S31.43 (Puncture wound without foreign body of vagina and vulva) compared with T33 (Superficial frostbite), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Distinct conditions — both may be reported.
“frostbite (T33-T34)”
An Excludes2 note means the excluded condition is not part of the code above it, but a patient can have both. Report both when both are documented.
Source: CMS ICD-10-CM tabular instructional notes
Yes, when both are documented. S31.43 carries an Excludes2 note covering T33: “frostbite (T33-T34)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
| S31.43Puncture wound without foreign body of vagina and vulva | T33Superficial frostbite | |
|---|---|---|
| Billing status | Non-billable header | Non-billable header Report instead: T33.011A, T33.011D, T33.011S, T33.012A, T33.012D |
| Classification | S00-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) |
| Definition | Puncture wound without foreign body of vagina and vulva is a non-billable ICD-10-CM category code (S31.43). | Superficial frostbite is a non-billable ICD-10-CM category code (T33). |
| 7th character | The appropriate 7th character is to be added to each code from category S31 | The appropriate 7th character is to be added to each code from category T33 |
| Includes | injuries to the abdominal wall injuries to the anus injuries to the buttock injuries to the external genitalia | frostbite with partial thickness skin loss |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources