S11.94XD ICD-10-CM Code: Puncture wound with foreign body of unspecified part of neck, subsequent 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 949 — AFTERCARE WITH CC/MCC (MDC 23)
- MS-DRG 950 — AFTERCARE WITHOUT CC/MCC (MDC 23)
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 S11.94XD in the official ICD-10-CM tabular list.
Includes
Conditions the official ICD-10-CM tabular list includes under this code.
- injuries of nape
- injuries of supraclavicular region
- injuries of throat
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- open fracture of vertebra (S12.- with 7th character B) Compare S11.94XD vs S12 →
- burns and corrosions (T20-T32) Compare S11.94XD vs T20 →
- effects of foreign body in esophagus (T18.1) Compare S11.94XD vs T18.1 →
- effects of foreign body in larynx (T17.3) Compare S11.94XD vs T17.3 →
- effects of foreign body in pharynx (T17.2) Compare S11.94XD vs T17.2 →
- effects of foreign body in trachea (T17.4) Compare S11.94XD vs T17.4 →
- frostbite (T33-T34) Compare S11.94XD vs T33 →
- insect bite or sting, venomous (T63.4) Compare S11.94XD vs T63.4 →
Frequently Compared Codes
The official Excludes notes on S11.94XD name these codes. Each comparison page covers when the two can — or must not — be reported together.
Change history
No changes recorded for this code — unchanged since the FY2016 baseline of the change ledger.
Verify Before Coding
- No Medicare Code Editor or MS-DRG Definitions Manual restrictions apply to this code.
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.
Relationships & Classification
Other codes that name S11.94XD 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.
2 Use Additional Code instructions: S17 (via S11.-), T71.16 (via S11.-).
4 Code Also instructions: S13.1 (via S11.-), S14 (via S11.-), S15 (via S11.-), S16 (via S11.-).
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 2 MS-DRGs: DRG 949 (MDC 23), DRG 950 (MDC 23).
From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.
Clinical classification (AHRQ CCSR):INJ048 — Open wounds of head and neck, subsequent 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 injury, other encounter phase
Same injury, coded at a different phase of treatment via the 7th character.
S11.94XA — Puncture wound with foreign body of unspecified part of neck, initial encounter, S11.94XS — Puncture wound with foreign body of unspecified part of neck, sequela
Same clinical category (CCSR)
AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Open wounds of head and neck, subsequent encounter).
S11.83XD — Puncture wound without foreign body of other specified part of neck, subsequent encounter, S11.84XD — Puncture wound with foreign body of other specified part of neck, subsequent encounter, S11.85XD — Open bite of other specified part of neck, subsequent encounter, S11.89XD — Other open wound of other specified part of neck, subsequent encounter, S11.90XD — Unspecified open wound of unspecified part of neck, subsequent encounter, S11.91XD — Laceration without foreign body of unspecified part of neck, subsequent encounter, S11.92XD — Laceration with foreign body of unspecified part of neck, subsequent encounter, S11.93XD — Puncture wound without foreign body of unspecified part of neck, subsequent encounter, S11.95XD — Open bite of unspecified part of neck, subsequent encounter, S16.2XXD — Laceration of muscle, fascia and tendon at neck level, subsequent encounter, +146 more
Contextual Map
Every relationship of S11.94XD 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
- S00-T88 — Chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) (S00-T88) [Hierarchy]
- S10-S19 — Injuries to the neck [Hierarchy]
Referenced by Use Additional Code instructions
- S17 — Crushing injury of neck [Use Additional Code](via S11.-): “open wound of neck (S11.-)” · check together
- T71.16 — Asphyxiation due to hanging [Use Additional Code](via S11.-): “open wound of neck (S11.-)” · check together
Referenced by Code Also instructions
- S13.1 — Subluxation and dislocation of cervical vertebrae [Code Also](via S11.-): “open wound of neck (S11.-)” · check together
- S14 — Injury of nerves and spinal cord at neck level [Code Also](via S11.-): “open wound of neck (S11.-)” · check together
- S15 — Injury of blood vessels at neck level [Code Also](via S11.-): “any associated open wound (S11.-)” · check together
- S16 — Injury of muscle, fascia and tendon at neck level [Code Also](via S11.-): “any associated open wound (S11.-)” · check together
Clinical classification (CCSR)
- INJ048 — Open wounds of head and neck, subsequent encounter [CCSR]
Potential MS-DRG
- DRG 949 — AFTERCARE WITH CC/MCC [MS-DRG]: “AFTERCARE WITH CC/MCC (MDC 23)”
- DRG 950 — AFTERCARE WITHOUT CC/MCC [MS-DRG]: “AFTERCARE WITHOUT CC/MCC (MDC 23)”
MDC crossing · procedures (1235)
- MDC 23 — Factors Influencing Health Status and Other Contacts with Health Services [MDC crossing]: “Factors Influencing Health Status and Other Contacts with Health Services — 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.”
- F003GKZ — Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Audiovisual Equipment [Same-MDC procedure]: “Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Audiovisual Equipment — grouped in MDC 23, the procedure side of this code's crossing.” · check together
- F003GMZ — Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Augmentative / Alternative Communication Equipment [Same-MDC procedure]: “Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Augmentative / Alternative Communication Equipment — grouped in MDC 23, the procedure side of this code's crossing.” · check together
- F003GPZ — Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Computer [Same-MDC procedure]: “Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Computer — grouped in MDC 23, the procedure side of this code's crossing.” · check together
- F003GYZ — Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Other Equipment [Same-MDC procedure]: “Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Other Equipment — grouped in MDC 23, the procedure side of this code's crossing.” · check together
- F003GZZ — Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body [Same-MDC procedure]: “Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body — grouped in MDC 23, the procedure side of this code's crossing.” · check together
- and 1230 more
Nearest codes (40)
- S11 — Open wound of neck [Sibling]
- S11.83 — Puncture wound without foreign body of other specified part of neck [Sibling]
- S11.83XA — Puncture wound without foreign body of other specified part of neck, initial encounter [Sibling]
- S11.83XD — Puncture wound without foreign body of other specified part of neck, subsequent encounter [Sibling]
- S11.83XS — Puncture wound without foreign body of other specified part of neck, sequela [Sibling]
- S11.84 — Puncture wound with foreign body of other specified part of neck [Sibling]
- S11.84XA — Puncture wound with foreign body of other specified part of neck, initial encounter [Sibling]
- S11.84XD — Puncture wound with foreign body of other specified part of neck, subsequent encounter [Sibling]
- and 32 more
Frequently Asked Questions (FAQ) & Clinical Guidance
Does S11.94XD require a 7th character?
Yes. The appropriate 7th character is to be added to each code from category S11.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to S11.94XD in its code family, with their registry titles.
- S11.93 — Puncture wound without foreign body of unspecified part of neck
- S11.93XA — Puncture wound without foreign body of unspecified part of neck, initial encounter
- S11.93XD — Puncture wound without foreign body of unspecified part of neck, subsequent encounter
- S11.93XS — Puncture wound without foreign body of unspecified part of neck, sequela
- S11.94 — Puncture wound with foreign body of unspecified part of neck
- S11.94XA — Puncture wound with foreign body of unspecified part of neck, initial encounter
- S11.94XS — Puncture wound with foreign body of unspecified part of neck, sequela
- S11.95 — Open bite of unspecified part of neck
- S11.95XA — Open bite of unspecified part of neck, initial encounter
- S11.95XD — Open bite of unspecified part of neck, subsequent encounter