MCMedicalCodingSoftware
S91.152A

S91.152A: Open bite of left great toe without damage to nail, initial encounter

Billable / specific codeICD-10-CMleft

S91.152A is a billable, specific ICD-10-CM code for open bite of left great toe without damage to nail, initial encounter. It is valid for submission on a claim.

Check S91.152A with the rest of the claim: free scrubber

7th character "A": initial encounter

The appropriate 7th character is to be added to each code from category S91

A
initial encounter
D
subsequent encounter
S
sequela

Excludes1 inherited from the categories above S91.152A

A category’s note binds every code beneath it.

Written on S91.15: Open bite of toe without damage to nail

Written on S91: Open wound of ankle, foot and toes

  • open fracture of ankle, foot and toes (S92.-with 7th character B)
  • traumatic amputation of ankle and foot (S98.-)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

S91.152A is named in 12 Medicare coverage policies: 12 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • A52438Billing and Coding: Tetanus Immunization
  • A53058Billing and Coding: Home Health Physical Therapy
  • A53065Billing and Coding: Outpatient Physical Therapy
  • A54767Billing and Coding: Medicare Preventive Coverage for Certain Vaccines

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under S91.152

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.