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S11.033 ICD-10-CM Code: Puncture wound without foreign body of vocal cord

Compare with another code for S11.033Check this code on a claim

Billing Status: NO. This is a non-billable ICD-10-CM code: report a more specific billable code beneath it.

Coding at a Glance

7th character
Required — see the character table on this page
Tabular directives
3 inclusion terms · 8 Excludes2 · 3 code-also instructions

Not billable · FY2027A non-billable heading in the tabular list: report a more specific code beneath it.

What you need to know

Source: CMS/NCHS Official ICD-10-CM tabular notes, quoted. From the CMS/NCHS tabular list for the release in force. A note the category or block publishes applies to this code too, and is marked with where it comes from.

7th character:required: report a code with a 7th character· The appropriate 7th character is to be added to each code from category S11See the 7th character note

Code alsofrom S11May be needed with this code
  • any associated:
  • spinal cord injury (S14.0, S14.1-)
  • wound infection
Excludes2Not included here; may be reported together
  • open fracture of vertebra (S12.- with 7th character B) (from S11)
  • burns and corrosions (T20-T32) (from S10-S19)
  • effects of foreign body in esophagus (T18.1) (from S10-S19)
  • effects of foreign body in larynx (T17.3) (from S10-S19)

+4 more in Instructions

Includesfrom S10-S19What S10-S19 covers
  • injuries of nape
  • injuries of supraclavicular region
  • injuries of throat

Where it sits Source: CMS/NCHS

Under:Chapter 19: Injury, Poisoning and Certain Other Consequences of External CausesS10-S19 Injuries to the neckS11 Open wound of neckS11.0 Open wound of larynx and tracheaS11.03 Open wound of vocal cord

Codes under S11.033 (3)

  • S11.033APuncture wound without foreign body of vocal cord, initial encounterBillable
  • S11.033DPuncture wound without foreign body of vocal cord, subsequent encounterBillable
  • S11.033SPuncture wound without foreign body of vocal cord, sequelaBillable

Most relevant related codes MedCoder-derived

Read off the official notes above and this code’s own position in the tabular list. Which to report is a documentation question; Compare shows the two side by side.

CompareCheck ClaimView Related Codes

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for S11.033 in the official ICD-10-CM tabular list, quoted as published.

Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2027Effective: October 1, 2026

Trace:FY2027 changesChange historyRelease, file and checksum

Notes without a marker are published on S11.033 itself; “inherited from” names the category or block whose note applies here.

Includes

Conditions the official ICD-10-CM tabular list includes under this code.

  • injuries of nape
  • injuries of supraclavicular region
  • injuries of throat

Source: inherited from S10-S19

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

Code Also

Additional codes that may be required to fully describe the encounter.

  • any associated:
  • spinal cord injury (S14.0, S14.1-)
  • wound infection

Source: inherited from S11

7th Character Guide

"The appropriate 7th character is to be added to each code from category S11"

  • A — initial encounter
  • D — subsequent encounter
  • S — sequela

How the encounter character is assigned. “Initial encounter” means the patient is receiving active treatment for the condition — it is not limited to the first visit, and a different or new provider giving active treatment still assigns it. “Subsequent encounter” covers care during the healing or recovery phase after active treatment. “Sequela” is for complications or conditions that arise as a direct result of the original condition.

ICD-10-CM Official Guidelines for Coding and Reporting, Section I.C.19.a (paraphrased by MedCoder).

Variant codes in this family

S11.033A, S11.033D, S11.033S

Character meanings are CMS's official 7th-character extensions for this family, as carried in each variant code's official description; variant codes are registry rows. The explanation of how the encounter character is assigned is MedCoder editorial, distinct from the official content above it.

Coder workflow for S11.033

MedCoder structured workflow — derived from this code’s own official record

Before you code S11.033

  1. S11.033 is not reportable as written. Select the more specific code beneath it that the documentation supports. Codes are reported to the highest level of specificity the classification provides (Guidelines I.B.2).

