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S91.145S vs S91.146S

S91.145S (Puncture wound with foreign body of left lesser toe(s) without damage to nail, sequela) compared with S91.146S (Puncture wound with foreign body of unspecified lesser toe(s) without damage to nail, sequela), from the official CMS tabular data. S91.145S and S91.146S code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S91.145S
Left
Puncture wound with foreign body of left lesser toe(s) without damage to nail, sequela
S91.146S
Unspecified
Puncture wound with foreign body of unspecified lesser toe(s) without damage to nail, sequela

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. S91.145S and S91.146S 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

S91.145SPuncture wound with foreign body of left lesser toe(s) without damage to nail, sequelaS91.146SPuncture wound with foreign body of unspecified lesser toe(s) without damage to nail, sequela
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 with foreign body of left lesser toe(s) without damage to nail, sequela is a billable ICD-10-CM diagnosis code (S91.145S).Puncture wound with foreign body of unspecified lesser toe(s) without damage to nail, sequela is a billable ICD-10-CM diagnosis code (S91.146S).
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