Version 2024

2024 ICD-10-CM Diagnosis Code S61.209A

Unspecified open wound of unspecified finger without damage to nail, initial encounter

ICD-10-CM Code:: S61.209A
ICD-10 Code for:: Unsp open wound of unsp finger w/o damage to nail, init
Is Billable?: Yes - Valid for Submission
Chronic Condition Indicator: ^[1]: Not chronic
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Code Information
Approximate Synonyms
Clinical Classification
Clinical Information
Coding Guidelines
Tabular List of Diseases and Injuries
Diagnostic Related Groups Mapping
Convert to ICD-9 Code
Patient Education
Other Codes Used Similar Conditions
Code History

Code Classification

Injury, poisoning and certain other consequences of external causes
(S00–T88)
- Injuries to the wrist, hand and fingers
  (S60-S69)
  - Open wound of wrist, hand and fingers
    (S61)

S61.209A is a billable diagnosis code used to specify a medical diagnosis of unspecified open wound of unspecified finger without damage to nail, initial encounter. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024.

S61.209A is an initial encounter code, includes a 7th character and should be used while the patient is receiving active treatment for a condition like unspecified open wound of unspecified finger without damage to nail. According to ICD-10-CM Guidelines an "initial encounter" doesn't necessarily means "initial visit". The 7th character should be used when the patient is undergoing active treatment regardless if new or different providers saw the patient over the course of a treatment. The appropriate 7th character codes should also be used even if the patient delayed seeking treatment for a condition.

Unspecified diagnosis codes like S61.209A are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

Comminuted fracture of phalanx of finger
Comminuted fracture of phalanx of finger
Comminuted fracture of phalanx of finger
Fracture of base of metacarpal bone other than first metacarpal
Fracture of multiple phalanges of finger
Fracture of multiple phalanges of finger
Fracture of multiple phalanges of finger
Fracture of multiple phalanges of finger
Fracture of multiple phalanges of finger
Mallet finger with open tendon injury
Metal nail wound
Metal nail wound of finger
Multiple open dislocations of hand
Multiple open dislocations of hand
Multiple open fractures of hand bones
Multiple open fractures of hand bones
Multiple open fractures of hand bones
Multiple open fractures of hand bones
Multiple open fractures of hand bones
Multiple open wounds of hand
Multiple traumatic dislocation of finger
Nail wound of hand
Open comminuted fracture of distal phalanx of finger
Open comminuted fracture of middle phalanx of finger
Open comminuted fracture of proximal phalanx of finger
Open dislocation of metacarpophalangeal joint of finger
Open division finger ligament
Open division, finger, distal interphalangeal joint, radial collateral ligament
Open division, finger, distal interphalangeal joint, ulnar collateral ligament
Open division, finger, proximal interphalangeal joint, radial collateral ligament
Open division, finger, proximal interphalangeal joint, ulnar collateral ligament
Open fracture dislocation of digit of hand
Open fracture dislocation of proximal interphalangeal joint
Open fracture finger metacarpal
Open fracture finger metacarpal base
Open fracture finger metacarpal head
Open fracture finger metacarpal neck
Open fracture finger middle phalanx
Open fracture finger middle phalanx, base
Open fracture finger middle phalanx, head
Open fracture finger middle phalanx, neck
Open fracture finger middle phalanx, shaft
Open fracture finger proximal phalanx
Open fracture finger proximal phalanx, base
Open fracture finger proximal phalanx, head
Open fracture finger proximal phalanx, neck
Open fracture finger proximal phalanx, shaft
Open fracture of base of metacarpal bone other than first metacarpal
Open fracture of distal phalanx of index finger
Open fracture of distal phalanx of multiple fingers
Open fracture of distal phalanx of ring finger
Open fracture of middle phalanx of multiple fingers
Open fracture of multiple phalanges of finger
Open fracture of multiple phalanges of finger
Open fracture of multiple phalanges of finger
Open fracture of multiple phalanges of finger
Open fracture of multiple sites of phalanges of hand
Open fracture of neck of metacarpal bone
Open fracture of phalanx of finger of left hand
Open fracture of phalanx of finger of right hand
Open fracture of phalanx of index finger
Open fracture of phalanx of middle finger
Open fracture of phalanx of middle finger
Open fracture of phalanx of middle finger
Open fracture of phalanx of ring finger
Open fracture of proximal phalanx of multiple fingers
Open fracture subluxation digit
Open fracture subluxation of distal interphalangeal joint
Open injury, common digital nerve
Open injury, digital nerve in finger
Open mallet fracture of distal phalanx of index finger
Open mallet fracture of distal phalanx of ring finger
Open traumatic dislocation digit
Open traumatic dislocation metacarpophalangeal joint
Open traumatic dislocation metacarpophalangeal joint
Open traumatic dislocation multiple digits
Open traumatic dislocation of distal interphalangeal joint of finger of left hand
Open traumatic dislocation of distal interphalangeal joint of finger of right hand
Open traumatic dislocation of joint of finger of left hand
Open traumatic dislocation of joint of finger of right hand
Open traumatic dislocation of multiple fingers
Open traumatic dislocation of proximal interphalangeal joint of finger of left hand
Open traumatic dislocation of proximal interphalangeal joint of finger of right hand
Open traumatic dislocation, distal interphalangeal joint
Open traumatic dislocation, distal interphalangeal joint
Open traumatic dislocation, distal interphalangeal joint
Open traumatic dislocation, proximal interphalangeal joint
Open traumatic dislocation, proximal interphalangeal joint
Open traumatic subluxation digit
Open traumatic subluxation digit
Open traumatic subluxation digit
Open traumatic subluxation multiple digits
Open traumatic subluxation, distal interphalangeal joint
Open traumatic subluxation, metacarpophalangeal joint
Open traumatic subluxation, proximal interphalangeal joint
Open wound of finger
Open wound of finger of left hand
Open wound of finger of right hand
Open wound of finger with complication
Open wound of hand with complication
Open wound of multiple fingers
Open wound of multiple sites of finger
Pellet wound of finger
Pellet wound of hand
Rupture of extensor tendon of finger
Rupture of tendon of finger
Traumatic amputation fingertip, type 1
Traumatic amputation of fingertip
Traumatic division of finger ligament
Traumatic division of finger ligament
Traumatic division of finger ligament
Traumatic division of finger ligament
Traumatic division of finger ligament
Traumatic rupture of extensor tendon of finger
Traumatic tear of tendon of hand

