S91.23 — Puncture wound without foreign body of toe with damage to nail
Is S91.23 billable?
No — S91.23 is a non-billable header code. S91.23 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 21 billable codes beneath S91.23.
Billable codes under this header
- S91.231APuncture wound without foreign body of right great toe with damage to nail, initial encounter
- S91.231DPuncture wound without foreign body of right great toe with damage to nail, subsequent encounter
- S91.231SPuncture wound without foreign body of right great toe with damage to nail, sequela
- S91.232APuncture wound without foreign body of left great toe with damage to nail, initial encounter
- S91.232DPuncture wound without foreign body of left great toe with damage to nail, subsequent encounter
- S91.232SPuncture wound without foreign body of left great toe with damage to nail, sequela
- S91.233APuncture wound without foreign body of unspecified great toe with damage to nail, initial encounter
- S91.233DPuncture wound without foreign body of unspecified great toe with damage to nail, subsequent encounter
- S91.233SPuncture wound without foreign body of unspecified great toe with damage to nail, sequela
- S91.234APuncture wound without foreign body of right lesser toe(s) with damage to nail, initial encounter
- S91.234DPuncture wound without foreign body of right lesser toe(s) with damage to nail, subsequent encounter
- S91.234SPuncture wound without foreign body of right lesser toe(s) with damage to nail, sequela
- S91.235APuncture wound without foreign body of left lesser toe(s) with damage to nail, initial encounter
- S91.235DPuncture wound without foreign body of left lesser toe(s) with damage to nail, subsequent encounter
- S91.235SPuncture wound without foreign body of left lesser toe(s) with damage to nail, sequela
- S91.236APuncture wound without foreign body of unspecified lesser toe(s) with damage to nail, initial encounter
- S91.236DPuncture wound without foreign body of unspecified lesser toe(s) with damage to nail, subsequent encounter
- S91.236SPuncture wound without foreign body of unspecified lesser toe(s) with damage to nail, sequela
- S91.239APuncture wound without foreign body of unspecified toe(s) with damage to nail, initial encounter
- S91.239DPuncture wound without foreign body of unspecified toe(s) with damage to nail, subsequent encounter
- S91.239SPuncture wound without foreign body of unspecified toe(s) with damage to nail, sequela
S91.23 at a glance
| Code | S91.23 |
|---|---|
| Description | Puncture wound without foreign body of toe with damage to nail |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Excludes1 — never code together — inherited from S91
The conditions below can never be reported together with S91.23 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- open fracture of ankle, foot and toes (S92.-with 7th character B)
- traumatic amputation of ankle and foot (S98.-)
Use additional code — inherited from Chapter 19
Report an additional code alongside S91.23 to fully describe the condition. S91.23 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 S91.23, but a patient may have both at the same time. When documentation supports it, S91.23 and the excluded code may both be reported.
Excludes2 — not included here — inherited from S90-S99
The conditions below are not part of S91.23, but a patient may have both at the same time. When documentation supports it, S91.23 and the excluded code may both be reported.
Code also — inherited from S91
Two codes may be needed to describe the condition fully. Whether S91.23 is sequenced first depends on the reason for the encounter.
- any associated wound infection
What codes fall under S91.23? (7)
- S91.231Puncture wound without foreign body of right great toe with damage to nailnot billable
- S91.232Puncture wound without foreign body of left great toe with damage to nailnot billable
- S91.233Puncture wound without foreign body of unspecified great toe with damage to nailnot billable
- S91.234Puncture wound without foreign body of right lesser toe(s) with damage to nailnot billable
- S91.235Puncture wound without foreign body of left lesser toe(s) with damage to nailnot billable
- S91.236Puncture wound without foreign body of unspecified lesser toe(s) with damage to nailnot billable
- S91.239Puncture wound without foreign body of unspecified toe(s) with damage to nailnot billable
How long has S91.23 existed?
S91.23 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.
What other codes are in the S91.2 family? (5)
- S91.20Unspecified open wound of toe with damage to nailnot billable
- S91.21Laceration without foreign body of toe with damage to nailnot billable
- S91.22Laceration with foreign body of toe with damage to nailnot billable
- S91.24Puncture wound with foreign body of toe with damage to nailnot billable
- S91.25Open bite of toe with damage to nailnot billable