2027 ICD-10-CM Diagnosis Code S71.049APuncture wound with foreign body, unspecified hip, initial encounter

ICD-10-CM Codes›S00–T88›S70-S79›S71

ICD-10-CM S71.049A
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

S71.049A is a billable ICD-10-CM diagnosis code for puncture wound with foreign body, unspecified hip, 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 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 913 through 914, 963 through 965. Coders also document this condition as fishing hook in hip. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Open wounds to limbs, initial encounter.

Code Identity

ICD-10-CM Code
S71.049A
Billable Status
Yes — Valid for Submission
Code Describes
Puncture wound with foreign body, unspecified hip, initial encounter
Short Description
Puncture wound with foreign body, unsp hip, init encntr
Parent Code
S71.049
Puncture wound with foreign body, unspecified hip

Code Classification

ChapterS00–T88Injury, poisoning and certain other consequences of external causes
SectionS70-S79Injuries to the hip and thigh
CategoryS71Open wound of hip and thigh
This CodeS71.049APuncture wound with foreign body, unspecified hip, initial encounter

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Fishing hook in hip
  • Fishing hook in trunk
  • Puncture wound of hip
  • Puncture wound of hip with foreign body

Coding GuidelinesGuidance

The appropriate 7th character is to be added to each code from block Open wound of hip and thigh (S71). 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 2027, published by CMS and the National Center for Health Statistics.

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to S71.049A: its own notes plus those printed at S71, block S70-S79, and Chapter 19. A note printed at a category, block or chapter applies to every code under it.

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

From S71 Open wound of hip and thigh applies to 108 codes
  • open fracture of hip and thigh (S72.-)
  • traumatic amputation of hip and thigh (S78.-)

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From S71 Open wound of hip and thigh applies to 108 codes
  • bite of venomous animal (T63.-)
  • open wound of ankle, foot and toes (S91.-)
  • open wound of knee and lower leg (S81.-)
From Block S70-S79 Injuries to the hip and thigh applies to 3,546 codes
From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes

Use Additional Code

Add a second code, after this one, to fully describe the condition.

From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes
  • code to identify any retained foreign body, if applicable (Z18.-)

Code Also

A second code may be needed to fully describe the condition; the note gives no sequencing direction.

From S71 Open wound of hip and thigh applies to 108 codes
  • any associated wound infection

Notes

General instructions on how these codes are used.

From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes
  • Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
  • The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.

7th Character

Every code in the category takes a 7th character from the listed values, with the placeholder X filling any empty positions before it.

From S71 Open wound of hip and thigh applies to 108 codes
  • The appropriate 7th character is to be added to each code from category S71
Values for category S71 Encounter: Initial, Subsequent, Sequela
  • Ainitial encounter this code
  • Dsubsequent encounter
  • Ssequela

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name S71.049A, its category, or a range that includes it.

Code Also 3

These codes say S71.049A may also be needed to fully describe the condition. The note gives no sequencing direction.

  • S74 Injury of nerves at hip and thigh level
    any associated open wound (S71.-) names S71.-, which includes this code
  • S75 Injury of blood vessels at hip and thigh level
    any associated open wound (S71.-) names S71.-, which includes this code
  • S76 Injury of muscle, fascia and tendon at hip and thigh level
    any associated open wound (S71.-) names S71.-, which includes this code

Clinical ClassificationClinical

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

CCSR INJ012
Open wounds to limbs, initial encounter
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

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.

Read the full article at MedlinePlus

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

Convert S71.049A to ICD-9-CMHistory

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

ICD-9-CM
890.1 Open wnd hip/thigh-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 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About S71.049AOverview

What is the ICD-10 code for puncture wound with foreign body, unspecified hip, initial encounter?

The ICD-10-CM code for puncture wound with foreign body, unspecified hip, initial encounter is S71.049A (sometimes written as S71049A). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is S71.049A (Puncture wound with foreign body, unspecified hip) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report puncture wound with foreign body, unspecified hip, initial encounter on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What does the 7th character A in S71.049A mean?

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

What MS-DRG does S71.049A group to?

When puncture wound with foreign body, unspecified hip, initial encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 964, 965, 914, 913, 963, with relative weights from 0.9281 to 2.6361 depending on complications. Higher weights mean higher Medicare reimbursement.

Can S71.049A be reported with a code from S72?

Not as a rule. The Excludes1 note at S71, which applies to S71.049A, lists "open fracture of hip and thigh (S72.-)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).