S91.205A
S91.205A: Unspecified open wound of left lesser toe(s) with damage to nail, initial encounter
Billable / specific codeICD-10-CMleft
S91.205A is a billable, specific ICD-10-CM code for unspecified open wound of left lesser toe(s) with damage to nail, initial encounter. It is valid for submission on a claim.
Check S91.205A with the rest of the claim: free scrubber7th 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
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
S91.205A is named in 6 Medicare coverage policies: 6 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A53058Billing and Coding: Home Health Physical Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
- A54767Billing and Coding: Medicare Preventive Coverage for Certain Vaccines
- A56900Billing and Coding: Immunizations
Code history
Unchanged in every release from FY2024 to FY2027.