    ReviewS11.033A, S11.033D, S11.033S

    See the relationships section · Guide: How to choose an ICD-10-CM code →

  2. A 7th character is required in this family. Confirm the documented encounter: initial (active treatment), subsequent (healing or recovery phase), or sequela. S11.033 is not valid without one. “Initial” means active treatment, not the first visit (Guidelines I.C.19.a).

    See the 7th Character Guide · Guide: 7th characters: initial, subsequent, sequela →

  3. Confirm the injury type, the anatomical site at the most specific level documented, laterality where the family codes it, and the encounter for the 7th character. Each injury is coded separately unless the classification provides a combination code, and a superficial injury is not coded when a more severe injury of the same site is documented. Injury chapter guidelines (Guidelines I.C.19.b, I.C.19.b.1).

    Guide: 7th characters: initial, subsequent, sequela →

Choose the right path

  1. Does the documentation support one of the more specific codes beneath S11.033?
    Yes → Select that code and continue the checks below on its own page.
    No → S11.033 cannot be reported as written. Where the codes beneath it include an unspecified code, that code applies when the record goes no further; otherwise query for the missing detail.

    ReviewS11.033A, S11.033D, S11.033S

  2. Is the encounter phase documented — active treatment, healing or recovery, or a sequela?
    Yes → Assign the matching 7th character; the variant codes are in the 7th Character Guide.
    No → The code is invalid without its 7th character — query for the missing element.

Report the code beneath S11.033 that the documentation supports, not S11.033 itself. Then review the Code Also note, and confirm that code is valid for the date of service on its own page.

Documentation check

The provider’s diagnostic statement
Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
Anatomical site
At the most specific level the record states; a site the classification separates cannot be assumed from a procedure or a measurement.
Encounter type
Active treatment, healing or recovery phase, or sequela — the basis of the 7th character (Guidelines I.C.19.a).
The associated condition or complication
Whether the associated condition the title names is documented; the “with” convention presumes some links, and a provider statement that the conditions are unrelated defeats it (Guidelines I.A.15).
Open or closed; displaced or nondisplaced
Defaults apply when the record is silent: closed, and displaced (Guidelines I.C.19.c).
External cause, place and activity
For the external cause codes reported with the injury or poisoning, where documented (Guidelines I.C.20.a).

Official instructions as workflow

  • Excludes2 — not part of S11.033(8 notes)

    Coding workflow: The conditions named in this note are not included in S11.033. When the record documents both, both may be reported; the note is a boundary, not a prohibition.

    CompareS12, T18.1, T17.3, T17.2, T17.4, T63.4

    See the official tabular notes · Guidelines I.A.12.b

  • Code Also — related condition(3 notes)

    Coding workflow: Review the related condition when both are documented and the instruction applies. A Code Also note does not fix sequencing; the order follows the circumstances of the encounter.

    ReviewS14.0, S14.1

    See the official tabular notes · Guidelines I.A.17

Coding decision scenarios

Pattern scenarios for this code’s structure — decision rules, not clinical cases

Documentation: The patient returns during the healing or recovery phase after active treatment of the same condition.

Coding question: Which 7th character applies?

Path: Review the official 7th-character definitions for this family in the 7th Character Guide.

Reason: “Initial encounter” means active treatment, not the first visit; care during recovery takes “subsequent encounter”, and a complication arising from the original condition takes “sequela” (Guidelines I.C.19.a).

Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.

Don’t confuse S11.033 with…

MedCoder analysis — pairs from this code’s official notes, distinctions written by MedCoder

The codes most likely to be picked instead of S11.033 — named in its own official notes, or sharing its laterality or encounter family — with what separates them and which documentation moves the case. Each links to the full comparison.

  • S11.039— Specificity relationship (Review)

    Overlapping diagnoses in the same category.

    Overlapping codes in the same category — the documentation decides which is the more specific fit.

    What moves you there: A record that documents no more than “Unspecified open wound of vocal cord” takes S11.039; specificity in the record moves it back here.

