S91.249A Puncture wound with foreign body of unspecified toe(s) with damage to nail, initial encounter

Billable ICD-10-CM code, FY2026.

Built from S91.249 with 7th character A (initial encounter).

Applies from S91 Open wound of ankle, foot and toes

Excludes1 (never code together)

• open fracture of ankle, foot and toes (S92.-with 7th character B)
• traumatic amputation of ankle and foot (S98.-)

Code also

• any associated wound infection

7th character note

• The appropriate 7th character is to be added to each code from category S91

7th character required

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

Code annotations containing back-references to S91.249A

Back-references to S91

• Type 2 Excludes: S71 Open wound of hip and thigh ("open wound of ankle, foot and toes (S91.-)")
• Type 2 Excludes: S81 Open wound of knee and lower leg ("open wound of ankle and foot (S91.-)")
• Code Also: S94 Injury of nerves at ankle and foot level ("any associated open wound (S91.-)")
• Code Also: S95 Injury of blood vessels at ankle and foot level ("any associated open wound (S91.-)")
• Code Also: S96 Injury of muscle and tendon at ankle and foot level ("any associated open wound (S91.-)")

Diagnosis Index entries for S91.249A

• Puncture › toe (s) › with › damage to nail › with › foreign body

Nearby codes

• S91.246 Puncture wound with foreign body of unspecified lesser toe(s) with damage to nail
• S91.246A Puncture wound with foreign body of unspecified lesser toe(s) with damage to nail, initial encounter
• S91.246D Puncture wound with foreign body of unspecified lesser toe(s) with damage to nail, subsequent encounter
• S91.246S Puncture wound with foreign body of unspecified lesser toe(s) with damage to nail, sequela
• S91.249 Puncture wound with foreign body of unspecified toe(s) with damage to nail
• S91.249A Puncture wound with foreign body of unspecified toe(s) with damage to nail, initial encounter (this code)
• S91.249D Puncture wound with foreign body of unspecified toe(s) with damage to nail, subsequent encounter
• S91.249S Puncture wound with foreign body of unspecified toe(s) with damage to nail, sequela
• S91.25 Open bite of toe with damage to nail
• S91.251 Open bite of right great toe with damage to nail
• S91.251A Open bite of right great toe with damage to nail, initial encounter