Is S71.042 a billable ICD-10-CM code?

No. S71.042 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does S71.042 sit in the tabular list?

Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the hip and thigh (S70-S79).

What cannot be coded together with S71.042?

S71.042 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 S71.042 (S71) and apply to it just the same.

S71.042

S71.042 — Puncture wound with foreign body, left hip

Non-billable headerICD-10-CMleft

S71.042 is a non-billable header ICD-10-CM code for puncture wound with foreign body, left hip. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.

This code requires a 7th character

The appropriate 7th character is to be added to each code from category S71

A: initial encounter
D: subsequent encounter
S: sequela

Excludes1 inherited from the categories above S71.042

These are not written on S71.042, but they bind it: a note on a category applies to every code beneath it. Billing S71.042 with anything listed here is a denial.

Written on S71 — Open wound of hip and thigh

open fracture of hip and thigh (S72.-)
traumatic amputation of hip and thigh (S78.-)

Excludes2 inherited from the categories above S71.042

Also inherited, and the opposite of Excludes1: these conditions are not part of S71.042, but a patient can have both, so you may code both.

Written on S71 — Open wound of hip and thigh

bite of venomous animal (T63.-)
open wound of ankle, foot and toes (S91.-)
open wound of knee and lower leg (S81.-)

Risk adjustment

S71.042 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.

How S71.042 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to S71.042.

Puncture›hip›left›with foreign body

Code history

S71.042 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Code to one of these instead S71.042

3 child codes. Green means billable.

Related codes at this level

Codes that share S71.04. If S71.042 is not quite right, the correct code is usually one of these.

Questions about S71.042

Is S71.042 a billable ICD-10-CM code?: No. S71.042 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does S71.042 sit in the tabular list?: Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the hip and thigh (S70-S79).
What cannot be coded together with S71.042?: S71.042 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 S71.042 (S71) and apply to it just the same.