S01.23XA ICD-10-CM Code: Puncture wound without foreign body of nose, initial encounter
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Inpatient Payment Groups (MS-DRG)
MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0, Appendix B.
- MS-DRG 011 — TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC (MDC PRE)
- MS-DRG 012 — TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC (MDC PRE)
- MS-DRG 013 — TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC (MDC PRE)
- MS-DRG 154 — OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC (MDC 03)
- MS-DRG 155 — OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC (MDC 03)
- MS-DRG 156 — OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC (MDC 03)
- MS-DRG 963 — OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC (MDC 24)
- MS-DRG 964 — OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC (MDC 24)
- MS-DRG 965 — OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC (MDC 24)
A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.
Official Registry Overview & Definition
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for S01.23XA in the official ICD-10-CM tabular list.
Includes
Conditions the official ICD-10-CM tabular list includes under this code.
- injuries of ear
- injuries of eye
- injuries of face [any part]
- injuries of gum
- injuries of jaw
- injuries of oral cavity
- injuries of palate
- injuries of periocular area
- injuries of scalp
- injuries of temporomandibular joint area
- injuries of tongue
- injuries of tooth
Excludes1 — Not Coded Here
Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
- open skull fracture (S02.- with 7th character B) Compare S01.23XA vs S02 →
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- injury of eye and orbit (S05.-) Compare S01.23XA vs S05 →
- traumatic amputation of part of head (S08.-) Compare S01.23XA vs S08 →
- burns and corrosions (T20-T32) Compare S01.23XA vs T20 →
- effects of foreign body in ear (T16) Compare S01.23XA vs T16 →
- effects of foreign body in larynx (T17.3) Compare S01.23XA vs T17.3 →
- effects of foreign body in mouth NOS (T18.0) Compare S01.23XA vs T18.0 →
- effects of foreign body in nose (T17.0-T17.1) Compare S01.23XA vs T17.0 →
- effects of foreign body in pharynx (T17.2) Compare S01.23XA vs T17.2 →
- effects of foreign body on external eye (T15.-) Compare S01.23XA vs T15 →
- frostbite (T33-T34) Compare S01.23XA vs T33 →
- insect bite or sting, venomous (T63.4) Compare S01.23XA vs T63.4 →
Code Also
Additional codes that may be required to fully describe the encounter.
- any associated:
- injury of cranial nerve (S04.-)
- injury of muscle and tendon of head (S09.1-)
- intracranial injury (S06.-)
- wound infection
- for any associated infection
Change history
No changes recorded for this code — unchanged since the FY2016 baseline of the change ledger.
Verify Before Coding
- Billable — reportable as written.
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.
Contextual Map
Every relationship of S01.23XA in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Hierarchy
- S01.23 — Puncture wound without foreign body of nose [Hierarchy]
Referenced by Excludes1 notes
- S00 — Superficial injury of head [Excludes1](via S01.-): “open wound of head (S01.-)”
Referenced by Code Also instructions
- S04 — Injury of cranial nerve [Code Also](via S01.-): “open wound of head (S01.-)”
- S06 — Intracranial injury [Code Also](via S01.-): “open wound of head (S01.-)”
- S09.1 — Injury of muscle and tendon of head [Code Also](via S01.-): “any associated open wound (S01.-)”
Clinical classification (CCSR)
- INJ011 — Open wounds of head and neck, initial encounter [CCSR]
Potential MS-DRG (9)
- DRG 011 — TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC [MS-DRG]: “TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC (MDC PRE)”
- DRG 012 — TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC [MS-DRG]: “TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC (MDC PRE)”
- DRG 013 — TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC [MS-DRG]: “TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC (MDC PRE)”
- DRG 154 — OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC [MS-DRG]: “OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC (MDC 03)”
- DRG 155 — OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC [MS-DRG]: “OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC (MDC 03)”
- DRG 156 — OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC [MS-DRG]: “OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC (MDC 03)”
- DRG 963 — OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC [MS-DRG]: “OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC (MDC 24)”
- DRG 964 — OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC [MS-DRG]: “OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC (MDC 24)”
- and 1 more
Nearest codes (40)
- S01 — Open wound of head [Sibling]
- S01.152D — Open bite of left eyelid and periocular area, subsequent encounter [Sibling]
- S01.152S — Open bite of left eyelid and periocular area, sequela [Sibling]
- S01.159 — Open bite of unspecified eyelid and periocular area [Sibling]
- S01.159A — Open bite of unspecified eyelid and periocular area, initial encounter [Sibling]
- S01.159D — Open bite of unspecified eyelid and periocular area, subsequent encounter [Sibling]
- S01.159S — Open bite of unspecified eyelid and periocular area, sequela [Sibling]
- S01.2 — Open wound of nose [Sibling]
- and 32 more
Referenced by Other Codes
Clinical classification (AHRQ CCSR):INJ011 — Open wounds of head and neck, initial encounter (default).
Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.
Potential MS-DRG Relationships (FY2026)
Not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity.
Named in the grouper logic of 9 MS-DRGs: DRG 011 (MDC PRE), DRG 012 (MDC PRE), DRG 013 (MDC PRE), DRG 154 (MDC 03), DRG 155 (MDC 03), DRG 156 (MDC 03), DRG 963 (MDC 24), DRG 964 (MDC 24), DRG 965 (MDC 24).
From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.
Official ICD-10-CM tabular notes on other codes that name S01.23XA or its code family.
1 Excludes1 notes: S00 (via S01.-).
3 Code Also instructions: S04 (via S01.-), S06 (via S01.-), S09.1 (via S01.-).
Frequently Asked Questions (FAQ) & Clinical Guidance
Does S01.23XA require a 7th character?
Yes. The appropriate 7th character is to be added to each code from category S01.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to S01.23XA in its code family, with their registry titles.
- S01.22 — Laceration with foreign body of nose
- S01.22XA — Laceration with foreign body of nose, initial encounter
- S01.22XD — Laceration with foreign body of nose, subsequent encounter
- S01.22XS — Laceration with foreign body of nose, sequela
- S01.23 — Puncture wound without foreign body of nose
- S01.23XD — Puncture wound without foreign body of nose, subsequent encounter
- S01.23XS — Puncture wound without foreign body of nose, sequela
- S01.24 — Puncture wound with foreign body of nose
- S01.24XA — Puncture wound with foreign body of nose, initial encounter
- S01.24XD — Puncture wound with foreign body of nose, subsequent encounter