2026 ICD-10-CM Diagnosis Code S21Open wound of thorax
S21 is a non-billable ICD-10-CM category code for open wound of thorax, so it cannot be submitted on claims. Use a more specific code from this category instead, such as S21.001A, S21.001D, S21.001S, and S21.002A.
Code Identity
Code Classification
Specific Coding for Open wound of thoraxOverview
Non-specific codes like S21 require more characters. Use one of these billable codes instead:
S21.0 for Open wound of breast
S21.00 for Unspecified open wound of breast
S21.01 for Laceration without foreign body of breast
S21.02 for Laceration with foreign body of breast
S21.03 for Puncture wound without foreign body of breast
S21.04 for Puncture wound with foreign body of breast
S21.05 for Open bite of breast
S21.1 for Open wound of front wall of thorax without penetration into thoracic cavity
S21.10 for Unspecified open wound of front wall of thorax without penetration into thoracic cavity
S21.11 for Laceration without foreign body of front wall of thorax without penetration into thoracic cavity
S21.12 for Laceration with foreign body of front wall of thorax without penetration into thoracic cavity
S21.13 for Puncture wound without foreign body of front wall of thorax without penetration into thoracic cavity
S21.14 for Puncture wound with foreign body of front wall of thorax without penetration into thoracic cavity
S21.15 for Open bite of front wall of thorax without penetration into thoracic cavity
S21.2 for Open wound of back wall of thorax without penetration into thoracic cavity
S21.20 for Unspecified open wound of back wall of thorax without penetration into thoracic cavity
S21.21 for Laceration without foreign body of back wall of thorax without penetration into thoracic cavity
S21.22 for Laceration with foreign body of back wall of thorax without penetration into thoracic cavity
S21.23 for Puncture wound without foreign body of back wall of thorax without penetration into thoracic cavity
S21.24 for Puncture wound with foreign body of back wall of thorax without penetration into thoracic cavity
S21.25 for Open bite of back wall of thorax without penetration into thoracic cavity
S21.3 for Open wound of front wall of thorax with penetration into thoracic cavity
S21.30 for Unspecified open wound of front wall of thorax with penetration into thoracic cavity
S21.31 for Laceration without foreign body of front wall of thorax with penetration into thoracic cavity
S21.32 for Laceration with foreign body of front wall of thorax with penetration into thoracic cavity
S21.33 for Puncture wound without foreign body of front wall of thorax with penetration into thoracic cavity
S21.34 for Puncture wound with foreign body of front wall of thorax with penetration into thoracic cavity
S21.35 for Open bite of front wall of thorax with penetration into thoracic cavity
S21.4 for Open wound of back wall of thorax with penetration into thoracic cavity
S21.40 for Unspecified open wound of back wall of thorax with penetration into thoracic cavity
S21.41 for Laceration without foreign body of back wall of thorax with penetration into thoracic cavity
S21.42 for Laceration with foreign body of back wall of thorax with penetration into thoracic cavity
S21.43 for Puncture wound without foreign body of back wall of thorax with penetration into thoracic cavity
S21.44 for Puncture wound with foreign body of back wall of thorax with penetration into thoracic cavity
S21.45 for Open bite of back wall of thorax with penetration into thoracic cavity
S21.9 for Open wound of unspecified part of thorax
S21.90 for Unspecified open wound of unspecified part of thorax
S21.91 for Laceration without foreign body of unspecified part of thorax
S21.92 for Laceration with foreign body of unspecified part of thorax
S21.93 for Puncture wound without foreign body of unspecified part of thorax
S21.94 for Puncture wound with foreign body of unspecified part of thorax
S21.95 for Open bite of unspecified part of thorax
Coding GuidelinesGuidance
The appropriate 7th character is to be added to each code from block Open wound of thorax (S21). 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.
Tabular List NotesGuidance
Coding notes and annotation back-references applicable to this code.
Code Also
- any associated injury, such as:
- injury of heart S26
- injury of intrathoracic organs S27
- rib fracture S22.3 S22.4
- spinal cord injury S24.0 S24.1
- traumatic hemopneumothorax S27.3
- traumatic hemothorax S27.1
- traumatic pneumothorax S27.0
- wound infection
Type 1 Excludes
- traumatic amputation partial of thorax S28.1
7th Character Note
- The appropriate 7th character is to be added to each code from category S21
7th Character
- A - initial encounter
- D - subsequent encounter
- S - sequela
A "code also" note instructs that two codes may be required to fully describe a condition, but this note does not provide sequencing direction.
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
Certain ICD-10-CM categories have applicable 7th characters. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.
Indicates that a seventh character is to be assigned to codes in a subcategory.
Patient EducationClinical
Chest Injuries and Disorders
The chest is the part of your body between your neck and your abdomen (belly). The medical term for your chest is thorax.
The full article covers:
- What is the chest?
- What are chest injuries and disorders?
- How are chest injuries and disorders diagnosed?
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
