S61.04 — Puncture wound with foreign body of thumb without damage to nail
Is S61.04 billable?
No — S61.04 is a non-billable header code. S61.04 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 9 billable codes beneath S61.04.
Billable codes under this header
- S61.041APuncture wound with foreign body of right thumb without damage to nail, initial encounter
- S61.041DPuncture wound with foreign body of right thumb without damage to nail, subsequent encounter
- S61.041SPuncture wound with foreign body of right thumb without damage to nail, sequela
- S61.042APuncture wound with foreign body of left thumb without damage to nail, initial encounter
- S61.042DPuncture wound with foreign body of left thumb without damage to nail, subsequent encounter
- S61.042SPuncture wound with foreign body of left thumb without damage to nail, sequela
- S61.049APuncture wound with foreign body of unspecified thumb without damage to nail, initial encounter
- S61.049DPuncture wound with foreign body of unspecified thumb without damage to nail, subsequent encounter
- S61.049SPuncture wound with foreign body of unspecified thumb without damage to nail, sequela
S61.04 at a glance
| Code | S61.04 |
|---|---|
| Description | Puncture wound with foreign body of thumb without damage to nail |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Excludes1 — never code together — inherited from S61
The conditions below can never be reported together with S61.04 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Excludes1 — never code together — inherited from S61.0
The conditions below can never be reported together with S61.04 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- open wound of thumb with damage to nail (S61.1-)
Use additional code — inherited from Chapter 19
Report an additional code alongside S61.04 to fully describe the condition. S61.04 is sequenced first.
- code to identify any retained foreign body, if applicable (Z18.-)
Excludes2 — not included here — inherited from Chapter 19
The conditions below are not part of S61.04, but a patient may have both at the same time. When documentation supports it, S61.04 and the excluded code may both be reported.
Excludes2 — not included here — inherited from S60-S69
The conditions below are not part of S61.04, but a patient may have both at the same time. When documentation supports it, S61.04 and the excluded code may both be reported.
Code also — inherited from S61
Two codes may be needed to describe the condition fully. Whether S61.04 is sequenced first depends on the reason for the encounter.
- any associated wound infection
What codes fall under S61.04? (3)
How long has S61.04 existed?
S61.04 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.
What other codes are in the S61.0 family? (5)
- S61.00Unspecified open wound of thumb without damage to nailnot billable
- S61.01Laceration without foreign body of thumb without damage to nailnot billable
- S61.02Laceration with foreign body of thumb without damage to nailnot billable
- S61.03Puncture wound without foreign body of thumb without damage to nailnot billable
- S61.05Open bite of thumb without damage to nailnot billable