S61.252D
S61.252D — Open bite of right middle finger without damage to nail, subsequent encounter
Billable / specific codeICD-10-CMPOA exemptright
S61.252D is a billable, specific ICD-10-CM code for open bite of right middle finger without damage to nail, subsequent encounter. It is valid for submission on a claim.
7th character "D" — subsequent encounter
The appropriate 7th character is to be added to each code from category S61
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
S61.252D 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
S61.252D is named in 8 Medicare coverage policies — 8 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53058Billing and Coding: Home Health Physical Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
- A54767Billing and Coding: Medicare Preventive Coverage for Certain Vaccines
- A56459Billing and Coding: Debridement Services
Related codes at this level
Codes that share S61.252. If S61.252D is not quite right, the correct code is usually one of these.
Questions about S61.252D
- Is S61.252D a billable ICD-10-CM code?
- Yes. S61.252D is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S61.252D 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).