S61.258S — Open bite of other finger without damage to nail, sequela
S61.258S is a billable, specific ICD-10-CM code for open bite of other finger without 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
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
Risk adjustment
S61.258S 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
S61.258S is named in 2 Medicare coverage policies — 2 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53064Billing and Coding: Outpatient Occupational Therapy
- A56459Billing and Coding: Debridement Services
Related codes at this level
Codes that share S61.258. If S61.258S is not quite right, the correct code is usually one of these.
Questions about S61.258S
- Is S61.258S a billable ICD-10-CM code?
- Yes. S61.258S is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S61.258S 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).