MCMedicalCodingSoftware
S51.039S

S51.039SPuncture wound without foreign body of unspecified elbow, sequela

Billable / specific codeICD-10-CMPOA exempt

S51.039S is a billable, specific ICD-10-CM code for puncture wound without foreign body of unspecified elbow, sequela. It is valid for submission on a claim.

7th character "S" — sequela

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

A
initial encounter
D
subsequent encounter
S
sequela

Excludes1 inherited from the categories above S51.039S

These are not written on S51.039S, but they bind it: a note on a category applies to every code beneath it. Billing S51.039S with anything listed here is a denial.

Written on S51 Open wound of elbow and forearm

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

Excludes2 inherited from the categories above S51.039S

Also inherited, and the opposite of Excludes1: these conditions are not part of S51.039S, but a patient can have both, so you may code both.

Written on S51 Open wound of elbow and forearm

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

Risk adjustment

S51.039S does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code history

S51.039S has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share S51.039. If S51.039S is not quite right, the correct code is usually one of these.

Questions about S51.039S

Is S51.039S a billable ICD-10-CM code?
Yes. S51.039S is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does S51.039S sit in the tabular list?
Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the elbow and forearm (S50-S59).
What cannot be coded together with S51.039S?
S51.039S carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above S51.039S (S51) and apply to it just the same.
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.