S61.258A
S61.258A: Open bite of other finger without damage to nail, initial encounter
Billable / specific codeICD-10-CM
S61.258A is a billable, specific ICD-10-CM code for open bite of other finger without damage to nail, initial encounter. It is valid for submission on a claim.
Check S61.258A with the rest of the claim: free scrubber7th character "A": initial encounter
The appropriate 7th character is to be added to each code from category S61
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Open bite of specified finger with unspecified laterality without damage to nail
Excludes1 inherited from the categories above S61.258A
A category’s note binds every code beneath it.
Written on S61.25: Open bite of finger without damage to nail
Excludes2 inherited from the categories above S61.258A
Not part of this code, but both may be coded when both are present.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
S61.258A is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A55909Billing and Coding: Wound Care
- A56459Billing and Coding: Debridement Services
- A57554Billing and Coding: Immune Globulins
Code history
Unchanged in every release from FY2024 to FY2027.