2026 ICD-10-CM Diagnosis Code S91.155SOpen bite of left lesser toe(s) without damage to nail, sequela
S91.155S is a billable ICD-10-CM diagnosis code for open bite of left lesser toe(s) without damage to nail, 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
Code Classification
Present on Admission (POA)Billing
S91.155S is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.
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.
Patient EducationClinical
Animal Bites
Wild animals usually avoid people. They might attack, however, if they feel threatened, are sick, or are protecting their young or territory. Attacks by pets are more common. Animal bites rarely are life-threatening, but if they become infected, you can develop serious medical problems.
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Convert S91.155S to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About S91.155SOverview
Is S91.155S (Open bite of left lesser toe(s) without damage to nail) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report open bite of left lesser toe(s) without damage to nail, sequela on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character S in S91.155S mean?
The final character S makes this a sequela code: it reports a lingering problem that remains after the open bite of left lesser toe(s) without damage to nail itself has resolved, not the original event.
What MS-DRG does S91.155S group to?
When open bite of left lesser toe(s) without damage to nail, 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 S91.155S 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 open bite of left lesser toe(s) without damage to nail, sequela on inpatient claims.
What is the ICD-9 equivalent of S91.155S?
Under the General Equivalence Mappings, open bite of left lesser toe(s) without damage to nail, 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.
