S21.149D Puncture wound with foreign body of unspecified front wall of thorax without penetration into thoracic cavity, subsequent encounter

Billable ICD-10-CM code, FY2026.

Built from S21.149 with 7th character D (subsequent encounter).

Applies from S21 Open wound of thorax

Excludes1 (never code together)

• traumatic amputation (partial) of thorax (S28.1)

Code also

• any associated injury, such as:
• injury of heart (S26.-)
• injury of intrathoracic organs (S27.-)
• rib fracture (S22.3-, S22.4-)
• spinal cord injury (S24.0-, S24.1-)
• traumatic hemopneumothorax (S27.3)
• traumatic hemothorax (S27.1)
• traumatic pneumothorax (S27.0)
• wound infection

7th character note

• The appropriate 7th character is to be added to each code from category S21

7th character required

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

Applies from S21.1 Open wound of front wall of thorax without penetration into thoracic cavity

Applicable to

• Open wound of chest without penetration into thoracic cavity

Code annotations containing back-references to S21.149D

Back-references to S21.14

• Type 1 Excludes: S20.37 Other superficial bite of front wall of thorax ("open bite of front wall of thorax (S21.14)")

Back-references to S21

• Code Also: S23.1 Subluxation and dislocation of thoracic vertebra ("open wound of thorax (S21.-)")
• Code Also: S24 Injury of nerves and spinal cord at thorax level ("open wound of thorax (S21.-)")
• Code Also: S25 Injury of blood vessels of thorax ("any associated open wound (S21.-)")
• Code Also: S26 Injury of heart ("open wound of thorax (S21.-)")
• Code Also: S27 Injury of other and unspecified intrathoracic organs ("any associated open wound of thorax (S21.-)")
• Code Also: S29 Other and unspecified injuries of thorax ("any associated open wound (S21.-)")

Nearby codes

• S21.142A Puncture wound with foreign body of left front wall of thorax without penetration into thoracic cavity, initial encounter
• S21.142D Puncture wound with foreign body of left front wall of thorax without penetration into thoracic cavity, subsequent encounter
• S21.142S Puncture wound with foreign body of left front wall of thorax without penetration into thoracic cavity, sequela
• S21.149 Puncture wound with foreign body of unspecified front wall of thorax without penetration into thoracic cavity
• S21.149A Puncture wound with foreign body of unspecified front wall of thorax without penetration into thoracic cavity, initial encounter
• S21.149D Puncture wound with foreign body of unspecified front wall of thorax without penetration into thoracic cavity, subsequent encounter (this code)
• S21.149S Puncture wound with foreign body of unspecified front wall of thorax without penetration into thoracic cavity, sequela
• S21.15 Open bite of front wall of thorax without penetration into thoracic cavity
• S21.151 Open bite of right front wall of thorax without penetration into thoracic cavity
• S21.151A Open bite of right front wall of thorax without penetration into thoracic cavity, initial encounter
• S21.151D Open bite of right front wall of thorax without penetration into thoracic cavity, subsequent encounter