2026 ICD-10-CM Diagnosis Code S01.131DPuncture wound without foreign body of right eyelid and periocular area, subsequent encounter

ICD-10-CM Codes›S00–T88›S00-S09›S01

ICD-10-CM S01.131D
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

S01.131D is a billable ICD-10-CM diagnosis code for puncture wound without foreign body of right eyelid and periocular area, subsequent encounter. The 7th character D marks it as a subsequent encounter code, used during routine care in the healing or recovery phase. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 949 through 950. The code is exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Open wounds of head and neck, subsequent encounter.

Code Identity

ICD-10-CM Code
S01.131D
Billable Status
Yes — Valid for Submission
Code Describes
Puncture wound without foreign body of right eyelid and periocular area, subsequent encounter
Short Description
Pnctr w/o fb of right eyelid and periocular area, subs
Parent Code
S01.131
Puncture wound without foreign body of right eyelid and periocular area

Code Classification

ChapterS00–T88Injury, poisoning and certain other consequences of external causes
SectionS00-S09Injuries to the head
CategoryS01Open wound of head
This CodeS01.131DPuncture wound without foreign body of right eyelid and periocular area, subsequent encounter

Present on Admission (POA)Billing

S01.131D is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Open wound of right eyelid
  • Open wound of right lower eyelid
  • Open wound of right upper eyelid
  • Puncture wound of eye region
  • Puncture wound of eyelid
  • Puncture wound of lower eyelid
  • Puncture wound of right lower eyelid
  • Puncture wound of right upper eyelid
  • Puncture wound of upper eyelid

Coding GuidelinesGuidance

The appropriate 7th character is to be added to each code from block Open wound of head (S01). Use the following options for the applicable episode of care:

  • A - initial encounter
  • D - subsequent encounter
  • S - sequela

Source: ICD-10-CM Official Guidelines for Coding and Reporting, FY 2026, published by CMS and the National Center for Health Statistics.

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR INJ048
Open wounds of head and neck, subsequent encounter
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Eye Injuries

The structure of your face helps protect your eyes from injury. Still, injuries can damage your eye, sometimes severely enough that you could lose your vision. Most eye injuries are preventable. If you play sports or work in certain jobs, you may need protection.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert S01.131D to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
V58.89 Other specfied aftercare
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About S01.131DOverview

Is S01.131D a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report puncture wound without foreign body of right eyelid and periocular area, subsequent encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What does the 7th character D in S01.131D mean?

The final character D marks a subsequent encounter: use it for routine care while the puncture wound without foreign body of right eyelid and periocular area is healing, after active treatment has ended.

What MS-DRG does S01.131D group to?

When puncture wound without foreign body of right eyelid and periocular area, subsequent encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 949, 950, with relative weights from 0.6277 to 1.1897 depending on complications. Higher weights mean higher Medicare reimbursement.

Is S01.131D exempt from POA reporting?

Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for puncture wound without foreign body of right eyelid and periocular area, subsequent encounter on inpatient claims.

What is the ICD-9 equivalent of S01.131D?

Under the General Equivalence Mappings, puncture wound without foreign body of right eyelid and periocular area, subsequent encounter converts to ICD-9-CM V58.89 (other specfied aftercare). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.