2025 ICD-10-CM code S91
(Active) Effective Date: N/A Injury, poisoning and certain other consequences of external causes - Injury to the ankle and foot 19 Feed
Open wound of the ankle, foot, and toes. This code excludes traumatic amputation of the ankle and foot (S98.-) and open fracture of ankle, foot and toes (S92.-with 7th character B).
Medical necessity for treatment of an open wound is based on the risk of infection, the extent of tissue damage, and the potential for functional impairment.
Providers diagnose open wounds of the ankle, foot, and toes based on physical examination, patient history, and sometimes imaging (like X-rays). Treatment typically involves controlling bleeding, cleaning the wound, removing damaged tissue (if necessary), and repairing the wound.Pain medication, antibiotics, and tetanus shots may also be given.
In simple words: An open wound on your ankle, foot, or toes means the skin is broken, like a cut, puncture, or bite.This allows germs to get in.This code doesn't cover amputations or open fractures (where the bone is also broken and sticking out).
Open wound of ankle, foot and toes. Code also any associated wound infection. Excludes1: open fracture of ankle, foot and toes (S92.-with 7th character B) traumatic amputation of ankle and foot (S98.-)
Example 1: A patient presents with a deep laceration on the sole of their foot after stepping on broken glass., A patient has a puncture wound on their toe after stepping on a nail., A dog bites a patient on the ankle, resulting in an open wound.
Documentation should include the location and type of wound (laceration, puncture, etc.), the cause of the injury, the depth and extent of the wound, any associated injuries (e.g., fractures, nerve damage), and the treatment provided.
- Specialties:Emergency Medicine, Family Medicine, Orthopedic Surgery, Podiatry
- Place of Service:Office, Home, Inpatient Hospital, On Campus-Outpatient Hospital, Emergency Room - Hospital, Urgent Care Facility, Outpatient Hospital