Version 2024

2024 ICD-10-CM Diagnosis Code S91.13

Puncture wound without foreign body of toe without damage to nail

ICD-10-CM Code:
S91.13
ICD-10 Code for:
Puncture wound w/o foreign body of toe w/o damage to nail
Is Billable?
Not Valid for Submission
Code Navigator:

Code Classification

  • Injury, poisoning and certain other consequences of external causes
    (S00–T88)
    • Injuries to the ankle and foot
      (S90-S99)
      • Open wound of ankle, foot and toes
        (S91)

S91.13 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of puncture wound without foreign body of toe without damage to nail. The code is not specific and is NOT valid for the year 2024 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

Specific Coding Applicable to Puncture wound w/o foreign body of toe w/o damage to nail

Non-specific codes like S91.13 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10-CM codes with a higher level of specificity when coding for puncture wound w/o foreign body of toe w/o damage to nail:

  • S91.131 for Puncture wound without foreign body of right great toe without damage to nail - NON-BILLABLE CODE

  • Use S91.131A for initial encounter - BILLABLE CODE

  • Use S91.131D for subsequent encounter - BILLABLE CODE

  • Use S91.131S for sequela - BILLABLE CODE

  • S91.132 for Puncture wound without foreign body of left great toe without damage to nail - NON-BILLABLE CODE

  • Use S91.132A for initial encounter - BILLABLE CODE

  • Use S91.132D for subsequent encounter - BILLABLE CODE

  • Use S91.132S for sequela - BILLABLE CODE

  • S91.133 for Puncture wound without foreign body of unspecified great toe without damage to nail - NON-BILLABLE CODE

  • Use S91.133A for initial encounter - BILLABLE CODE

  • Use S91.133D for subsequent encounter - BILLABLE CODE

  • Use S91.133S for sequela - BILLABLE CODE

  • S91.134 for Puncture wound without foreign body of right lesser toe(s) without damage to nail - NON-BILLABLE CODE

  • Use S91.134A for initial encounter - BILLABLE CODE

  • Use S91.134D for subsequent encounter - BILLABLE CODE

  • Use S91.134S for sequela - BILLABLE CODE

  • S91.135 for Puncture wound without foreign body of left lesser toe(s) without damage to nail - NON-BILLABLE CODE

  • Use S91.135A for initial encounter - BILLABLE CODE

  • Use S91.135D for subsequent encounter - BILLABLE CODE

  • Use S91.135S for sequela - BILLABLE CODE

  • S91.136 for Puncture wound without foreign body of unspecified lesser toe(s) without damage to nail - NON-BILLABLE CODE

  • Use S91.136A for initial encounter - BILLABLE CODE

  • Use S91.136D for subsequent encounter - BILLABLE CODE

  • Use S91.136S for sequela - BILLABLE CODE

  • S91.139 for Puncture wound without foreign body of unspecified toe(s) without damage to nail - NON-BILLABLE CODE

  • Use S91.139A for initial encounter - BILLABLE CODE

  • Use S91.139D for subsequent encounter - BILLABLE CODE

  • Use S91.139S for sequela - BILLABLE CODE

Coding Guidelines

The appropriate 7th character is to be added to each code from block Open wound of ankle, foot and toes (S91). Use the following options for the aplicable episode of care:

  • A - initial encounter
  • D - subsequent encounter
  • S - sequela

Patient Education


Toe Injuries and Disorders

Fourteen of the 26 bones in your feet are in your toes. The toes, particularly your big toe, help you move and keep your balance. Playing sports, running, stubbing your toe, and dropping something on your foot can damage your toes. Wearing shoes that are too loose or too tight can also cause toe problems. Certain diseases, such as severe arthritis, can cause toe problems and pain. Gout often causes pain in the big toe.

Common toe problems include :

  • Corns and bunions
  • Ingrown toenails
  • Sprains and dislocations
  • Fractures (broken bones)

Treatments for toe injuries and disorders vary. They might include shoe inserts or special shoes, padding, taping, medicines, rest, and in severe cases, surgery.


[Learn More in MedlinePlus]

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 (broken bones)
  • Sprains and strains

[Learn More in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.