2026 ICD-10-CM Diagnosis Code S91.002SUnspecified open wound, left ankle, sequela

ICD-10-CM Codes›S00–T88›S90-S99›S91

ICD-10-CM S91.002S
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

S91.002S is a billable ICD-10-CM diagnosis code for unspecified open wound, left ankle, 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. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Injury, sequela.

Code Identity

ICD-10-CM Code
S91.002S
Billable Status
Yes — Valid for Submission
Code Describes
Unspecified open wound, left ankle, sequela
Short Description
Unspecified open wound, left ankle, sequela
Same as the full description in the CMS dataset.
Parent Code
S91.002
Unspecified open wound, left ankle

Code Classification

ChapterS00–T88Injury, poisoning and certain other consequences of external causes
SectionS90-S99Injuries to the ankle and foot
CategoryS91Open wound of ankle, foot and toes
This CodeS91.002SUnspecified open wound, left ankle, sequela

Present on Admission (POA)Billing

S91.002S 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.

  • Bimalleolar fracture of left ankle
  • Dislocation of joint of left ankle
  • Fracture of left lateral malleolus
  • Fracture of left medial malleolus
  • Open bimalleolar fracture
  • Open bimalleolar fracture of left ankle
  • Open dislocation of ankle
  • Open fracture of distal end of left fibula
  • Open fracture of distal end of left tibia
  • Open fracture of distal tibia and distal fibula
  • Open fracture of left ankle
  • Open fracture of left fibula
  • Open fracture of left lateral malleolus of fibula
  • Open fracture of left tibia
  • Open fracture of medial malleolus
  • Open fracture of medial malleolus of left tibia
  • Open fracture of tibia AND fibula
  • Open traumatic dislocation of joint of left ankle
  • Open trimalleolar fracture
  • Open trimalleolar fracture of left ankle
  • Open wound of left ankle
  • Trimalleolar fracture of left ankle

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.

Clinical ClassificationClinical

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

CCSR INJ073
Injury, sequela
Default principal diagnosis: inpatient Yes · outpatient Yes

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.

Convert S91.002S to ICD-9-CMHistory

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

ICD-9-CM
906.1 Late eff open wnd extrem
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 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About S91.002SOverview

Is S91.002S (Unspecified open wound, left ankle) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report unspecified open wound, left ankle, sequela on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What does the 7th character S in S91.002S mean?

The final character S makes this a sequela code: it reports a lingering problem that remains after the unspecified open wound, left ankle itself has resolved, not the original event.

What MS-DRG does S91.002S group to?

When unspecified open wound, left ankle, 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 S91.002S 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 unspecified open wound, left ankle, sequela on inpatient claims.

What is the ICD-9 equivalent of S91.002S?

Under the General Equivalence Mappings, unspecified open wound, left ankle, 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.