Is S60.477A a billable ICD-10-CM code?

Yes. S60.477A is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does S60.477A 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).

What cannot be coded together with S60.477A?

S60.477A carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above S60.477A (S60.47) and apply to it just the same.

S60.477A

S60.477A — Other superficial bite of left little finger, initial encounter

Billable / specific codeICD-10-CMleft

S60.477A is a billable, specific ICD-10-CM code for other superficial bite of left little finger, initial encounter. It is valid for submission on a claim.

7th character "A" — initial encounter

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

A: initial encounter
D: subsequent encounter
S: sequela

Excludes1 inherited from the categories above S60.477A

These are not written on S60.477A, but they bind it: a note on a category applies to every code beneath it. Billing S60.477A with anything listed here is a denial.

Written on S60.47 — Other superficial bite of fingers

open bite of fingers (S61.25-, S61.35-)

Risk adjustment

S60.477A 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.

Medicare coverage

S60.477A is named in 5 Medicare coverage policies — 5 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A52438Billing and Coding: Tetanus Immunization
A54767Billing and Coding: Medicare Preventive Coverage for Certain Vaccines
A56900Billing and Coding: Immunizations
A58872Billing and Coding: Tetanus Immunization

Code history

S60.477A has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share S60.477. If S60.477A is not quite right, the correct code is usually one of these.

Questions about S60.477A

Is S60.477A a billable ICD-10-CM code?: Yes. S60.477A is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does S60.477A 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).
What cannot be coded together with S60.477A?: S60.477A carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above S60.477A (S60.47) and apply to it just the same.