S90.55 ICD-10-CM Code: Superficial foreign body of ankle
Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.
Coding at a Glance
- 7th character
- Required — see the character table on this page
- Tabular directives
- 1 inclusion term · 4 Excludes2
Coding instructions
Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for S90.55 in the official ICD-10-CM tabular list, quoted as published.
Notes without a marker are published on S90.55 itself; “inherited from” names the category or block whose note applies here.
Inclusion Terms
Alternative terms the tabular list files under this code.
- Splinter in the ankle
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- burns and corrosions (T20-T32) Compare S90.55 vs T20 →
- fracture of ankle and malleolus (S82.-) Compare S90.55 vs S82 →
- frostbite (T33-T34) Compare S90.55 vs T33 →
- insect bite or sting, venomous (T63.4) Compare S90.55 vs T63.4 →
Source: inherited from S90-S99
7th Character Guide
"The appropriate 7th character is to be added to each code from category S90"
- A — initial encounter
- D — subsequent encounter
- 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
S90.551A, S90.551D, S90.551S, S90.552A, S90.552D, S90.552S, S90.559A, S90.559D
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.
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.
Verify Before Coding
- Not billable as written — a more specific code is required: S90.551A, S90.551D, S90.551S, S90.552A, S90.552D.
- Requires a 7th character. "The appropriate 7th character is to be added to each code from category S90" Options: S90.551A, S90.551D, S90.551S, S90.552A, S90.552D, S90.552S
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 S90.55 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.
Related Codes
Same Index main term, other category
The ICD-10-CM Index to Diseases and Injuries files this code under the main term “Foreign body”; these codes share that main term but sit in a different category of the Tabular List.
S50.85 — Superficial foreign body of forearm (superficial, without open wound, forearm), S60.35 — Superficial foreign body of thumb (superficial, without open wound, thumb), S60.45 — Superficial foreign body of fingers (superficial, without open wound, finger, ring), S60.459 — Superficial foreign body of unspecified finger (superficial, without open wound, finger), S60.55 — Superficial foreign body of hand (superficial, without open wound, hand), S60.85 — Superficial foreign body of wrist (superficial, without open wound, wrist), S70.25 — Superficial foreign body of hip (superficial, without open wound, hip), S70.35 — Superficial foreign body of thigh (superficial, without open wound, thigh), S80.25 — Superficial foreign body of knee (superficial, without open wound, knee), S80.85 — Superficial foreign body of lower leg (superficial, without open wound, leg), T15.0 — Foreign body in cornea (cornea), T15.1 — Foreign body in conjunctival sac (conjunctival sac), T15.8 — Foreign body in other and multiple parts of external eye (entering through orifice, eye NOS, specified part NEC), T15.9 — Foreign body on external eye, part unspecified (entering through orifice, eye NOS), T17.0 — Foreign body in nasal sinus (respiratory tract, nasal sinus), T17.1 — Foreign body in nostril (respiratory tract, nose), T17.200 — Unspecified foreign body in pharynx causing asphyxiation (pharynx, causing, asphyxiation), T17.208 — Unspecified foreign body in pharynx causing other injury (pharynx), T17.210 — Gastric contents in pharynx causing asphyxiation (pharynx, causing, asphyxiation, gastric contents), T17.218 — Gastric contents in pharynx causing other injury (pharynx, causing, injury NEC, gastric contents), +176 more
Contextual Map
Every relationship of S90.55 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.
Run S90.55 with these 8 related codes in Claim Check
Hierarchy
- S00-T88 — Chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) (S00-T88)[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
Referenced by Excludes2 notes (11)
- S80 — Superficial injury of knee and lower leg[Excludes2](via S90.-): “superficial injury of ankle and foot (S90.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- 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)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- S81 — Open wound of knee and lower leg[Excludes2](via S90.-): “injuries of ankle and foot, except fracture of ankle and malleolus (S90-S99)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- S82 — Fracture of lower leg, including ankle[Excludes2](via S90.-): “injuries of ankle and foot, except fracture of ankle and malleolus (S90-S99)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- 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)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- S84 — Injury of nerves at lower leg level[Excludes2](via S90.-): “injuries of ankle and foot, except fracture of ankle and malleolus (S90-S99)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- 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)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- 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)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- and 3 more
Nearest codes (40)
- S90 — Superficial injury of ankle, foot and toes[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- S90.522A — Blister (nonthermal), left ankle, initial encounter[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- S90.522D — Blister (nonthermal), left ankle, subsequent encounter[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- S90.522S — Blister (nonthermal), left ankle, sequela[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- S90.529 — Blister (nonthermal), unspecified ankle[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- S90.529A — Blister (nonthermal), unspecified ankle, initial encounter[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- S90.529D — Blister (nonthermal), unspecified ankle, subsequent encounter[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- S90.529S — Blister (nonthermal), unspecified ankle, sequela[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- and 32 more
Change history
- FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016
Common coding questions
Can S90.55 be billed directly?
No. S90.55 (Superficial foreign body of ankle) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.
Does S90.55 require a 7th character?
Yes. The appropriate 7th character is to be added to each code from category S90.
Sources for this page
Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.
- Code, title, tabular notes and index terms Official source data
- CMS/CDC ICD-10-CM FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page
- Claim edits Official source data
- CMS Definitions of Medicare Code Edits — v43.1 (April 2026) Release, file and checksum · Publisher’s page
- Change history and date-of-service validity Official source data
- CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
- Comparisons, relationships and the contextual map MedCoder structured relationship
- Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
- Summary and FAQ answers MedCoder explanation
- Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.
Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates
Change history
- FY2016 — October 1, 2015In the code set at ICD-10-CM adoptionSuperficial foreign body of ankle
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.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to S90.55 in its code family, with their registry titles.
- S90.542S — External constriction, left ankle, sequela
- S90.549 — External constriction, unspecified ankle
- S90.549A — External constriction, unspecified ankle, initial encounter
- S90.549D — External constriction, unspecified ankle, subsequent encounter
- S90.549S — External constriction, unspecified ankle, sequela
- S90.551 — Superficial foreign body, right ankle
- S90.551A — Superficial foreign body, right ankle, initial encounter
- S90.551D — Superficial foreign body, right ankle, subsequent encounter
- S90.551S — Superficial foreign body, right ankle, sequela
- S90.552 — Superficial foreign body, left ankle