Puncture wound w/o foreign body of unsp upper arm, subs

Puncture wound without foreign body of unspecified upper arm, subsequent encounter

📋Clinical Description

This code signifies a follow-up visit for a patient who sustained a puncture wound to an unspecified area of their upper arm, where no foreign object was embedded. The injury is in the healing phase or requires further management after the initial treatment.

🎯When to Use

Apply this code for subsequent encounters related to a puncture wound of the upper arm that did not involve a foreign body. This includes visits for wound checks, dressing changes, infection monitoring, or follow-up care after initial debridement or closure.

💡Coding Tips

Ensure documentation specifies "subsequent encounter" for the injury.
Verify that the wound is explicitly described as a puncture and that no foreign body was present or removed.
Confirm the injury location is the upper arm, and if laterality is known, a more specific code should be chosen.

AI-generated reference — verify against official guidelines

Code Hierarchy

▲S41.139Puncture wound without foreign body of unspecified upper arm

S41.139D(current)

Crosswalks

V58.89ApproxICD-9

Same Category

S41Open wound of shoulder and upper arm S41.0Open wound of shoulder S41.00Unspecified open wound of shoulder S41.001Unspecified open wound of right shoulder S41.001AUnspecified open wound of right shoulder, initial encounter