2026 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 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

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 2026 (October 1, 2025 through September 30, 2026) 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 2026, published by CMS and the National Center for Health Statistics.

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 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About S71.049AOverview

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, 2025 through September 30, 2026.

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 913, 914, 963, 964, 965, with relative weights from 0.8855 to 2.7338 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of S71.049A?

Under the General Equivalence Mappings, puncture wound with foreign body, unspecified hip, initial encounter converts to ICD-9-CM 890.1 (open wnd hip/thigh-compl). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.