2026 ICD-10-CM Diagnosis Code S81.811SLaceration without foreign body, right lower leg, sequela
S81.811S is a billable ICD-10-CM diagnosis code for laceration without foreign body, right lower leg, 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 cut of lower leg. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Injury, sequela.
Code Identity
Code Classification
Present on Admission (POA)Billing
S81.811S 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 S81.811S to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About S81.811SOverview
Is S81.811S (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, sequela on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character S in S81.811S mean?
The final character S makes this a sequela code: it reports a lingering problem that remains after the laceration without foreign body, right lower leg itself has resolved, not the original event.
What MS-DRG does S81.811S group to?
When laceration without foreign body, right lower leg, 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 S81.811S 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, sequela on inpatient claims.
What is the ICD-9 equivalent of S81.811S?
Under the General Equivalence Mappings, laceration without foreign body, right lower leg, 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.
