Is S61.152S a billable ICD-10-CM code?

Yes. S61.152S is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does S61.152S 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 S61.152S?

S61.152S 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 S61.152S (S61.15, S61) and apply to it just the same.

S61.152S

S61.152S — Open bite of left thumb with damage to nail, sequela

Billable / specific codeICD-10-CMPOA exemptleft

S61.152S is a billable, specific ICD-10-CM code for open bite of left thumb with damage to nail, sequela. It is valid for submission on a claim.

7th character "S" — sequela

The appropriate 7th character is to be added to each code from category S61

A: initial encounter
D: subsequent encounter
S: sequela

Excludes1 inherited from the categories above S61.152S

These are not written on S61.152S, but they bind it: a note on a category applies to every code beneath it. Billing S61.152S with anything listed here is a denial.

Written on S61.15 — Open bite of thumb with damage to nail

superficial bite of thumb (S60.36-, S60.37-)

Written on S61 — Open wound of wrist, hand and fingers

open fracture of wrist, hand and finger (S62.- with 7th character B)
traumatic amputation of wrist and hand (S68.-)

Risk adjustment

S61.152S 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

S61.152S is named in 10 Medicare coverage policies — 10 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A52998Billing and Coding: Surgical Treatment of Nails
A53057Billing and Coding: Home Health Occupational Therapy
A53058Billing and Coding: Home Health Physical Therapy
A53064Billing and Coding: Outpatient Occupational Therapy

Code history

S61.152S 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 S61.152. If S61.152S is not quite right, the correct code is usually one of these.

Questions about S61.152S

Is S61.152S a billable ICD-10-CM code?: Yes. S61.152S is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does S61.152S 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 S61.152S?: S61.152S 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 S61.152S (S61.15, S61) and apply to it just the same.