2027 ICD-10-CM Diagnosis Code S90.562AInsect bite (nonvenomous), left ankle, initial encounter

ICD-10-CM Codes›S00–T88›S90-S99›S90

ICD-10-CM S90.562A
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

S90.562A is a billable ICD-10-CM diagnosis code for insect bite (nonvenomous), left ankle, 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 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 606 through 607, 963 through 965. Coders also document this condition as bite wound of left ankle. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Superficial injury; contusion, initial encounter.

Code Identity

ICD-10-CM Code
S90.562A
Billable Status
Yes — Valid for Submission
Code Describes
Insect bite (nonvenomous), left ankle, initial encounter
Short Description
Insect bite (nonvenomous), left ankle, initial encounter
Same as the full description in the CMS dataset.
Parent Code
Insect bite (nonvenomous), left ankle

Code Classification

ChapterS00–T88Injury, poisoning and certain other consequences of external causes
SectionS90-S99Injuries to the ankle and foot
CategoryS90Superficial injury of ankle, foot and toes
This CodeS90.562AInsect bite (nonvenomous), left ankle, initial encounter

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Bite wound of left ankle
  • Infected nonvenomous insect bite of left ankle
  • Insect bite, nonvenomous, of ankle
  • Nonvenomous insect bite of ankle with infection
  • Superficial injury of left ankle
  • Wound of left ankle 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 S90.562A: 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.

From Block S90-S99 Injuries to the ankle and foot applies to 3,324 codes
  • burns and corrosions (T20-T32)
  • fracture of ankle and malleolus (S82.-)
  • frostbite (T33-T34)
  • insect bite or sting, venomous (T63.4)
From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes

Use Additional Code

Add a second code, after this one, to fully describe the condition.

From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes
  • code to identify any retained foreign body, if applicable (Z18.-)

Notes

General instructions on how these codes are used.

From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes
  • 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.

From S90 Superficial injury of ankle, foot and toes applies to 306 codes
  • The appropriate 7th character is to be added to each code from category S90
  • Ainitial encounter this code
  • Dsubsequent encounter
  • 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 S90.562A, its category, or a range that includes it.

Excludes1 1

These codes carry an Excludes1 note naming S90.562A: they are not reported together with it, unless the two conditions are unrelated.

  • S91.05 Open bite of ankle
    superficial bite of ankle (S90.56-, S90.57-) names S90.56-, which includes this code

Excludes2 1

These codes carry an Excludes2 note naming S90.562A: its condition is not part of those codes, and both may be reported when the patient has both.

  • S80 Superficial injury of knee and lower leg
    superficial injury of ankle and foot (S90.-) names S90.-, which includes this code

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR INJ017
Superficial injury; contusion, initial encounter
Default principal diagnosis: inpatient Yes · outpatient Yes

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 S90.562A to ICD-9-CMHistory

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

ICD-9-CM
916.4 Insect bite hip & leg
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 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About S90.562AOverview

What is the ICD-10 code for insect bite (nonvenomous), left ankle, initial encounter?

The ICD-10-CM code for insect bite (nonvenomous), left ankle, initial encounter is S90.562A (sometimes written as S90562A). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is S90.562A (Insect bite (nonvenomous), left ankle) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report insect bite (nonvenomous), left ankle, initial encounter on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What does the 7th character A in S90.562A mean?

The final character A marks the initial encounter: use it while the patient is receiving active treatment for insect bite (nonvenomous), left ankle, such as an emergency visit or first evaluation.

What MS-DRG does S90.562A group to?

When insect bite (nonvenomous), left ankle, initial encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 964, 965, 607, 963, 606, with relative weights from 0.8772 to 2.6361 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of S90.562A?

Under the General Equivalence Mappings, insect bite (nonvenomous), left ankle, initial encounter converts to ICD-9-CM 916.4 (insect bite hip & leg). The mapping is approximate, so confirm the match fits the documentation.