S90.221AContusion of right lesser toe(s) with damage to nail, initial encounter

S90.221A is the ICD-10-CM diagnosis code for contusion of right lesser toe(s) with damage to nail, initial encounter. It belongs to category S90 (superficial injury of ankle, foot and toes), block S90-S99 (injuries to the ankle and foot) and chapter 19 (injury, poisoning and certain other consequences of external causes). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

The 7th character "A" means initial encounter: use it while the patient is receiving active treatment for the condition.

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 604 (Trauma to the Skin, Subcutaneous Tissue and Breast with MCC, relative weight 1.453), DRG 605 (Trauma to the Skin, Subcutaneous Tissue and Breast without MCC, relative weight 0.9079), DRG 963 (Other Multiple Significant Trauma with MCC, relative weight 2.6363), DRG 964 (Other Multiple Significant Trauma with CC, relative weight 1.4972) and DRG 965 (Other Multiple Significant Trauma without CC/MCC, relative weight 1.0059), in MDC 09 (Diseases and Disorders of the Skin, Subcutaneous Tissue and Breast) and MDC 24 (Multiple Significant Trauma), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Before ICD-10, this condition was coded in ICD-9-CM as 924.3 (contusion of toe).