S91.139A Puncture wound without foreign body of unspecified toe(s) without damage to nail, initial encounter

ICD-10-CM Diagnosis Code S91.139A

ICD-10-CM code S91.139A identifies a puncture wound without a foreign body of unspecified toe(s) without damage to nail, initial encounter. The terminology record is active and classifies the concept under the semantic type Injury or Poisoning. This reference summarizes official terminology sources. 1 2 6

Plain-language overview

Code S91.139A describes an injury to the toe classified as a puncture wound without a foreign body and without nail damage, specifically for an initial encounter. 1

What this code represents

The official display label for S91.139A is puncture wound without foreign body of unspecified toe(s) without damage to nail, initial encounter, and the concept carries the semantic type Injury or Poisoning. 1 2

S91.139A is an active ICD-10-CM terminology concept that has narrower concepts and whose parent concept is S91.139, puncture wound without foreign body of unspecified toe(s) without damage to nail. 1

Coding details

The S91.139A terminology record includes the published abbreviation puncture wound without fb of unsp toe(s) without damage to nail, init, and the code appears in the ICD10CM code system. 1 6

S91.139A is distinct from S91.139S, which represents the sequela of a puncture wound without foreign body of unspecified toe(s) without damage to nail. 3

Documentation considerations

The descriptor for S91.139A specifies a puncture wound without foreign body, without nail damage, to unspecified toe(s), and that the encounter is initial. 1 6

What the sources add

The National Cancer Institute terminology record and the VSAC code system entry both identify S91.139A as an ICD-10-CM code with the descriptor puncture wound without foreign body of unspecified toe(s) without damage to nail, initial encounter. 1 6

The EVS Explore source and the National Cancer Institute terminology record both classify S91.139A under the semantic type Injury or Poisoning, while the CMS articles list related but different toe puncture wound codes. 1 2 4 5

Coverage and utilization context

CMS billing and coding articles include lists of toe puncture wound codes, but the supplied excerpts do not state that S91.139A appears in those articles or that any listed code guarantees coverage. 4 5

Sources

1. ICD-10-CM S91.139A terminology record — National Cancer Institute Enterprise Vocabulary Services; accessed 2026-07-27.
2. EVS Explore — evsexplore.semantics.cancer.gov; accessed 2026-07-27.
3. EVS Explore — evsexplore.semantics.cancer.gov; accessed 2026-07-27.
4. Article - Billing and Coding: Immune Globulins (A57554) — cms.gov; accessed 2026-07-27.
5. Article - Billing and Coding: Surgical Treatment of Nails (A57666) — cms.gov; accessed 2026-07-27.
6. Browse Code Systems — vsac.nlm.nih.gov; accessed 2026-07-27.