S61.109S — Unspecified open wound of unspecified thumb with damage to nail, sequela
Is S61.109S billable?
Yes, but S61.109S is an unspecified code. S61.109S is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, S61.109S 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 S61.109S — the more specific alternatives are listed below.
More specific alternatives
- S61.111SLaceration without foreign body of right thumb with damage to nail, sequela
- S61.121SLaceration with foreign body of right thumb with damage to nail, sequela
- S61.131SPuncture wound without foreign body of right thumb with damage to nail, sequela
- S61.141SPuncture wound with foreign body of right thumb with damage to nail, sequela
- S61.151SOpen bite of right thumb with damage to nail, sequela
S61.109S at a glance
| Code | S61.109S |
|---|---|
| Description | Unspecified open wound of unspecified thumb with damage to nail, sequela |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
| 7th character "S" | sequela |
What does the 7th character "S" mean in S61.109S?
In S61.109S, the 7th character S means sequela. The 7th character is required for S61.109S to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
Which MS-DRGs does S61.109S group to?
S61.109S 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 S61.109S listed in the Alphabetic Index?
The Alphabetic Index lists these routes under S61.109, the nearest indexed parent of S61.109S. Use them to find the family, then select the specific code.
- Wound, open › thumb › with › damage to nail
Excludes1 — never code together — inherited from S61
The conditions below can never be reported together with S61.109S on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Use additional code — inherited from Chapter 19
Report an additional code alongside S61.109S to fully describe the condition. S61.109S 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 S61.109S, but a patient may have both at the same time. When documentation supports it, S61.109S and the excluded code may both be reported.
Excludes2 — not included here — inherited from S60-S69
The conditions below are not part of S61.109S, but a patient may have both at the same time. When documentation supports it, S61.109S and the excluded code may both be reported.
Code also — inherited from S61
Two codes may be needed to describe the condition fully. Whether S61.109S is sequenced first depends on the reason for the encounter.
- any associated wound infection
How long has S61.109S existed?
S61.109S 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.