2026 ICD-10-CM Diagnosis Code S81.052SOpen bite, left knee, sequela

ICD-10-CM CodesS00–T88S80-S89S81

ICD-10-CM S81.052S
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

S81.052S is a billable ICD-10-CM diagnosis code for open bite, left knee, 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. Coders also document this condition as bite wound of left knee region. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Injury, sequela.

Code Identity

ICD-10-CM Code
S81.052S
Billable Status
Yes — Valid for Submission
Code Describes
Open bite, left knee, sequela
Short Description
Open bite, left knee, sequela
Same as the full description in the CMS dataset.
Parent Code
Open bite, left knee

Code Classification

ChapterS00–T88Injury, poisoning and certain other consequences of external causes
SectionS80-S89Injuries to the knee and lower leg
CategoryS81Open wound of knee and lower leg
This CodeS81.052SOpen bite, left knee, sequela

Present on Admission (POA)Billing

S81.052S 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.

  • Bite wound of left knee region
  • Dog bite of knee
  • Human bite of knee
  • Open wound of left knee due to animal bite
  • Open wound of left knee due to dog bite
  • Open wound of left knee due to human bite

Coding GuidelinesGuidance

The appropriate 7th character is to be added to each code from block Open wound of knee and lower leg (S81). 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.

CCSR INJ073
Injury, sequela
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Animal Bites

Wild animals usually avoid people. They might attack, however, if they feel threatened, are sick, or are protecting their young or territory. Attacks by pets are more common. Animal bites rarely are life-threatening, but if they become infected, you can develop serious medical problems.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert S81.052S to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
906.1 Late eff open wnd extrem
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About S81.052SOverview

Is S81.052S (Open bite, left knee) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report open bite, left knee, sequela on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What does the 7th character S in S81.052S mean?

The final character S makes this a sequela code: it reports a lingering problem that remains after the open bite, left knee itself has resolved, not the original event.

What MS-DRG does S81.052S group to?

When open bite, left knee, 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 S81.052S 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 open bite, left knee, sequela on inpatient claims.

What is the ICD-9 equivalent of S81.052S?

Under the General Equivalence Mappings, open bite, left knee, sequela converts to ICD-9-CM 906.1 (late eff open wnd extrem). 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.