Valid for Submission
S91.249D is a billable diagnosis code used to specify a medical diagnosis of puncture wound with foreign body of unspecified toe(s) with damage to nail, subsequent encounter. The code S91.249D is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.
S91.249D is a subsequent encounter code, includes a 7th character and should be used after the patient has completed active treatment for a condition like puncture wound with foreign body of unspecified toe(s) with damage to nail. According to ICD-10-CM Guidelines a "subsequent encounter" occurs when the patient is receiving routine care for the condition during the healing or recovery phase of treatment. Subsequent diagnosis codes are appropriate during the recovery phase, no matter how many times the patient has seen the provider for this condition. If the provider needs to adjust the patient's care plan due to a setback or other complication, the encounter becomes active again.
Unspecified diagnosis codes like S91.249D are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.
Diagnostic Related Groups - MS-DRG Mapping
Present on Admission (POA)
Convert S91.249D to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code S91.249D its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
Information for Patients
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.
- Bezoar (Medical Encyclopedia)
- Eye - foreign object in (Medical Encyclopedia)
- Foreign body in the nose (Medical Encyclopedia)
- Foreign object - inhaled or swallowed (Medical Encyclopedia)
- Splinter removal (Medical Encyclopedia)
[Learn More in MedlinePlus]
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
Treatments for toe injuries and disorders vary. They might include shoe inserts or special shoes, padding, taping, medicines, rest, and in severe cases, surgery.
- Broken toe - self care (Medical Encyclopedia)
- Bunion removal (Medical Encyclopedia)
- Bunions (Medical Encyclopedia)
- Clubbing of the fingers or toes (Medical Encyclopedia)
- Hammer toe (Medical Encyclopedia)
- Hammer toe repair (Medical Encyclopedia)
- Hammer toe repair - discharge (Medical Encyclopedia)
- Polydactyly (Medical Encyclopedia)
[Learn More in MedlinePlus]
Wounds and Injuries
Also called: Traumatic 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
- Electrical injuries
- Sprains and strains
- Bleeding (Medical Encyclopedia)
- Crush injury (Medical Encyclopedia)
- Cuts and puncture wounds (Medical Encyclopedia)
- Electrical injury (Medical Encyclopedia)
- Gunshot wounds -- aftercare (Medical Encyclopedia)
- How wounds heal (Medical Encyclopedia)
- Laceration - sutures or staples - at home (Medical Encyclopedia)
- Lacerations - liquid bandage (Medical Encyclopedia)
- Surgical wound care (Medical Encyclopedia)
- Surgical wound infection - treatment (Medical Encyclopedia)
- Wet to dry dressing changes (Medical Encyclopedia)
- Wound care centers (Medical Encyclopedia)
[Learn More in MedlinePlus]