ICD-10 Code S21.149

Puncture wound with foreign body of unspecified front wall of thorax without penetration into thoracic cavity

Version 2020 Non-Billable Code

Not Valid for Submission

S21.149 is a "header" nonspecific and non-billable code code, consider using a code with a higher level of specificity for a diagnosis of puncture wound with foreign body of unspecified front wall of thorax without penetration into thoracic cavity. The code is NOT valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10 code S21.149 might also be used to specify conditions or terms like fishing hook in chest or fishing hook in trunk or pellet wound of chest or pellet wound of trunk.

ICD-10:S21.149
Short Description:Pnctr w fb of unsp front wall of thorax w/o penet thor cav
Long Description:Puncture wound with foreign body of unspecified front wall of thorax without penetration into thoracic cavity

Consider the following ICD-10 codes with a higher level of specificity:

  • S21.149A - Puncture wound with foreign body of unspecified front wall of thorax without penetration into thoracic cavity, initial encounter
  • S21.149D - Puncture wound with foreign body of unspecified front wall of thorax without penetration into thoracic cavity, subsequent encounter
  • S21.149S - Puncture wound with foreign body of unspecified front wall of thorax without penetration into thoracic cavity, sequela

Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Fishing hook in chest
  • Fishing hook in trunk
  • Pellet wound of chest
  • Pellet wound of trunk

Code Classification

  • Injury, poisoning and certain other consequences of external causes (S00–T98)
    • Injuries to the thorax (S20-S29)
      • Open wound of thorax (S21)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


Chest Injuries and Disorders

The chest is the part of the body between your neck and your abdomen. It includes the ribs and breastbone. Inside your chest are several organs, including the heart, lungs, and esophagus. The pleura, a large thin sheet of tissue, lines the inside of the chest cavity.

Chest injuries and disorders include

  • Heart diseases
  • Lung diseases and collapsed lung
  • Pleural disorders
  • Esophagus disorders
  • Broken ribs
  • Thoracic aortic aneurysms
  • Disorders of the mediastinum, the space between the lungs, breastbone, and spine

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Foreign Bodies

If you've ever gotten a splinter or had sand in your eye, you've had experience with a foreign body. A foreign body is something that is stuck inside you but isn't supposed to be there. You may inhale or swallow a foreign body, or you may get one from an injury to almost any part of your body. Foreign bodies are more common in small children, who sometimes stick things in their mouths, ears, and noses.

Some foreign bodies, like a small splinter, do not cause serious harm. Inhaled or swallowed foreign bodies may cause choking or bowel obstruction and may require medical care.


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Wounds and Injuries

An injury is damage to your body. It is a general term that refers to harm caused by accidents, falls, hits, weapons, and more. In the U.S., millions of people injure themselves every year. These injuries range from minor to life-threatening. Injuries can happen at work or play, indoors or outdoors, driving a car, or walking across the street.

Wounds are injuries that break the skin or other body tissues. They include cuts, scrapes, scratches, and punctured skin. They often happen because of an accident, but surgery, sutures, and stitches also cause wounds. Minor wounds usually aren't serious, but it is important to clean them. Serious and infected wounds may require first aid followed by a visit to your doctor. You should also seek attention if the wound is deep, you cannot close it yourself, you cannot stop the bleeding or get the dirt out, or it does not heal.

Other common types of injuries include

  • Animal bites
  • Bruises
  • Burns
  • Dislocations
  • Electrical injuries
  • Fractures
  • Sprains and strains

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