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S21.431 vs S21.432

S21.431 (Puncture wound without foreign body of right back wall of thorax with penetration into thoracic cavity) compared with S21.432 (Puncture wound without foreign body of left back wall of thorax with penetration into thoracic cavity), from the official CMS tabular data. S21.431 and S21.432 code the same condition on opposite sides.

Can these codes be reported together?

Same condition, opposite side. S21.431 and S21.432 name the same condition on opposite sides of the body.

Same category and title, differing only in which side is affected — the documentation decides which one applies, and a bilateral code is reported only where the code set provides one.

Side by side

S21.431Puncture wound without foreign body of right back wall of thorax with penetration into thoracic cavityS21.432Puncture wound without foreign body of left back wall of thorax with penetration into thoracic cavity
Billing statusNon-billable headerNon-billable header
ClassificationS00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)
DefinitionPuncture wound without foreign body of right back wall of thorax with penetration into thoracic cavity is a non-billable ICD-10-CM category code (S21.431).Puncture wound without foreign body of left back wall of thorax with penetration into thoracic cavity is a non-billable ICD-10-CM category code (S21.432).
7th characterThe appropriate 7th character is to be added to each code from category S21The appropriate 7th character is to be added to each code from category S21
Includes
injuries of breast
injuries of chest (wall)
injuries of interscapular area
injuries of breast
injuries of chest (wall)
injuries of interscapular area

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources