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These are the phrasings that map to S31.33XA: Puncture wound of scrotum without foreign body, initial encounter Puncture wound of testes without foreign body, initial encounter Open wound of scrotum, puncture type, no foreign body, initial encounter Scrotal puncture wound, initial care Testicular puncture wound without retained object, initial encounter Sibling codes that catch a different wound type The siblings under S31.3 split on two things: what kind of wound it was, and whether anything stayed behind