Skip to content

S91 ICD-10-CM Code: Open wound of ankle, foot and toes

ICD-10-CM Code View

HCC Buddy Code Card

Digital ICD-10 code-book layout with official code detail, always-visible risk models, Code Trumping, and Buddy coding guidance.

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

S91

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

Open wound of ankle, foot and toes

Open wound of ankle, foot and toes

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

Basket needed

Code Book Path

Official
S9Injuries to the ankle and foot (S90-S99)
S91Open wound of ankle, foot and toes

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for S91 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for S91 in this effective period.

Related Child Codes

Official
S91.0Open wound of ankle
S91.1Open wound of toe without damage to nail
S91.2Open wound of toe with damage to nail
S91.3Open wound of foot

Includes

Official

ICD-10-CM does not list Includes notes for S91 in this effective period.

Excludes 1

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

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for S91 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for S91 in this effective period.

Code Also

Official
  • any associated wound infection

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

S91 is the ICD-10-CM diagnosis code for open wound of ankle, foot and toes. S91 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 S91 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 S91'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 S91 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 1, Do NOT code together

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

Code Also

  • any associated wound infection

Child Codes

Code Hierarchy

S91Open wound of ankle, foot and toes
S91Open wound of ankle, foot and toes

Open S91 in the Interactive Encoder

See full code details, coding tips, HCC mappings, and related codes in our interactive encoder. Start your 14-day Pro trial. No credit card required.