Clinical Classification

Clinical Category is Open wounds to limbs, initial encounter
CCSR Category Code: INJ012
Inpatient Default CCSR: Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.
Outpatient Default CCSR: Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.

Clinical Information

Open Fracture of Neck of Metacarpal Bone
a traumatic break in the area of the metacarpal bone located between the diaphysis and the distal metaphysis that involves a break in the adjacent skin.

Coding Guidelines

The appropriate 7th character is to be added to each code from block Open wound of wrist, hand and fingers (S61). Use the following options for the aplicable episode of care:

A - initial encounter
D - subsequent encounter
S - sequela

S61.209A is grouped with Diagnostic Related Groups - MS-DRG Mapping

Diagnostic Related Groups (DRGs) are a classification system used to group together diagnosis codes for the purpose of reimbursement and healthcare management. DRGs are used to standardize the way hospitals and other providers are paid for inpatient services. In this system patients are grouped together based on their principal diagnosis in areas referred to as Major Diagnostic Categories (MDC). Once a patient is assigned a particular diagnostic category, providers receive a predetermined payment rate for the services rendered. This reimbursement rate is often fixed and is meant to cover the cost of care for that patient. Reimbursement is also affected by the relative weight of a diagnostic related group based on the severity of a patient's illness and the associated cost of care during hospitalization.

Diagnostic related groups encourage healthcare providers to focus on quality and efficiency in patient care while managing costs effectively. The diagnosis code is present in the following groups for version MS-DRG V41.0 applicable from 10/01/2023 through 09/30/2024.

MS-DRG	MS-DRG Title	MCD	Relative Weight
604	TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC	09	1.5062
605	TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC	09	0.9088

The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.

Convert S61.209A to ICD-9-CM

ICD-9-CM Code: 883.0 - Open wound of finger
Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.

Patient Education

Finger Injuries and Disorders

You use your fingers and thumbs to do everything from grasping objects to playing musical instruments to typing. When there is something wrong with them, it can make life difficult. Common problems include:

Injuries that result in fractures (broken bones), ruptured ligaments and dislocations
Osteoarthritis - wear-and-tear arthritis. It can also cause deformity.
Tendinitis - irritation of the tendons
Dupuytren's contracture - a hereditary thickening of the tough tissue that lies just below the skin of your palm. It causes the fingers to stiffen and bend.
Trigger finger - an irritation of the sheath that surrounds the flexor tendons. It can cause the tendon to catch and release like a trigger.

[Learn More in MedlinePlus]

Wounds and Injuries

An injury is damage to your body. It is a general term that refers to harm caused by accidents, falls, hits, weapons, and more. In the U.S., millions of people injure themselves every year. These injuries range from minor to life-threatening. Injuries can happen at work or play, indoors or outdoors, driving a car, or walking across the street.

