2026 ICD-10-CM Diagnosis Code S81.811DLaceration without foreign body, right lower leg, subsequent encounter
S81.811D is a billable ICD-10-CM diagnosis code for laceration without foreign body, right lower leg, 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 cut of lower leg. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Open wounds to limbs, subsequent encounter.
Code Identity
Code Classification
Present on Admission (POA)Billing
S81.811D 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.
- Cut of lower leg
- Cut of right lower leg
- Cut of right lower limb
- Laceration of right lower leg
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.
Patient EducationClinical
Wounds and Injuries
An injury is damage to your body. It is a general term that refers to harm caused by accidents, falls, hits, weapons, and more. In the U.S., millions of people injure themselves every year. These injuries range from minor to life-threatening.
Read the full article at MedlinePlus
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Convert S81.811D to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About S81.811DOverview
Is S81.811D (Laceration without foreign body, right lower leg) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report laceration without foreign body, right lower leg, subsequent encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character D in S81.811D mean?
The final character D marks a subsequent encounter: use it for routine care while the laceration without foreign body, right lower leg is healing, after active treatment has ended.
What MS-DRG does S81.811D group to?
When laceration without foreign body, right lower leg, 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 S81.811D 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 laceration without foreign body, right lower leg, subsequent encounter on inpatient claims.
What is the ICD-9 equivalent of S81.811D?
Under the General Equivalence Mappings, laceration without foreign body, right lower leg, 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.
