2026 ICD-10-CM Diagnosis Code S91.029ALaceration with foreign body, unspecified ankle, initial encounter

ICD-10-CM CodesS00–T88S90-S99S91

ICD-10-CM S91.029A
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

S91.029A is a billable ICD-10-CM diagnosis code for laceration with foreign body, unspecified 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 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 913 through 914, 963 through 965. Coders also document this condition as laceration of ankle. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Open wounds to limbs, initial encounter.

Code Identity

ICD-10-CM Code
S91.029A
Billable Status
Yes — Valid for Submission
Code Describes
Laceration with foreign body, unspecified ankle, initial encounter
Short Description
Laceration with foreign body, unspecified ankle, init encntr
Parent Code
Laceration with foreign body, unspecified 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 CodeS91.029ALaceration with foreign body, unspecified ankle, initial encounter

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Laceration of ankle
  • Laceration of ankle with foreign body

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 INJ012
Open wounds to limbs, initial encounter
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 S91.029A to ICD-9-CMHistory

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

ICD-9-CM
891.1 Open wnd knee/leg-compl
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 S91.029AOverview

Is S91.029A (Laceration with foreign body, unspecified ankle) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report laceration with foreign body, unspecified ankle, initial encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What does the 7th character A in S91.029A mean?

The final character A marks the initial encounter: use it while the patient is receiving active treatment for laceration with foreign body, unspecified ankle, such as an emergency visit or first evaluation.

What MS-DRG does S91.029A group to?

When laceration with foreign body, unspecified ankle, initial encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 913, 914, 963, 964, 965, with relative weights from 0.8855 to 2.7338 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of S91.029A?

Under the General Equivalence Mappings, laceration with foreign body, unspecified ankle, initial encounter converts to ICD-9-CM 891.1 (open wnd knee/leg-compl). 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.