2024 ICD-10-CM Diagnosis Code S61.409

Unspecified open wound of unspecified hand

ICD-10-CM Code:
S61.409
ICD-10 Code for:
Unspecified open wound of unspecified hand
Is Billable?
Not Valid for Submission
Code Navigator:

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)

S61.409 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of unspecified open wound of unspecified hand. The code is not specific and is NOT valid for the year 2024 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

Unspecified diagnosis codes like S61.409 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.

Specific Coding Applicable to Unspecified open wound of unspecified hand

Non-specific codes like S61.409 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10-CM codes with a higher level of specificity when coding for unspecified open wound of unspecified hand:

  • Use S61.409A for initial encounter - BILLABLE CODE

  • Use S61.409D for subsequent encounter - BILLABLE CODE

  • Use S61.409S for sequela - BILLABLE CODE

Approximate Synonyms

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

  • Fracture of base of fifth metacarpal
  • Fracture of metacarpophalangeal joint
  • Fracture of metacarpophalangeal joint
  • Fracture of multiple sites of metacarpus
  • Fracture of neck of fifth metacarpal
  • Gunshot wound of hand
  • Injury of branch of median nerve
  • Injury of branch of ulnar nerve
  • Injury of branch of ulnar nerve
  • Injury of cutaneous sensory nerve of upper limb
  • Injury of digital artery of hand
  • Injury of digital vein
  • Injury of palmar artery
  • Multiple open dislocations of hand
  • Multiple open dislocations of hand
  • Multiple open fractures of hand bones
  • Multiple open wounds of hand
  • Multiple open wounds of hand
  • Multiple open wounds of hand
  • Multiple open wounds of wrist
  • Multiple open wounds of wrist and hand
  • Open comminuted fracture of metacarpal bone
  • Open crush injury hand, dorsum
  • Open crush injury hand, palm
  • Open division finger ligament
  • Open division finger ligament
  • Open division wrist and/or hand ligament
  • Open division, finger, metacarpophalangeal joint, radial collateral ligament
  • Open division, finger, metacarpophalangeal joint, ulnar collateral ligament
  • Open fracture dislocation multiple digits
  • Open fracture dislocation of digit of hand
  • Open fracture dislocation of metacarpophalangeal joint
  • Open fracture dislocation of metacarpophalangeal joint
  • Open fracture finger metacarpal neck
  • Open fracture finger metacarpal neck
  • Open fracture finger metacarpal neck
  • Open fracture finger metacarpal neck
  • Open fracture of base of fifth metacarpal bone
  • Open fracture of base of fourth metacarpal bone
  • Open fracture of base of second metacarpal bone
  • Open fracture of base of third metacarpal bone
  • Open fracture of bone of wrist and/or hand
  • Open fracture of fifth metacarpal bone
  • Open fracture of fifth metacarpal bone
  • Open fracture of fifth metacarpal bone
  • Open fracture of fifth metacarpal bone
  • Open fracture of fourth metacarpal bone
  • Open fracture of fourth metacarpal bone
  • Open fracture of fourth metacarpal bone
  • Open fracture of fourth metacarpal bone
  • Open fracture of hand
  • Open fracture of multiple metacarpal bones
  • Open fracture of multiple sites of metacarpus
  • Open fracture of neck of fifth metacarpal bone
  • Open fracture of neck of fourth metacarpal bone
  • Open fracture of neck of metacarpal bone
  • Open fracture of neck of metacarpal bone
  • Open fracture of neck of metacarpal bone
  • Open fracture of neck of metacarpal bone
  • Open fracture of neck of second metacarpal bone
  • Open fracture of neck of third metacarpal bone
  • Open fracture of second metacarpal bone
  • Open fracture of second metacarpal bone
  • Open fracture of second metacarpal bone
  • Open fracture of second metacarpal bone
  • Open fracture of shaft of fifth metacarpal bone
  • Open fracture of shaft of fourth metacarpal bone
  • Open fracture of shaft of metacarpal bone
  • Open fracture of shaft of metacarpal bone
  • Open fracture of shaft of metacarpal bone
  • Open fracture of shaft of metacarpal bone
  • Open fracture of shaft of second metacarpal bone
  • Open fracture of shaft of third metacarpal bone
  • Open fracture of third metacarpal bone
  • Open fracture of third metacarpal bone
  • Open fracture of third metacarpal bone
  • Open fracture of third metacarpal bone
  • Open fracture of thumb metacarpal
  • Open fracture subluxation of metacarpophalangeal joint
  • Open fracture thumb metacarpal shaft
  • Open fracture-dislocation of multiple digits of hand
  • Open injury, common digital nerve
  • Open injury, digital artery
  • Open injury, digital nerve, multiple
  • Open injury, digital vein
  • Open injury, digital vessel, multiple
  • Open injury, median nerve, palmar sensory branch
  • Open injury, palmar artery
  • Open injury, ulnar nerve, deep motor
  • Open injury, ulnar nerve, dorsal sensory
  • Open traumatic dislocation metacarpophalangeal joint
  • Open traumatic dislocation metacarpophalangeal joint
  • Open traumatic dislocation multiple digits
  • Open traumatic subluxation, metacarpophalangeal joint
  • Open wound of hand
  • Open wound of hand except fingers with complication
  • Open wound of hand with complication
  • Open wound of hand, dorsum
  • Open wound of hand, dorsum
  • Open wound of hand, excluding finger
  • Open wound of hand, palm
  • Pellet wound of hand
  • Pellet wound of palm of hand
  • Traumatic division of finger ligament
  • Traumatic division of finger ligament

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.
  • Open Fracture of Shaft of Metacarpal Bone

    a traumatic break in the diaphysis of the metacarpal bone 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

Patient Education


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]

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.