2026 ICD-10-CM Diagnosis Code S11.013APuncture wound without foreign body of larynx, initial encounter
ICD-10-CM Codes›S00–T88›S10-S19›S11
- Billable — Valid for Submission
- MCC — Major Complication or Comorbidity
- 7th Character A — Initial Encounter
- Not Chronic
S11.013A is a billable ICD-10-CM diagnosis code for puncture wound without foreign body of larynx, initial encounter. The 7th character A marks it as an initial encounter code, used while the patient is receiving active treatment. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 11 through 13, 154 through 156, 963 through 965. As a secondary diagnosis, it counts as a major complication or comorbidity (MCC) and places an inpatient stay in the highest severity level of its MS-DRG family. It does not count, however, when the principal diagnosis is one of 51 closely related codes. Coders also document this condition as penetrating wound of larynx. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Open wounds of head and neck, initial encounter.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Penetrating wound of larynx
- Penetrating wound of neck
Coding GuidelinesGuidance
The appropriate 7th character is to be added to each code from block Open wound of neck (S11). 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.
Patient EducationClinical
Throat Disorders
Your throat is a tube that carries food to your esophagus and air to your windpipe and larynx. The technical name for your throat is the pharynx.
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Convert S11.013A to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About S11.013AOverview
What is the ICD-10 code for puncture wound without foreign body of larynx, initial encounter?
The ICD-10-CM code for puncture wound without foreign body of larynx, initial encounter is S11.013A (sometimes written as S11013A). It is billable on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
Is S11.013A (Puncture wound without foreign body of larynx) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report puncture wound without foreign body of larynx, initial encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character A in S11.013A mean?
The final character A marks the initial encounter: use it while the patient is receiving active treatment for puncture wound without foreign body of larynx, such as an emergency visit or first evaluation.
What MS-DRG does S11.013A group to?
When puncture wound without foreign body of larynx, initial encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 11, 12, 13, 154, 155, 156, 963, 964, 965, with relative weights from 0.6911 to 5.4541 depending on complications. Higher weights mean higher Medicare reimbursement.
Is S11.013A a CC or MCC?
CMS lists S11.013A as an MCC (major complication or comorbidity) for FY 2026. Reported as a secondary diagnosis, it places the inpatient stay in the highest-weighted DRG of its severity family. It does not count when the principal diagnosis is one of the 51 closely related codes in its exclusion list.
