Is S60.469 a billable ICD-10-CM code?

No. S60.469 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does S60.469 sit in the tabular list?

Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the wrist, hand and fingers (S60-S69).

S60.469

S60.469 — Insect bite (nonvenomous) of unspecified finger

Non-billable headerICD-10-CM

S60.469 is a non-billable header ICD-10-CM code for insect bite (nonvenomous) of unspecified finger. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.

This code requires a 7th character

The appropriate 7th character is to be added to each code from category S60

A: initial encounter
D: subsequent encounter
S: sequela

Risk adjustment

S60.469 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

How S60.469 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to S60.469.

Bite›finger›superficial NEC›insect

Code to one of these instead S60.469

3 child codes. Green means billable.

Related codes at this level

Codes that share S60.46. If S60.469 is not quite right, the correct code is usually one of these.

Questions about S60.469

Is S60.469 a billable ICD-10-CM code?: No. S60.469 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does S60.469 sit in the tabular list?: Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the wrist, hand and fingers (S60-S69).