ICD-10-CM › S00-T88 › S90-S99 › S91.03 Puncture wound without foreign... › S91.039

This code exists but cannot be submitted on its own. It groups the more specific codes beneath it.

A category header for its whole life, FY2016 onwards. It has never been valid for submission on its own.

Submit one of these 3 more specific codes instead:

• S91.039A Puncture wound without foreign body, unspecified ankle, initial encounter
• S91.039D Puncture wound without foreign body, unspecified ankle, subsequent encounter
• S91.039S Puncture wound without foreign body, unspecified ankle, sequela

This code requires a seventh character. See the rule below.

What has happened to this code

Official coding rules

Published by CDC for FY2027. A rule attached to a category binds every code beneath it, so the rules inherited from this code's ancestors are shown with the code they come from.

Inherited from S91 Open wound of ankle, foot and toes

Seventh character required

• The appropriate 7th character is to be added to each code from category S91

Excludes1 - never coded here

• open fracture of ankle, foot and toes (S92.-with 7th character B)
• traumatic amputation of ankle and foot (S98.-)

Code also

• any associated wound infection

Inherited from the S90-S99 section Injuries to the ankle and foot (S90-S99)

Excludes2 - not included here

• burns and corrosions (T20-T32)
• fracture of ankle and malleolus (S82.-)
• frostbite (T33-T34)
• insect bite or sting, venomous (T63.4)

How CDC's index refers to this code

Wording from the official alphabetic index. Much of it appears nowhere in the code description, which is why a search for the everyday phrase so often finds nothing.

• Injury > ankle > open
• Wound, open > leg > ankle
• Wound, open > ankle > puncture
• Puncture > ankle

Codes in the same group

Code	Description	Status
S91.031	Puncture wound without foreign body, right ankle	Not billable
S91.032	Puncture wound without foreign body, left ankle	Not billable