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S91.132D vs S91.133D

S91.132D (Puncture wound without foreign body of left great toe without damage to nail, subsequent encounter) compared with S91.133D (Puncture wound without foreign body of unspecified great toe without damage to nail, subsequent encounter), from the official CMS tabular data. S91.132D and S91.133D code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S91.132D
Left
Puncture wound without foreign body of left great toe without damage to nail, subsequent encounter
S91.133D
Unspecified
Puncture wound without foreign body of unspecified great toe without damage to nail, 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. S91.132D and S91.133D 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

S91.132DPuncture wound without foreign body of left great toe without damage to nail, subsequent encounterS91.133DPuncture wound without foreign body of unspecified great toe without damage to nail, subsequent encounter
Billing statusBillableBillable
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 left great toe without damage to nail, subsequent encounter is a billable ICD-10-CM diagnosis code (S91.132D).Puncture wound without foreign body of unspecified great toe without damage to nail, subsequent encounter is a billable ICD-10-CM diagnosis code (S91.133D).
7th characterThe appropriate 7th character is to be added to each code from category S91The appropriate 7th character is to be added to each code from category S91

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