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S91.052 ICD-10-CM Code: Open bite, left ankle

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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)

S91.052

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

Open bite, left ankle

Open bite, left ankle

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
S91.0Open wound of ankle
S91.05Open bite of ankle
S91.052Open bite, left ankle

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for S91.052 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for S91.052 in this effective period.

Related Child Codes

Official
S91.052AOpen bite, left ankle, initial encounter
S91.052DOpen bite, left ankle, subsequent encounter
S91.052SOpen bite, left ankle, sequela

Includes

Official

ICD-10-CM does not list Includes notes for S91.052 in this effective period.

Excludes 1

Official
  • superficial bite of ankle (S90.56-, S90.57-)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for S91.052 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for S91.052 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for S91.052 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

S91.052 is the ICD-10-CM diagnosis code for open bite, left ankle. S91.052 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 S91.052 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 S91.052'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 S91.052 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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