S21.001D — Unspecified open wound of right breast, subsequent encounter
Is S21.001D billable?
Yes, but S21.001D is an unspecified code. S21.001D is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, S21.001D is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting S21.001D — the more specific alternatives are listed below.
More specific alternatives
- S21.011DLaceration without foreign body of right breast, subsequent encounter
- S21.021DLaceration with foreign body of right breast, subsequent encounter
- S21.031DPuncture wound without foreign body of right breast, subsequent encounter
- S21.041DPuncture wound with foreign body of right breast, subsequent encounter
- S21.051DOpen bite of right breast, subsequent encounter
S21.001D at a glance
| Code | S21.001D |
|---|---|
| Description | Unspecified open wound of right breast, subsequent encounter |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
| 7th character "D" | subsequent encounter |
What does the 7th character "D" mean in S21.001D?
In S21.001D, the 7th character D means subsequent encounter. The 7th character is required for S21.001D to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
Which MS-DRGs does S21.001D group to?
S21.001D sits in MDC 23 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 949Aftercare with CC/MCCmedical
- 950Aftercare without CC/MCCmedical
How is S21.001D listed in the Alphabetic Index?
The Alphabetic Index lists these routes under S21.00, the nearest indexed parent of S21.001D. Use them to find the family, then select the specific code.
- Wound, open › breast
Excludes1 — never code together — inherited from S21
The conditions below can never be reported together with S21.001D on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- traumatic amputation (partial) of thorax (S28.1)
Use additional code — inherited from Chapter 19
Report an additional code alongside S21.001D to fully describe the condition. S21.001D is sequenced first.
- code to identify any retained foreign body, if applicable (Z18.-)
Excludes2 — not included here — inherited from Chapter 19
The conditions below are not part of S21.001D, but a patient may have both at the same time. When documentation supports it, S21.001D and the excluded code may both be reported.
Excludes2 — not included here — inherited from S20-S29
The conditions below are not part of S21.001D, but a patient may have both at the same time. When documentation supports it, S21.001D and the excluded code may both be reported.
- burns and corrosions (T20-T32)
- effects of foreign body in bronchus (T17.5)
- effects of foreign body in esophagus (T18.1)
- effects of foreign body in lung (T17.8)
- effects of foreign body in trachea (T17.4)
- frostbite (T33-T34)
- injuries of axilla
- injuries of clavicle
- injuries of scapular region
- injuries of shoulder
- insect bite or sting, venomous (T63.4)
Code also — inherited from S21
Two codes may be needed to describe the condition fully. Whether S21.001D is sequenced first depends on the reason for the encounter.
How long has S21.001D existed?
S21.001D has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.