S95.999A

Other specified injury of unspecified blood vessel at ankle and foot level, unspecified leg, initial encounter

FY2027Chapter 19: Injury, poisoning and certain other consequences of external causes/S90–S99 Injuries to the ankle and foot

BillableComplete code, valid to report
Care settingsHospital CC

S95.999A (also written S95999A) is a billable ICD-10-CM diagnosis code for other specified injury of unspecified blood vessel at ankle and foot level, unspecified leg, initial encounter. It is part of the FY2027 code set, effective October 1, 2026. It is one of the 135 codes in category S95 (Injury of blood vessels at ankle and foot level). Its 7th character, A, means initial encounter. Its coding notes include a Use additional code instruction, a Code also instruction and 7 Excludes2 entries.

7th character

Category S95 requires a 7th character.

Assembled code S95.999A Open code

Guidelines tips

From the FY2027 Official Guidelines. ICD10Ref adds no rules of its own.

The 7th character depends on whether the patient is in active treatment, not on who sees the patient. An aftercare Z code is not used for injury aftercare.

Guidelines I.C.19.aInjuries: application of 7th charactersRead the official text

Each injury gets its own code unless a combination code exists, with the most serious injury first. Superficial injuries at the same site as a more severe injury are not coded. Injuries during medical care are coded as complications.

Guidelines I.C.19.bCoding of injuriesRead the official text

Use additional code

Add the listed code as a secondary code, if known.

Also from chapter/block level (1 note)
Inherited from Chapter 19 Injury, poisoning and certain other consequences of external causes
  • code to identify any retained foreign body, if applicable (Z18.-)

Code also

Two codes may be needed to describe the condition. This note gives no sequencing order.

Inherited from S95 Injury of blood vessels at ankle and foot level
  • any associated open wound (S91.-)

Excludes2

Not included here. Both codes may be reported if the patient has both conditions.

Inherited from S95 Injury of blood vessels at ankle and foot level
Also from chapter/block level (6 notes)
Inherited from S90–S99 Injuries to the ankle and foot
  • burns and corrosions (T20-T32)
  • fracture of ankle and malleolus (S82.-)
  • frostbite (T33-T34)
  • insect bite or sting, venomous (T63.4)
Inherited from Chapter 19 Injury, poisoning and certain other consequences of external causes
  • birth trauma (P10-P15)
  • obstetric trauma (O70-O71)

Care settings

How CMS programs treat this code. These are CMS claim edits and list entries, not coverage or eligibility rules.

Hospital CC

Counts as a complication or comorbidity (CC) when reported as a secondary diagnosis on an inpatient claim. It does not count when the principal diagnosis is one of the 192 codes in its exclusion list. Some MS-DRGs also ignore a CC or MCC that defines the DRG.

Source: CMS MS-DRG Definitions Manual v44, effective October 1, 2026, Appendix C

Notes

Also from chapter/block level (2 notes)
Inherited from Chapter 19 Injury, poisoning and certain other consequences of external causes
  • Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
  • The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.