{"code":"S91.134D","type":"code","title":"Puncture wound without foreign body of right lesser toe(s) without damage to nail, subsequent encounter","codeAlso":["any associated wound infection"],"includes":[],"modern_v":"official26","codeFirst":[],"excludes1":["open fracture of ankle, foot and toes (S92.-with 7th character B)","traumatic amputation of ankle and foot (S98.-)"],"excludes2":["burns and corrosions (T20-T32)","fracture of ankle and malleolus (S82.-)","frostbite (T33-T34)","insect bite or sting, venomous (T63.4)"],"isBillable":true,"fyEffectivity":{"fy2026":true,"fy2027":true,"billableFy2026":true,"billableFy2027":true},"sibling_codes":["S91","S91.0","S91.001","S91.001A","S91.001D","S91.001S","S91.002","S91.002A","S91.002D","S91.002S","S91.009","S91.009A","S91.009D","S91.009S","S91.011","S91.011A","S91.011D","S91.011S","S91.012","S91.012A","S91.012D","S91.012S","S91.019","S91.019A","S91.019D","S91.019S","S91.021","S91.021A","S91.021D","S91.021S","S91.022","S91.022A","S91.022D","S91.022S","S91.029","S91.029A","S91.029D","S91.029S","S91.031","S91.031A","S91.031D","S91.031S","S91.032","S91.032A","S91.032D","S91.032S","S91.039","S91.039A","S91.039D","S91.039S","S91.041","S91.041A","S91.041D","S91.041S","S91.042","S91.042A","S91.042D","S91.042S","S91.049","S91.049A","S91.049D","S91.049S","S91.051","S91.051A","S91.051D","S91.051S","S91.052","S91.052A","S91.052D","S91.052S","S91.059","S91.059A","S91.059D","S91.059S","S91.1","S91.101","S91.101A","S91.101D","S91.101S","S91.102","S91.102A","S91.102D","S91.102S","S91.103","S91.103A","S91.103D","S91.103S","S91.104","S91.104A","S91.104D","S91.104S","S91.105","S91.105A"],"inclusionTerms":[],"sibling_titles":{"code":"S91.105A","title":"Unspecified open wound of left lesser toe(s) without damage to nail, initial encounter","isBillable":true},"useAdditionalCode":[],"clinicalDefinition":"Puncture wound without foreign body of right lesser toe(s) without damage to nail, subsequent encounter is a billable ICD-10-CM diagnosis code (S91.134D). Excludes1 (not coded here): open fracture of ankle, foot and toes (S92.-with 7th character B); traumatic amputation of ankle and foot (S98.-). Excludes2 (not included here): burns and corrosions (T20-T32); fracture of ankle and malleolus (S82.-); frostbite (T33-T34); insect bite or sting, venomous (T63.4). Code also: any associated wound infection. 7th character: The appropriate 7th character is to be added to each code from category S91.","officialDefinition":"Puncture wound without foreign body of right lesser toe(s) without damage to nail, subsequent encounter is a billable ICD-10-CM diagnosis code (S91.134D). Excludes1 (not coded here): open fracture of ankle, foot and toes (S92.-with 7th character B); traumatic amputation of ankle and foot (S98.-). Excludes2 (not included here): burns and corrosions (T20-T32); fracture of ankle and malleolus (S82.-); frostbite (T33-T34); insect bite or sting, venomous (T63.4). Code also: any associated wound infection. 7th character: The appropriate 7th character is to be added to each code from category S91.","seventhCharacterInstructions":["The appropriate 7th character is to be added to each code from category S91"],"workflowProtocols":[],"guidelines":{"whenToUse":[],"whenNotToUse":[],"commonBillingMistakes":[],"codeComparisons":[],"documentationChecklist":[]},"domainLandscape":{"summary":"Primary diagnostic domain and clinical landscape evaluation.","keyCategories":[],"diagnosticContinuum":"Progression continuum from acute presentation to resolution."},"children":[],"hierarchy":[],"relatedCodes":[],"relevantCPTCodes":[],"documentationTips":[],"caseStudies":[],"description":"","overview":""}