2026 ICD-10-CM Diagnosis Code S90.415AAbrasion, left lesser toe(s), initial encounter
S90.415A is a billable ICD-10-CM diagnosis code for abrasion, left lesser toe(s), initial encounter. The 7th character A marks it as an initial encounter code, used while the patient is receiving active treatment. 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, 963 through 965. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Superficial injury; contusion, initial encounter.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Abrasion and/or friction burn of toe with infection
- Abrasion of skin of fourth toe
- Abrasion of skin of left foot
- Abrasion of skin of left fourth toe
- Abrasion of skin of left little toe
- Abrasion of skin of left second toe
- Abrasion of skin of left third toe
- Abrasion of skin of lesser toe of left foot
- Abrasion of skin of little toe
- Abrasion of skin of multiple toes
- Abrasion of skin of multiple toes of left foot
- Abrasion of skin of second toe
- Abrasion of skin of third toe
- Infected abrasion of skin of foot
- Infected abrasion of skin of left foot
- Infected abrasion of skin of lesser toe of left foot
- Infected abrasion of skin of toe
- Superficial injury of little toe
Coding GuidelinesGuidance
The appropriate 7th character is to be added to each code from block Superficial injury of ankle, foot and toes (S90). 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
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert S90.415A to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About S90.415AOverview
Is S90.415A (Abrasion, left lesser toe(s)) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report abrasion, left lesser toe(s), initial encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character A in S90.415A mean?
The final character A marks the initial encounter: use it while the patient is receiving active treatment for abrasion, left lesser toe(s), such as an emergency visit or first evaluation.
What MS-DRG does S90.415A group to?
When abrasion, left lesser toe(s), initial encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 604, 605, 963, 964, 965, with relative weights from 0.9160 to 2.7338 depending on complications. Higher weights mean higher Medicare reimbursement.
What is the ICD-9 equivalent of S90.415A?
Under the General Equivalence Mappings, abrasion, left lesser toe(s), initial encounter converts to ICD-9-CM 917.0 (abrasion foot & toe). 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.
