2026 ICD-10-CM Diagnosis Code S11.14XAPuncture wound with foreign body of thyroid gland, initial encounter

ICD-10-CM Codes›S00–T88›S10-S19›S11

ICD-10-CM S11.14XA
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

S11.14XA is a billable ICD-10-CM diagnosis code for puncture wound with foreign body of thyroid gland, 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, 643 through 645, 963 through 965. As a secondary diagnosis, it counts as a complication or comorbidity (CC) and moves an inpatient stay to a higher severity level within its MS-DRG family. It does not count, however, when the principal diagnosis is one of 39 closely related codes. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Open wounds of head and neck, initial encounter.

Code Identity

ICD-10-CM Code
S11.14XA
Billable Status
Yes — Valid for Submission
Code Describes
Puncture wound with foreign body of thyroid gland, initial encounter
Short Description
Puncture wound w foreign body of thyroid gland, init encntr
Parent Code
Puncture wound with foreign body of thyroid gland

Code Classification

ChapterS00–T88Injury, poisoning and certain other consequences of external causes
SectionS10-S19Injuries to the neck
CategoryS11Open wound of neck
This CodeS11.14XAPuncture wound with foreign body of thyroid gland, initial encounter

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.

CCSR INJ011
Open wounds of head and neck, initial encounter
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Neck Injuries and Disorders

Any part of your neck - muscles, bones, joints, tendons, ligaments, or nerves - can cause neck problems. Neck pain is very common. Pain may also come from your shoulder, jaw, head, or upper arms.

Read the full article at MedlinePlus

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

Convert S11.14XA to ICD-9-CMHistory

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

ICD-9-CM
874.3 Open wound thyroid-compl
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 S11.14XAOverview

What is the ICD-10 code for puncture wound with foreign body of thyroid gland, initial encounter?

The ICD-10-CM code for puncture wound with foreign body of thyroid gland, initial encounter is S11.14XA (sometimes written as S1114XA). It is billable on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

Is S11.14XA (Puncture wound with foreign body of thyroid gland) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report puncture wound with foreign body of thyroid gland, initial encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What does the 7th character A in S11.14XA mean?

The final character A marks the initial encounter: use it while the patient is receiving active treatment for puncture wound with foreign body of thyroid gland, such as an emergency visit or first evaluation.

What MS-DRG does S11.14XA group to?

When puncture wound with foreign body of thyroid gland, initial encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 11, 12, 13, 643, 644, 645, 963, 964, 965, with relative weights from 0.7683 to 5.4541 depending on complications. Higher weights mean higher Medicare reimbursement.

Is S11.14XA a CC or MCC?

CMS lists S11.14XA as a CC (complication or comorbidity) for FY 2026. Reported as a secondary diagnosis, it moves the inpatient stay to a higher-weighted DRG within its severity family. It does not count when the principal diagnosis is one of the 39 closely related codes in its exclusion list.