S90.56 ICD-10-CM Code: Insect bite (nonvenomous) of ankle
Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.
Official Registry Overview & Definition
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for S90.56 in the official ICD-10-CM tabular list.
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 S90.56 vs T20 →
- fracture of ankle and malleolus (S82.-) Compare S90.56 vs S82 →
- frostbite (T33-T34) Compare S90.56 vs T33 →
- insect bite or sting, venomous (T63.4) Compare S90.56 vs T63.4 →
Change history
No changes recorded for this code — unchanged since the FY2016 baseline of the change ledger.
Verify Before Coding
- Not billable as written — a more specific code is required: S90.561A, S90.561D, S90.561S, S90.562A, S90.562D.
- Requires a 7th character. "The appropriate 7th character is to be added to each code from category S90" Options: S90.561A, S90.561D, S90.561S, S90.562A, S90.562D, S90.562S
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.
Contextual Map
Every relationship of S90.56 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]
Referenced by Excludes1 notes
- S91.05 — Open bite of ankle [Excludes1]: “superficial bite of ankle (S90.56-, S90.57-)” · check together
Referenced by Excludes2 notes (11)
- S80 — Superficial injury of knee and lower leg [Excludes2](via S90.-): “superficial injury of ankle and foot (S90.-)” · check 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 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 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 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 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 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 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 together
- and 3 more
Nearest codes (40)
- S90 — Superficial injury of ankle, foot and toes [Sibling]
- S90.542A — External constriction, left ankle, initial encounter [Sibling]
- S90.542D — External constriction, left ankle, subsequent encounter [Sibling]
- S90.542S — External constriction, left ankle, sequela [Sibling]
- S90.549 — External constriction, unspecified ankle [Sibling]
- S90.549A — External constriction, unspecified ankle, initial encounter [Sibling]
- S90.549D — External constriction, unspecified ankle, subsequent encounter [Sibling]
- S90.549S — External constriction, unspecified ankle, sequela [Sibling]
- and 32 more
Referenced by Other Codes
Official ICD-10-CM tabular notes on other codes that name S90.56 or its code family.
1 Excludes1 notes: S91.05.
11 Excludes2 notes: S80 (via S90.-), S80-S89 (via S90.-), S81 (via S90.-), S82 (via S90.-), S83 (via S90.-), S84 (via S90.-), S85 (via S90.-), S86 (via S90.-), S87 (via S90.-), S88 (via S90.-) and 1 more.
Frequently Asked Questions (FAQ) & Clinical Guidance
Can S90.56 be billed directly?
No. S90.56 (Insect bite (nonvenomous) of ankle) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.
Does S90.56 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 S90.56 in its code family, with their registry titles.
- S90.552S — Superficial foreign body, left ankle, sequela
- S90.559 — Superficial foreign body, unspecified ankle
- S90.559A — Superficial foreign body, unspecified ankle, initial encounter
- S90.559D — Superficial foreign body, unspecified ankle, subsequent encounter
- S90.559S — Superficial foreign body, unspecified ankle, sequela
- S90.561 — Insect bite (nonvenomous), right ankle
- S90.561A — Insect bite (nonvenomous), right ankle, initial encounter
- S90.561D — Insect bite (nonvenomous), right ankle, subsequent encounter
- S90.561S — Insect bite (nonvenomous), right ankle, sequela
- S90.562 — Insect bite (nonvenomous), left ankle