    Full comparison: S11.033 vs S11.039 →

  • S11.033A— Encounter relationship (Review)

    Same underlying diagnosis, different encounter phase.

    The same diagnosis at a different phase of care; one encounter takes one 7th character.

    What moves you there: Documentation of a initial encounter moves the case to S11.033A.

    Full comparison: S11.033 vs S11.033A →

  • S11.033D— Encounter relationship (Review)

    Same underlying diagnosis, different encounter phase.

    The same diagnosis at a different phase of care; one encounter takes one 7th character.

    What moves you there: Documentation of a subsequent encounter moves the case to S11.033D.

    Full comparison: S11.033 vs S11.033D →

  • S12— Excludes2 relationship (Informational)

    Distinct conditions — both may be reported.

    A distinct condition — both may be reported when both are documented.

    What moves you there: Documentation of open fracture of vertebra adds S12; it is not part of this code and both may be reported when both are documented.

    Full comparison: S11.033 vs S12 →

  • T20— Excludes2 relationship (Informational)

    Distinct conditions — both may be reported.

    A distinct condition — both may be reported when both are documented.

    What moves you there: Documentation of burns and corrosions adds T20; it is not part of this code and both may be reported when both are documented.

    Full comparison: S11.033 vs T20 →

  • T32— Excludes2 relationship (Informational)

    Distinct conditions — both may be reported.

    A distinct condition — both may be reported when both are documented.

    What moves you there: Documentation of burns and corrosions adds T32; it is not part of this code and both may be reported when both are documented.

    Full comparison: S11.033 vs T32 →

Relationships are read from this code's own official notes, its laterality siblings and its encounter family; the wording of each distinction is MedCoder editorial, and the documentation named in each “what moves you there” line is the official note phrase or sibling title itself. Source: CMS ICD-10-CM tabular instructional notes; ICD-10-CM Official Guidelines, Section I.A.12.a.

Coding context

Guidelines, coding notes, decision aids, relationships (with MS-DRG and CCSR classification), hierarchy, HCC, coverage and the context map: what a coder reaches for after the core. Each section names whether it is official source data, a MedCoder-derived relationship or MedCoder editorial.

Code Overview

Puncture wound without foreign body of vocal cord is a non-billable ICD-10-CM category code (S11.033). A more specific billable subcode must be selected for claims submission.

MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.

Decision Points

The directives on this code's own record, as a pre-claim checklist.

  1. A 7th character applies in this family. Confirm the documented encounter matches the character assigned. See the official 7th-character definitions and this code’s variants
  2. 3 Code Also notes — a second code may apply; the guidelines leave its sequencing to the circumstances of the encounter. See the Code Also notes
  3. 8 Excludes2 entries — those conditions are not part of this code and may be reported additionally when documented. See the Excludes2 notes

Checklist rows are derived from this code's own official directives; the wording of each check is MedCoder editorial. The official notes themselves are in the sections each row links to.

Verify Before Coding

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.

Relationships & Classification

MedCoder-derived relationships — computed from published CMS and AHRQ datasets

Other codes that name S11.033 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.

Referenced by 1 Excludes2 note: S27 — Injury of other and unspecified intrathoracic organs (via S11.-).

These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.

Referenced by 2 Use Additional Code instructions: S17 — Crushing injury of neck (via S11.-), T71.16 — Asphyxiation due to hanging (via S11.-).

These codes instruct coders to additionally report this code when it applies.

Referenced by 4 Code Also instructions: S13.1 — Subluxation and dislocation of cervical vertebrae (via S11.-), S14 — Injury of nerves and spinal cord at neck level (via S11.-), S15 — Injury of blood vessels at neck level (via S11.-), S16 — Injury of muscle, fascia and tendon at neck level (via S11.-).

These codes suggest coding this condition alongside when both are present.

Related Codes

Same Index main term, other category

The ICD-10-CM Index to Diseases and Injuries files this code under the main term “Wound, open”; these codes share that main term but sit in a different category of the Tabular List.

