2026 ICD-10-CM Diagnosis Code S80.259DSuperficial foreign body, unspecified knee, subsequent encounter
S80.259D is a billable ICD-10-CM diagnosis code for superficial foreign body, unspecified knee, subsequent encounter. The 7th character D marks it as a subsequent encounter code, used during routine care in the healing or recovery phase. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 949 through 950. The code is exempt from POA reporting. Coders also document this condition as foreign body in skin of knee. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Superficial injury; contusion, subsequent encounter.
Code Identity
Code Classification
Present on Admission (POA)Billing
S80.259D 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.
- Foreign body in skin of knee
- Retained foreign body in knee region
- Splinter in knee
- Splinter in knee with infection
- Splinter in lower limb with infection
Coding GuidelinesGuidance
The appropriate 7th character is to be added to each code from block Superficial injury of knee and lower leg (S80). 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
Foreign Bodies
If you've ever gotten a splinter or had sand in your eye, you've had experience with a foreign body. A foreign body is something that is stuck inside you but isn't supposed to be there. You may inhale or swallow a foreign body, or you may get one from an injury to almost any part of your body.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert S80.259D to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About S80.259DOverview
Is S80.259D (Superficial foreign body, unspecified knee) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report superficial foreign body, unspecified knee, subsequent encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character D in S80.259D mean?
The final character D marks a subsequent encounter: use it for routine care while the superficial foreign body, unspecified knee is healing, after active treatment has ended.
What MS-DRG does S80.259D group to?
When superficial foreign body, unspecified knee, subsequent encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 949, 950, with relative weights from 0.6277 to 1.1897 depending on complications. Higher weights mean higher Medicare reimbursement.
Is S80.259D 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 superficial foreign body, unspecified knee, subsequent encounter on inpatient claims.
What is the ICD-9 equivalent of S80.259D?
Under the General Equivalence Mappings, superficial foreign body, unspecified knee, subsequent encounter converts to ICD-9-CM V58.89 (other specfied aftercare). 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.
