2027 ICD-10-CM Diagnosis Code S60.031DContusion of right middle finger without damage to nail, subsequent encounter
S60.031D is a billable ICD-10-CM diagnosis code for contusion of right middle finger without damage to nail, subsequent encounter. The 7th character D marks it as a subsequent encounter code, used during routine care in the healing or recovery phase. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 949 through 950. The code is exempt from POA reporting. Coders also document this condition as contusion of finger of right hand. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Superficial injury; contusion, subsequent encounter.
Code Identity
Code Classification
Present on Admission (POA)Billing
S60.031D is exempt from POA reporting on inpatient claims to general acute care hospitals. Review the other POA exempt codes in Injuries to the wrist, hand and fingers (S60-S69).
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Contusion of finger of right hand
- Contusion of right hand
- Contusion of right middle finger
- Hematoma of middle finger
- Hematoma of right middle finger
Coding GuidelinesGuidance
The appropriate 7th character is to be added to each code from block Superficial injury of wrist, hand and fingers (S60). Use the following options for the applicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
Source: ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027, published by CMS and the National Center for Health Statistics.
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to S60.031D: its own notes plus those printed at S60.0, S60, block S60-S69, and Chapter 19. A note printed at a category, block or chapter applies to every code under it.
Excludes1
Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
Use Additional Code
Add a second code, after this one, to fully describe the condition.
- code to identify any retained foreign body, if applicable (Z18.-)
Notes
General instructions on how these codes are used.
- Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
- The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.
7th Character
Every code in the category takes a 7th character from the listed values, with the placeholder X filling any empty positions before it.
- The appropriate 7th character is to be added to each code from category S60
- Ainitial encounter
- Dsubsequent encounter this code
- Ssequela
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name S60.031D, its category, or a range that includes it.
Excludes2 2
These codes carry an Excludes2 note naming S60.031D: its condition is not part of those codes, and both may be reported when the patient has both.
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Bruises
A bruise is a mark on your skin caused by blood trapped under the surface. It happens when an injury crushes small blood vessels but does not break the skin. Those vessels break open and leak blood under the skin.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert S60.031D to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About S60.031DOverview
Is S60.031D (Contusion of right middle finger without damage to nail) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report contusion of right middle finger without damage to nail, subsequent encounter on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What does the 7th character D in S60.031D mean?
The final character D marks a subsequent encounter: use it for routine care while the contusion of right middle finger without damage to nail is healing, after active treatment has ended.
What MS-DRG does S60.031D group to?
When contusion of right middle finger without damage to nail, subsequent encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 950, 949, with relative weights from 0.7661 to 1.1231 depending on complications. Higher weights mean higher Medicare reimbursement.
Is S60.031D exempt from POA reporting?
Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for contusion of right middle finger without damage to nail, subsequent encounter on inpatient claims. The code appears in the Injuries to the wrist, hand and fingers (S60-S69) range of the CMS exempt list.
Can S60.031D be reported with S60.1?
Not as a rule. The Excludes1 note at S60.0, which applies to S60.031D, lists "contusion involving nail (matrix) (S60.1)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).
