Is S61.431S a billable ICD-10-CM code?

Yes. S61.431S is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does S61.431S 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 S61.431S?

S61.431S 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 S61.431S (S61) and apply to it just the same.

S61.431S

S61.431S — Puncture wound without foreign body of right hand, sequela

Billable / specific codeICD-10-CMPOA exemptright

S61.431S is a billable, specific ICD-10-CM code for puncture wound without foreign body of right hand, 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 S61.431S

These are not written on S61.431S, but they bind it: a note on a category applies to every code beneath it. Billing S61.431S with anything listed here is a denial.

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

S61.431S 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

S61.431S is named in 6 Medicare coverage policies — 6 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

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Code history

S61.431S 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 S61.431. If S61.431S is not quite right, the correct code is usually one of these.

Questions about S61.431S

Is S61.431S a billable ICD-10-CM code?: Yes. S61.431S is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does S61.431S 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 S61.431S?: S61.431S 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 S61.431S (S61) and apply to it just the same.