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S81.831D vs S81.839D

S81.831D (Puncture wound without foreign body, right lower leg, subsequent encounter) compared with S81.839D (Puncture wound without foreign body, unspecified lower leg, subsequent encounter), from the official CMS tabular data. S81.831D and S81.839D code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

S81.831D
Right
Puncture wound without foreign body, right lower leg, subsequent encounter
S81.839D
Unspecified
Puncture wound without foreign body, unspecified lower leg, subsequent encounter

Same condition; these differ only in which side is documented.

These codes share a category and title and differ only in the side affected. The documentation decides which applies, and a bilateral code is reported only where the code set provides one.

Source: ICD-10-CM tabular list (laterality variant derived from the code title)

Can these codes be reported together?

Same condition, opposite side. S81.831D and S81.839D 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

S81.831DPuncture wound without foreign body, right lower leg, subsequent encounterS81.839DPuncture wound without foreign body, unspecified lower leg, subsequent encounter
Billing statusBillableBillable
ClassificationS00-T88 — Injury, poisoning and certain other consequences of external causesS00-T88 — Injury, poisoning and certain other consequences of external causes
DefinitionPuncture wound without foreign body, right lower leg, subsequent encounter is a billable ICD-10-CM diagnosis code (S81.831D).Puncture wound without foreign body, unspecified lower leg, subsequent encounter is a billable ICD-10-CM diagnosis code (S81.839D).
7th characterThe appropriate 7th character is to be added to each code from category S81The appropriate 7th character is to be added to each code from category S81

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