Wounds are injuries that break the skin or other body tissues. They include cuts, scrapes, scratches, and punctured skin. They often happen because of an accident, but surgery, sutures, and stitches also cause wounds. Minor wounds usually aren't serious, but it is important to clean them. Serious and infected wounds may require first aid followed by a visit to your doctor. You should also seek attention if the wound is deep, you cannot close it yourself, you cannot stop the bleeding or get the dirt out, or it does not heal.

Other common types of injuries include:

Animal bites
Bruises
Burns
Dislocations
Electrical injuries
Fractures (broken bones)
Sprains and strains

[Learn More in MedlinePlus]

Other ICD-10-CM Codes Commonly Used for Similar Conditions

Filter related codes list:

S61 Open wound of wrist, hand and fingers.
S61.0 Open wound of thumb without damage to nail.
S61.00 Unspecified open wound of thumb without damage to nail.
S61.001 Unspecified open wound of right thumb without damage to nail.
S61.001A Unspecified open wound of right thumb without damage to nail, initial encounter.
S61.001D Unspecified open wound of right thumb without damage to nail, subsequent encounter.
S61.001S Unspecified open wound of right thumb without damage to nail, sequela.
S61.002 Unspecified open wound of left thumb without damage to nail.
S61.002A Unspecified open wound of left thumb without damage to nail, initial encounter.
S61.002D Unspecified open wound of left thumb without damage to nail, subsequent encounter.
S61.002S Unspecified open wound of left thumb without damage to nail, sequela.
S61.009 Unspecified open wound of unspecified thumb without damage to nail.
S61.009A Unspecified open wound of unspecified thumb without damage to nail, initial encounter.
S61.009D Unspecified open wound of unspecified thumb without damage to nail, subsequent encounter.
S61.009S Unspecified open wound of unspecified thumb without damage to nail, sequela.
S61.01 Laceration without foreign body of thumb without damage to nail.
S61.011 Laceration without foreign body of right thumb without damage to nail.
S61.011A Laceration without foreign body of right thumb without damage to nail, initial encounter.
S61.011D Laceration without foreign body of right thumb without damage to nail, subsequent encounter.
S61.011S Laceration without foreign body of right thumb without damage to nail, sequela.
S61.012 Laceration without foreign body of left thumb without damage to nail.
S61.012A Laceration without foreign body of left thumb without damage to nail, initial encounter.
S61.012D Laceration without foreign body of left thumb without damage to nail, subsequent encounter.
S61.012S Laceration without foreign body of left thumb without damage to nail, sequela.
S61.019 Laceration without foreign body of unspecified thumb without damage to nail.
S61.019A Laceration without foreign body of unspecified thumb without damage to nail, initial encounter.
S61.019D Laceration without foreign body of unspecified thumb without damage to nail, subsequent encounter.
S61.019S Laceration without foreign body of unspecified thumb without damage to nail, sequela.
S61.02 Laceration with foreign body of thumb without damage to nail.
S61.021 Laceration with foreign body of right thumb without damage to nail.
S61.021A Laceration with foreign body of right thumb without damage to nail, initial encounter.
S61.021D Laceration with foreign body of right thumb without damage to nail, subsequent encounter.
S61.021S Laceration with foreign body of right thumb without damage to nail, sequela.
S61.022 Laceration with foreign body of left thumb without damage to nail.
S61.022A Laceration with foreign body of left thumb without damage to nail, initial encounter.
S61.022D Laceration with foreign body of left thumb without damage to nail, subsequent encounter.
S61.022S Laceration with foreign body of left thumb without damage to nail, sequela.
S61.029 Laceration with foreign body of unspecified thumb without damage to nail.
S61.029A Laceration with foreign body of unspecified thumb without damage to nail, initial encounter.
S61.029D Laceration with foreign body of unspecified thumb without damage to nail, subsequent encounter.
S61.029S Laceration with foreign body of unspecified thumb without damage to nail, sequela.
S61.03 Puncture wound without foreign body of thumb without damage to nail.
S61.031 Puncture wound without foreign body of right thumb without damage to nail.
S61.031A Puncture wound without foreign body of right thumb without damage to nail, initial encounter.
S61.031D Puncture wound without foreign body of right thumb without damage to nail, subsequent encounter.
S61.031S Puncture wound without foreign body of right thumb without damage to nail, sequela.
S61.032 Puncture wound without foreign body of left thumb without damage to nail.
S61.032A Puncture wound without foreign body of left thumb without damage to nail, initial encounter.
S61.032D Puncture wound without foreign body of left thumb without damage to nail, subsequent encounter.
S61.032S Puncture wound without foreign body of left thumb without damage to nail, sequela.
S61.039 Puncture wound without foreign body of unspecified thumb without damage to nail.

Code History

FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.