S91.243D

S91.243D: Puncture wound with foreign body of unspecified great toe with damage to nail, subsequent encounter

Billable / specific codeICD-10-CMPOA exempt

S91.243D is a billable, specific ICD-10-CM code for puncture wound with foreign body of unspecified great toe with damage to nail, subsequent encounter. It is valid for submission on a claim.

Check S91.243D with the rest of the claim: free scrubber

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

Excludes1 inherited from the categories above S91.243D

A category’s note binds every code beneath it.

Written on S91: Open wound of ankle, foot and toes

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

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

S91.243D is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A54767Billing and Coding: Medicare Preventive Coverage for Certain Vaccines

Code history

Unchanged in every release from FY2024 to FY2027.