S51.049A Puncture wound with foreign body of unspecified elbow, initial encounter

Billable ICD-10-CM code, FY2026.

Built from S51.049 with 7th character A (initial encounter).

Applies from S51 Open wound of elbow and forearm

Excludes1 (never code together)

• open fracture of elbow and forearm (S52.- with open fracture 7th character)
• traumatic amputation of elbow and forearm (S58.-)

Excludes2 (not included here)

• open wound of wrist and hand (S61.-)

Code also

• any associated wound infection

7th character note

• The appropriate 7th character is to be added to each code from category S51

7th character required

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

Code annotations containing back-references to S51.049A

Back-references to S51.04

• Type 1 Excludes: S50.37 Other superficial bite of elbow ("open bite of elbow (S51.04)")

Back-references to S51.0

• Type 2 Excludes: S51.8 Open wound of forearm ("open wound of elbow (S51.0-)")

Back-references to S51

• Code Also: S54 Injury of nerves at forearm level ("any associated open wound (S51.-)")
• Code Also: S55 Injury of blood vessels at forearm level ("any associated open wound (S51.-)")
• Code Also: S56 Injury of muscle, fascia and tendon at forearm level ("any associated open wound (S51.-)")

Diagnosis Index entries for S51.049A

• Puncture › elbow › with › foreign body

Nearby codes

• S51.042 Puncture wound with foreign body of left elbow
• S51.042A Puncture wound with foreign body of left elbow, initial encounter
• S51.042D Puncture wound with foreign body of left elbow, subsequent encounter
• S51.042S Puncture wound with foreign body of left elbow, sequela
• S51.049 Puncture wound with foreign body of unspecified elbow
• S51.049A Puncture wound with foreign body of unspecified elbow, initial encounter (this code)
• S51.049D Puncture wound with foreign body of unspecified elbow, subsequent encounter
• S51.049S Puncture wound with foreign body of unspecified elbow, sequela
• S51.05 Open bite of elbow
• S51.051 Open bite, right elbow
• S51.051A Open bite, right elbow, initial encounter