S60.449A — External constriction of unspecified finger, initial encounter
Is S60.449A billable?
Yes, but S60.449A is an unspecified code. S60.449A is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, S60.449A is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting S60.449A — the more specific alternatives are listed below.
More specific alternatives
- S60.440AExternal constriction of right index finger, initial encounter
- S60.441AExternal constriction of left index finger, initial encounter
- S60.442AExternal constriction of right middle finger, initial encounter
- S60.443AExternal constriction of left middle finger, initial encounter
- S60.444AExternal constriction of right ring finger, initial encounter
- S60.445AExternal constriction of left ring finger, initial encounter
- S60.446AExternal constriction of right little finger, initial encounter
- S60.447AExternal constriction of left little finger, initial encounter
- S60.448AExternal constriction of other finger, initial encounter
S60.449A at a glance
| Code | S60.449A |
|---|---|
| Description | External constriction of unspecified finger, initial encounter |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
| 7th character "A" | initial encounter |
What does the 7th character "A" mean in S60.449A?
In S60.449A, the 7th character A means initial encounter. The 7th character is required for S60.449A to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
Which MS-DRGs does S60.449A group to?
S60.449A sits in MDC 09 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 604Trauma to the Skin, Subcutaneous Tissue and Breast with MCCmedical
- 605Trauma to the Skin, Subcutaneous Tissue and Breast without MCCmedical
How is S60.449A listed in the Alphabetic Index?
The Alphabetic Index lists these routes under S60.44, the nearest indexed parent of S60.449A. Use them to find the family, then select the specific code.
- Constriction › external › finger
- Hair › tourniquet syndrome › finger
- Constriction › external › finger › index
- Constriction › external › finger › little
- Constriction › external › finger › middle
- Constriction › external › finger › ring
Use additional code — inherited from Chapter 19
Report an additional code alongside S60.449A to fully describe the condition. S60.449A is sequenced first.
- code to identify any retained foreign body, if applicable (Z18.-)
Use additional code — inherited from S60.44
Report an additional code alongside S60.449A to fully describe the condition. S60.449A is sequenced first.
- cause code to identify the constricting item (W49.0-)
Excludes2 — not included here — inherited from Chapter 19
The conditions below are not part of S60.449A, but a patient may have both at the same time. When documentation supports it, S60.449A and the excluded code may both be reported.
Excludes2 — not included here — inherited from S60-S69
The conditions below are not part of S60.449A, but a patient may have both at the same time. When documentation supports it, S60.449A and the excluded code may both be reported.
How long has S60.449A existed?
S60.449A has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.