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S90.456 ICD-10-CM Code: Superficial foreign body, unspecified lesser toe(s)

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FY 2026 Apr update / Injury, poisoning and certain other consequences of external causes (S00-T88) / Injuries to the ankle and foot (S90-S99)

S90.456

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Superficial foreign body, unspecified lesser toe(s)

Superficial foreign body, unspecified lesser toe(s)

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
S90.4Other superficial injuries of toe
S90.45Superficial foreign body of toe
S90.456Superficial foreign body, unspecified lesser toe(s)

Inclusion Terms

Official
  • Splinter in the toe

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for S90.456 in this effective period.

Related Child Codes

Official
S90.456ASuperficial foreign body, unspecified lesser toe(s), initial encounter
S90.456DSuperficial foreign body, unspecified lesser toe(s), subsequent encounter
S90.456SSuperficial foreign body, unspecified lesser toe(s), sequela

Includes

Official

ICD-10-CM does not list Includes notes for S90.456 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for S90.456 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for S90.456 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for S90.456 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for S90.456 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

What This Code Means

S90.456 is the ICD-10-CM diagnosis code for superficial foreign body, unspecified lesser toe(s). S90.456 sits in the ICD-10-CM chapter for injury, poisoning and certain other consequences of external causes (s00-t88), within the section covering injuries to the ankle and foot (s90-s99).

Header codes like S90.456 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at S90.456's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for S90.456 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Child Codes

Code Hierarchy

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