S01.90 — Unspecified open wound of unspecified part of head (head), S05.2 — Ocular laceration and rupture with prolapse or loss of intraocular tissue (ocular, laceration and rupture, with prolapse or loss of intraocular tissue), S05.3 — Ocular laceration without prolapse or loss of intraocular tissue (ocular, laceration and rupture), S05.4 — Penetrating wound of orbit with or without foreign body (ocular, orbit), S05.5 — Penetrating wound with foreign body of eyeball (ocular, eyeball, with foreign body), S05.6 — Penetrating wound without foreign body of eyeball (ocular, eyeball), S05.7 — Avulsion of eye (ocular, avulsion), S05.8X — Other injuries of eye and orbit (ocular, specified NEC), S05.90 — Unspecified injury of unspecified eye and orbit (ocular), S09.2 — Traumatic rupture of ear drum (ear, drum), S21.00 — Unspecified open wound of breast (breast), S21.10 — Unspecified open wound of front wall of thorax without penetration into thoracic cavity (thorax, thoracic, front), S21.20 — Unspecified open wound of back wall of thorax without penetration into thoracic cavity (thorax, thoracic, back), S21.30 — Unspecified open wound of front wall of thorax with penetration into thoracic cavity (thorax, thoracic, front, with penetration), S21.40 — Unspecified open wound of back wall of thorax with penetration into thoracic cavity (thorax, thoracic, back, with penetration), S21.90 — Unspecified open wound of unspecified part of thorax (thorax, thoracic), S27.813 — Laceration of esophagus (thoracic part) (esophagus, laceration), S27.818 — Other injury of esophagus (thoracic part) (esophagus, specified type NEC), S27.819 — Unspecified injury of esophagus (thoracic part) (esophagus), S31.000 — Unspecified open wound of lower back and pelvis without penetration into retroperitoneum (back, lower), +98 more

Contextual Map

Every relationship of S11.033 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.

Run S11.033 with these 7 related codes in Claim Check

Hierarchy

Referenced by Excludes2 notes

Referenced by Use Additional Code instructions

Referenced by Code Also instructions

Index entries

  • Puncture, vocal cords[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
  • Wound, open, vocal cord, puncture[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027

Nearest codes (40)

Change history

  • FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016

Reference

Index terms and tables, published questions and FAQ, every source behind this page with its release and checksum, the date-of-service check and the complete change history.

Indexed Clinical Terms (2)

Official source data — entries quoted as published, in the Index’s own lookup phrasing

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code. These are alphabetic-index entries shown as the Index writes them — lookup phrasing, not necessarily the wording of a final diagnosis.

Common coding questions

MedCoder editorial

Can S11.033 be billed directly?

No. S11.033 (Puncture wound without foreign body of vocal cord) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.

Does S11.033 require a 7th character?

Yes. The appropriate 7th character is to be added to each code from category S11.

Sources for this page

Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.

Code, title, tabular notes and index terms Official source data
CMS/CDC ICD-10-CM FY2027 tabular list, index and tables, effective October 1, 2026 Release, file and checksum · Publisher’s page
Claim edits Official source data
CMS Definitions of Medicare Code Edits — v44.0 (October 2026) Release, file and checksum · Publisher’s page
Change history and date-of-service validity Official source data
CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
Comparisons, relationships and the contextual map MedCoder-derived relationship
Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
Summary and FAQ answers MedCoder editorial explanation
Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.

Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources

Labels on this page: Official source data · MedCoder-derived relationship · MedCoder editorial explanation. How to read the labels · All data sources and release dates · CMS coding rules

Cite this page

Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.

MedCoder.ai. "S11.033 — Puncture wound without foreign body of vocal cord." ICD-10-CM FY2027. https://medcoder.ai/icd10/code/s11.033-puncture-wound-without-foreign-body-of-vocal-cord

Change history

  • FY2016 — October 1, 2015
    In the code set at ICD-10-CM adoption
    Puncture wound without foreign body of vocal cord

No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027, and none are recorded for this code. Note changes are tracked from FY2027 only.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to S11.033 in its code family, with their registry titles.

View all codes in the S11 family