2027 ICD-10-CM Diagnosis Code S90.464DInsect bite (nonvenomous), right lesser toe(s), subsequent encounter
S90.464D is a billable ICD-10-CM diagnosis code for insect bite (nonvenomous), right lesser toe(s), 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 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 949 through 950. The code is exempt from POA reporting. Coders also document this condition as infected wound of right foot due to nonvenomous insect bite. 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
S90.464D is exempt from POA reporting on inpatient claims to general acute care hospitals. Review the other POA exempt codes in Injuries to the ankle and foot (S90-S99).
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Infected wound of right foot due to nonvenomous insect bite
- Nonvenomous insect bite of foot with infection
- Nonvenomous insect bite of lesser toe
- Nonvenomous insect bite of lesser toe of right foot
- Nonvenomous insect bite of lesser toe of right foot with infection
- Nonvenomous insect bite of lesser toe with infection
- Nonvenomous insect bite of toe with infection
- Wound of right foot due to nonvenomous insect bite
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 2027, published by CMS and the National Center for Health Statistics.
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to S90.464D: its own notes plus those printed at S90, block S90-S99, and Chapter 19. A note printed at a category, block or chapter applies to every code under it.
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
Use Additional Code
Add a second code, after this one, to fully describe the condition.
- code to identify any retained foreign body, if applicable (Z18.-)
Notes
General instructions on how these codes are used.
- Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
- The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.
7th Character
Every code in the category takes a 7th character from the listed values, with the placeholder X filling any empty positions before it.
- The appropriate 7th character is to be added to each code from category S90
- Ainitial encounter
- Dsubsequent encounter this code
- Ssequela
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name S90.464D, its category, or a range that includes it.
Excludes1 2
These codes carry an Excludes1 note naming S90.464D: they are not reported together with it, unless the two conditions are unrelated.
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Insect Bites and Stings
Most insect bites are harmless, though they sometimes cause discomfort. Bee, wasp, and hornet stings and fire ant bites usually hurt. Mosquito and flea bites usually itch. Insects can also spread diseases. In the United States, some mosquitoes spread West Nile virus.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert S90.464D to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About S90.464DOverview
What is the ICD-10 code for insect bite (nonvenomous), right lesser toe(s), subsequent encounter?
The ICD-10-CM code for insect bite (nonvenomous), right lesser toe(s), subsequent encounter is S90.464D (sometimes written as S90464D). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is S90.464D (Insect bite (nonvenomous), right lesser toe(s)) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report insect bite (nonvenomous), right lesser toe(s), subsequent encounter on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What does the 7th character D in S90.464D mean?
The final character D marks a subsequent encounter: use it for routine care while the insect bite (nonvenomous), right lesser toe(s) is healing, after active treatment has ended.
What MS-DRG does S90.464D group to?
When insect bite (nonvenomous), right lesser toe(s), subsequent encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 950, 949, with relative weights from 0.7661 to 1.1231 depending on complications. Higher weights mean higher Medicare reimbursement.
Is S90.464D 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 insect bite (nonvenomous), right lesser toe(s), subsequent encounter on inpatient claims. The code appears in the Injuries to the ankle and foot (S90-S99) range of the CMS exempt list.
