2026 ICD-10-CM Diagnosis Code S10.96XSInsect bite of unspecified part of neck, sequela
S10.96XS is a billable ICD-10-CM diagnosis code for insect bite of unspecified part of neck, sequela. The 7th character S marks it as a sequela code, which reports a problem that remains after the original condition has resolved. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 604 through 605. The code is exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Injury, sequela.
Code Identity
Code Classification
Present on Admission (POA)Billing
S10.96XS is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Animal bite of head and neck
- Infected insect bite of head and neck
- Insect bite of head and neck
- Insect bite, nonvenomous, of neck
- Nonvenomous insect bite of neck with infection
- Superficial injury of head and neck
- Superficial injury of neck with infection
Coding GuidelinesGuidance
The appropriate 7th character is to be added to each code from block Superficial injury of neck (S10). Use the following options for the applicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
Source: ICD-10-CM Official Guidelines for Coding and Reporting, FY 2026, published by CMS and the National Center for Health Statistics.
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Insect Bites and Stings
Most insect bites are harmless, though they sometimes cause discomfort. Bee, wasp, and hornet stings and fire ant bites usually hurt. Mosquito and flea bites usually itch. Insects can also spread diseases. In the United States, some mosquitoes spread West Nile virus.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert S10.96XS to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About S10.96XSOverview
Is S10.96XS (Insect bite of unspecified part of neck) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report insect bite of unspecified part of neck, sequela on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character S in S10.96XS mean?
The final character S makes this a sequela code: it reports a lingering problem that remains after the insect bite of unspecified part of neck itself has resolved, not the original event.
What MS-DRG does S10.96XS group to?
When insect bite of unspecified part of neck, sequela is the principal diagnosis on an inpatient stay, it groups to MS-DRG 604, 605, with relative weights from 0.9160 to 1.4721 depending on complications. Higher weights mean higher Medicare reimbursement.
Is S10.96XS exempt from POA reporting?
Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for insect bite of unspecified part of neck, sequela on inpatient claims.
What is the ICD-9 equivalent of S10.96XS?
Under the General Equivalence Mappings, insect bite of unspecified part of neck, sequela converts to ICD-9-CM 906.2 (late eff superficial inj). The mapping is approximate, so confirm the match fits the documentation.
Footnotes
[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.
