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S11.22XA ICD-10-CM Code: Laceration with foreign body of pharynx and cervical esophagus, initial encounter

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Coding at a Glance

7th character
Required — see the character table on this page
Tabular directives
3 inclusion terms · 1 Excludes1 · 8 Excludes2 · 3 code-also instructions

Inpatient Payment Groups (MS-DRG)

Potential MS-DRG participation — not a DRG assignment.

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43, 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.

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for S11.22XA in the official ICD-10-CM tabular list, quoted as published.

Notes without a marker are published on S11.22XA 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

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).

Source: inherited from S11.2

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 (this page’s code)
  • 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

S11.22XA, S11.22XD, S11.22XS

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.

Code Overview

Laceration with foreign body of pharynx and cervical esophagus, initial encounter is a billable ICD-10-CM diagnosis code (S11.22XA).

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. 1 Excludes1 entry — codes named there are generally not reported together with this code (Guidelines I.A.12.a). See the Excludes1 notes
  4. 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

  • CC as a secondary diagnosis (FY2026). Can raise the stay's MS-DRG severity tier.

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

Other codes that name S11.22XA 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.

MS-DRG Grouper Relationships (FY2026)

CC — Complication or Comorbidity. Reported as a secondary diagnosis, this code raises the stay's MS-DRG severity tier — except when the principal diagnosis is one of 39 clinically related codes on its CMS exclusion list.

Potential MS-DRG participation — not a DRG assignment.

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.

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.

Related Codes

Same clinical process (MS-DRG)

Acts as CC — raises the severity of other admissions. CMS groups these diagnoses into one MS-DRG principal-diagnosis exclusion process — a CC/MCC on this list never raises severity when the principal diagnosis is also on it.

S11.20XA — Unspecified open wound of pharynx and cervical esophagus, initial encounter, S11.21XA — Laceration without foreign body of pharynx and cervical esophagus, initial encounter, S11.23XA — Puncture wound without foreign body of pharynx and cervical esophagus, initial encounter, S11.24XA — Puncture wound with foreign body of pharynx and cervical esophagus, initial encounter, S11.25XA — Open bite of pharynx and cervical esophagus, initial encounter, S11.80XA — Unspecified open wound of other specified part of neck, initial encounter, S11.81XA — Laceration without foreign body of other specified part of neck, initial encounter, S11.82XA — Laceration with foreign body of other specified part of neck, initial encounter, S11.83XA — Puncture wound without foreign body of other specified part of neck, initial encounter, S11.84XA — Puncture wound with foreign body of other specified part of neck, initial encounter, S11.85XA — Open bite of other specified part of neck, initial encounter, S11.89XA — Other open wound of other specified part of neck, initial encounter, S11.90XA — Unspecified open wound of unspecified part of neck, initial encounter, S11.91XA — Laceration without foreign body of unspecified part of neck, initial encounter, S11.92XA — Laceration with foreign body of unspecified part of neck, initial encounter, S11.93XA — Puncture wound without foreign body of unspecified part of neck, initial encounter, S11.94XA — Puncture wound with foreign body of unspecified part of neck, initial encounter, S11.95XA — Open bite of unspecified part of neck, initial encounter, S13.4XXA — Sprain of ligaments of cervical spine, initial encounter, S13.8XXA — Sprain of joints and ligaments of other parts of neck, initial encounter, +18 more

Same injury, other encounter phase

Same injury, coded at a different phase of treatment via the 7th character.

S11.22XD — Laceration with foreign body of pharynx and cervical esophagus, subsequent encounterCompare S11.22XA vs S11.22XD →, S11.22XS — Laceration with foreign body of pharynx and cervical esophagus, sequelaCompare S11.22XA vs S11.22XS →

Same clinical category (CCSR)

AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Open wounds of head and neck, initial encounter).

S11.035A — Open bite of vocal cord, initial encounter, S11.039A — Unspecified open wound of vocal cord, initial encounter, S11.10XA — Unspecified open wound of thyroid gland, initial encounter, S11.11XA — Laceration without foreign body of thyroid gland, initial encounter, S11.12XA — Laceration with foreign body of thyroid gland, initial encounter, S11.13XA — Puncture wound without foreign body of thyroid gland, initial encounter, S11.14XA — Puncture wound with foreign body of thyroid gland, initial encounter, S11.15XA — Open bite of thyroid gland, initial encounter, S11.20XA — Unspecified open wound of pharynx and cervical esophagus, initial encounter, S11.21XA — Laceration without foreign body of pharynx and cervical esophagus, initial encounter, S11.23XA — Puncture wound without foreign body of pharynx and cervical esophagus, initial encounter, S11.24XA — Puncture wound with foreign body of pharynx and cervical esophagus, initial encounter, S11.25XA — Open bite of pharynx and cervical esophagus, initial encounter, S11.80XA — Unspecified open wound of other specified part of neck, initial encounter, S11.81XA — Laceration without foreign body of other specified part of neck, initial encounter, S11.82XA — Laceration with foreign body of other specified part of neck, initial encounter, S11.83XA — Puncture wound without foreign body of other specified part of neck, initial encounter, S11.84XA — Puncture wound with foreign body of other specified part of neck, initial encounter, S11.85XA — Open bite of other specified part of neck, initial encounter, S11.89XA — Other open wound of other specified part of neck, initial encounter, +136 more

Contextual Map

Every relationship of S11.22XA 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 S11.22XA with these 7 related codes in Claim Check

Hierarchy

Referenced by Excludes2 notes

Referenced by Use Additional Code instructions

Referenced by Code Also instructions

Clinical classification (CCSR)

MS-DRG Grouper (9)

MDC crossing

  • Pre-MDC[MDC crossing]: “Pre-MDC — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs. 153 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2026
  • MDC 03 — Diseases and Disorders of the Ear, Nose, Mouth and Throat[MDC crossing]: “Diseases and Disorders of the Ear, Nose, Mouth and Throat — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs. 5,147 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2026

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

Common coding questions

Does S11.22XA 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 FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page
Claim edits Official source data
CMS Definitions of Medicare Code Edits — v43.1 (April 2026) Release, file and checksum · Publisher’s page
Inpatient payment groups Official source data
CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v43 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 structured 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 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.

Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates

Change history

  • FY2016 — October 1, 2015
    In the code set at ICD-10-CM adoption
    Laceration with foreign body of pharynx and cervical esophagus, initial encounter

No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027 (effective October 1, 2026), 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 S11.22XA in its code family, with their registry titles.

View all codes in the S11 family