MCMCB Pro
S91.232D

S91.232DPuncture wound without foreign body of left great toe with damage to nail, subsequent encounter

Billable / specific codeICD-10-CMPOA exemptleft

S91.232D is a billable, specific ICD-10-CM code for puncture wound without foreign body of left great toe with damage to nail, subsequent encounter. It is valid for submission on a claim.

7th character "D" — subsequent encounter

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

A
initial encounter
D
subsequent encounter
S
sequela

Risk adjustment

S91.232D 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.

Medicare coverage

S91.232D is named in 10 Medicare coverage policies 10 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

  • A52998Billing and Coding: Surgical Treatment of Nails
  • A53058Billing and Coding: Home Health Physical Therapy
  • A53065Billing and Coding: Outpatient Physical Therapy
  • A54767Billing and Coding: Medicare Preventive Coverage for Certain Vaccines

Related codes at this level

Codes that share S91.232. If S91.232D is not quite right, the correct code is usually one of these.

Questions about S91.232D

Is S91.232D a billable ICD-10-CM code?
Yes. S91.232D is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does S91.232D sit in the tabular list?
Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the ankle and foot (S90-S99).
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.