Is S61.11 a billable ICD-10-CM code?

No. S61.11 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does S61.11 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).

S61.11

S61.11 — Laceration without foreign body of thumb with damage to nail

Non-billable headerICD-10-CM

S61.11 is a non-billable header ICD-10-CM code for laceration without foreign body of thumb with damage to nail. 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 S61

A: initial encounter
D: subsequent encounter
S: sequela

Risk adjustment

S61.11 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.

Code to one of these instead S61.11

3 child codes. Green means billable.

Related codes at this level

Codes that share S61.1. If S61.11 is not quite right, the correct code is usually one of these.

Questions about S61.11

Is S61.11 a billable ICD-10-CM code?: No. S61.11 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does S61.11 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).