2026 ICD-10-CM Diagnosis Code S91.349DPuncture wound with foreign body, unspecified foot, subsequent encounter

ICD-10-CM Codes›S00–T88›S90-S99›S91

ICD-10-CM S91.349D
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

S91.349D is a billable ICD-10-CM diagnosis code for puncture wound with foreign body, unspecified foot, subsequent encounter. The 7th character D marks it as a subsequent encounter code, used during routine care in the healing or recovery phase. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 949 through 950. The code is exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Open wounds to limbs, subsequent encounter.

Code Identity

ICD-10-CM Code
S91.349D
Billable Status
Yes — Valid for Submission
Code Describes
Puncture wound with foreign body, unspecified foot, subsequent encounter
Short Description
Puncture wound with foreign body, unsp foot, subs encntr
Parent Code
S91.349
Puncture wound with foreign body, unspecified foot

Code Classification

ChapterS00–T88Injury, poisoning and certain other consequences of external causes
SectionS90-S99Injuries to the ankle and foot
CategoryS91Open wound of ankle, foot and toes
This CodeS91.349DPuncture wound with foreign body, unspecified foot, subsequent encounter

Present on Admission (POA)Billing

S91.349D is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Fishing hook in dorsum of foot
  • Fishing hook in foot
  • Fishing hook in heel
  • Fishing hook in sole of foot
  • Foreign body in heel
  • Needle stick injury of dorsum of foot
  • Needle stick injury of foot
  • Needle stick injury of heel
  • Pellet wound of foot
  • Pellet wound of heel
  • Puncture wound and foreign body of foot
  • Puncture wound of dorsum of foot
  • Puncture wound of heel

Coding GuidelinesGuidance

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 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 INJ049
Open wounds to limbs, subsequent encounter
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Foot Injuries and Disorders

Each of your feet has 26 bones, 33 joints, and more than 100 tendons, muscles, and ligaments. No wonder a lot of things can go wrong. Here are a few common problems:

Read the full article at MedlinePlus

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

Convert S91.349D to ICD-9-CMHistory

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

ICD-9-CM
V58.89 Other specfied aftercare
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 S91.349DOverview

Is S91.349D (Puncture wound with foreign body, unspecified foot) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report puncture wound with foreign body, unspecified foot, subsequent encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What does the 7th character D in S91.349D mean?

The final character D marks a subsequent encounter: use it for routine care while the puncture wound with foreign body, unspecified foot is healing, after active treatment has ended.

What MS-DRG does S91.349D group to?

When puncture wound with foreign body, unspecified foot, subsequent encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 949, 950, with relative weights from 0.6277 to 1.1897 depending on complications. Higher weights mean higher Medicare reimbursement.

Is S91.349D exempt from POA reporting?

Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for puncture wound with foreign body, unspecified foot, subsequent encounter on inpatient claims.

What is the ICD-9 equivalent of S91.349D?

Under the General Equivalence Mappings, puncture wound with foreign body, unspecified foot, subsequent encounter converts to ICD-9-CM V58.89 (other specfied aftercare). 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.