage to nail (finger, index, with damage to nail), S60.13 — Contusion of middle finger with damage to nail (finger, middle, with damage to nail), S60.14 — Contusion of ring finger with damage to nail (finger, ring, with damage to nail), S60.15 — Contusion of little finger with damage to nail (finger, little, with damage to nail), S60.21 — Contusion of wrist (wrist), S60.22 — Contusion of hand (palm), S70.0 — Contusion of hip (hip), S70.1 — Contusion of thigh (thigh), S80.0 — Contusion of knee (knee), S80.1 — Contusion of lower leg (leg), T14.8 — Other injury of unspecified body region, +84 more
Contextual Map
Every relationship of S90.30XD in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Hierarchy
- S00-T88 — Chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) (S00-T88)[Hierarchy]
- S90-S99 — Injuries to the ankle and foot[Hierarchy]
Referenced by Excludes2 notes (11)
- S80 — Superficial injury of knee and lower leg[Excludes2](via S90.-): “superficial injury of ankle and foot (S90.-)” · Check S90.30XD + S80 together
- S80-S89 — Injuries to the knee and lower leg (S80-S89)[Excludes2](via S90.-): “injuries of ankle and foot, except fracture of ankle and malleolus (S90-S99)” · Check S90.30XD + S80-S89 together
- S81 — Open wound of knee and lower leg[Excludes2](via S90.-): “injuries of ankle and foot, except fracture of ankle and malleolus (S90-S99)” · Check S90.30XD + S81 together
- S82 — Fracture of lower leg, including ankle[Excludes2](via S90.-): “injuries of ankle and foot, except fracture of ankle and malleolus (S90-S99)” · Check S90.30XD + S82 together
- S83 — Dislocation and sprain of joints and ligaments of knee[Excludes2](via S90.-): “injuries of ankle and foot, except fracture of ankle and malleolus (S90-S99)” · Check S90.30XD + S83 together
- S84 — Injury of nerves at lower leg level[Excludes2](via S90.-): “injuries of ankle and foot, except fracture of ankle and malleolus (S90-S99)” · Check S90.30XD + S84 together
- S85 — Injury of blood vessels at lower leg level[Excludes2](via S90.-): “injuries of ankle and foot, except fracture of ankle and malleolus (S90-S99)” · Check S90.30XD + S85 together
- S86 — Injury of muscle, fascia and tendon at lower leg level[Excludes2](via S90.-): “injuries of ankle and foot, except fracture of ankle and malleolus (S90-S99)” · Check S90.30XD + S86 together
- and 3 more
Clinical classification (CCSR)
MS-DRG Grouper
- DRG 949 — AFTERCARE WITH CC/MCC[MS-DRG]: “AFTERCARE WITH CC/MCC (MDC 23)”
- DRG 950 — AFTERCARE WITHOUT CC/MCC[MS-DRG]: “AFTERCARE WITHOUT CC/MCC (MDC 23)”
MDC crossing
- MDC 23 — Factors Influencing Health Status and Other Contacts with Health Services[MDC crossing]: “Factors Influencing Health Status and Other Contacts with Health Services — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs. 1,235 same-MDC procedures group here; browse them on the MDC page.”
Nearest codes (40)
- S90 — Superficial injury of ankle, foot and toes[Sibling]
- S90.219 — Contusion of unspecified great toe with damage to nail[Sibling]
- S90.219A — Contusion of unspecified great toe with damage to nail, initial encounter[Sibling]
- S90.219D — Contusion of unspecified great toe with damage to nail, subsequent encounter[Sibling]
- S90.219S — Contusion of unspecified great toe with damage to nail, sequela[Sibling]
- S90.22 — Contusion of lesser toe with damage to nail[Sibling]
- S90.221 — Contusion of right lesser toe(s) with damage to nail[Sibling]
- S90.221A — Contusion of right lesser toe(s) with damage to nail, initial encounter[Sibling]
- and 32 more
Change history
- FY2016 — In the code set at ICD-10-CM adoption [Change history]
Frequently Asked Questions (FAQ) & Clinical Guidance
Does S90.30XD require a 7th character?
Yes. The appropriate 7th character is to be added to each code from category S90.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to S90.30XD in its code family, with their registry titles.
- S90.229D — Contusion of unspecified lesser toe(s) with damage to nail, subsequent encounter
- S90.229S — Contusion of unspecified lesser toe(s) with damage to nail, sequela
- S90.3 — Contusion of foot
- S90.30 — Contusion of unspecified foot
- S90.30XA — Contusion of unspecified foot, initial encounter
- S90.30XS — Contusion of unspecified foot, sequela
- S90.31 — Contusion of right foot
- S90.31XA — Contusion of right foot, initial encounter
- S90.31XD — Contusion of right foot, subsequent encounter
- S90.31XS — Contusion of right foot, sequela