S61.53 vs T34
S61.53 (Puncture wound without foreign body of wrist) compared with T34 (Frostbite with tissue necrosis), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Can these codes be reported together?
Yes, when both are documented. S61.53 carries an Excludes2 note covering T34: “frostbite (T33-T34)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| S61.53Puncture wound without foreign body of wrist | T34Frostbite with tissue necrosis | |
|---|---|---|
| Billing status | Non-billable header | Non-billable header Report instead: T34.011A, T34.011D, T34.011S, T34.012A, T34.012D |
| 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 wrist is a non-billable ICD-10-CM category code (S61.53). | Frostbite with tissue necrosis is a non-billable ICD-10-CM category code (T34). |
| 7th character | The appropriate 7th character is to be added to each code from category S61 | The appropriate 7th character is to be added to each code from category T34 |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources