S91.15
S91.15: Open bite of toe without damage to nail
Non-billable headerICD-10-CM
S91.15 is a non-billable header ICD-10-CM code for open bite of toe without damage to nail. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.
This code requires a 7th character
The appropriate 7th character is to be added to each code from category S91
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Excludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Bite of toe NOS
Other codes that can never be billed with S91.15
Their own Excludes1 notes name this code, so the conflict is not listed above.
- S90.47Other superficial bite of toe
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Code history
Unchanged in every release from FY2024 to FY2027.
Code to one of these instead S91.15
7 child codes. Green means billable.
- S91.151Open bite of right great toe without damage to nail
- S91.152Open bite of left great toe without damage to nail
- S91.153Open bite of unspecified great toe without damage to nail
- S91.154Open bite of right lesser toe(s) without damage to nail
- S91.155Open bite of left lesser toe(s) without damage to nail
- S91.156Open bite of unspecified lesser toe(s) without damage to nail
- S91.159Open bite of unspecified toe(s) without damage to nail
Other codes under S91.1
- S91.10Unspecified open wound of toe without damage to nail
- S91.11Laceration without foreign body of toe without damage to nail
- S91.12Laceration with foreign body of toe without damage to nail
- S91.13Puncture wound without foreign body of toe without damage to nail
- S91.14Puncture wound with foreign body of toe without damage to nail