2026 ICD-10-CM Diagnosis Code S91Open wound of ankle, foot and toes
S91 is a non-billable ICD-10-CM category code for open wound of ankle, foot and toes, so it cannot be submitted on claims. Use a more specific code from this category instead, such as S91.001A, S91.001D, S91.001S, and S91.002A.
Code Identity
Code Classification
Specific Coding for Open wound of ankle, foot and toesOverview
Non-specific codes like S91 require more characters. Use one of these billable codes instead:
S91.0 for Open wound of ankle
S91.00 for Unspecified open wound of ankle
S91.01 for Laceration without foreign body of ankle
S91.02 for Laceration with foreign body of ankle
S91.03 for Puncture wound without foreign body of ankle
S91.04 for Puncture wound with foreign body of ankle
S91.05 for Open bite of ankle
S91.1 for Open wound of toe without damage to nail
S91.10 for Unspecified open wound of toe without damage to nail
S91.11 for Laceration without foreign body of toe without damage to nail
S91.12 for Laceration with foreign body of toe without damage to nail
S91.13 for Puncture wound without foreign body of toe without damage to nail
S91.14 for Puncture wound with foreign body of toe without damage to nail
S91.15 for Open bite of toe without damage to nail
S91.2 for Open wound of toe with damage to nail
S91.20 for Unspecified open wound of toe with damage to nail
S91.21 for Laceration without foreign body of toe with damage to nail
S91.22 for Laceration with foreign body of toe with damage to nail
S91.23 for Puncture wound without foreign body of toe with damage to nail
S91.24 for Puncture wound with foreign body of toe with damage to nail
S91.25 for Open bite of toe with damage to nail
S91.3 for Open wound of foot
S91.30 for Unspecified open wound of foot
S91.31 for Laceration without foreign body of foot
S91.32 for Laceration with foreign body of foot
S91.33 for Puncture wound without foreign body of foot
S91.34 for Puncture wound with foreign body of foot
S91.35 for Open bite of foot
Coding GuidelinesGuidance
The appropriate 7th character is to be added to each code from block Open wound of ankle, foot and toes (S91). 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.
Tabular List NotesGuidance
Coding notes and annotation back-references applicable to this code.
Code Also
- any associated wound infection
Type 1 Excludes
7th Character Note
- The appropriate 7th character is to be added to each code from category S91
7th Character
- A - initial encounter
- D - subsequent encounter
- S - sequela
A "code also" note instructs that two codes may be required to fully describe a condition, but this note does not provide sequencing direction.
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
Certain ICD-10-CM categories have applicable 7th characters. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.
Indicates that a seventh character is to be assigned to codes in a subcategory.
Patient EducationClinical
Ankle Injuries and Disorders
Your ankle bone and the ends of your two lower leg bones make up the ankle joint. Your ligaments, which connect bones to one another, stabilize and support it. Your muscles and tendons move it.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Code HistoryHistory
Questions About S91Overview
Is S91 (Open wound of ankle, foot and toes) a billable code?
No. This is a category header that groups the codes for open wound of ankle, foot and toes, and headers cannot be submitted on claims. Claims for open wound of ankle, foot and toes need a more specific code from this category, such as S91.001A, S91.001D, and S91.001S.
