2026 ICD-10-CM Diagnosis Code S61.029ALaceration with foreign body of unspecified thumb without damage to nail, initial encounter

ICD-10-CM Codes›S00–T88›S60-S69›S61

ICD-10-CM S61.029A
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

S61.029A is a billable ICD-10-CM diagnosis code for laceration with foreign body of unspecified thumb without damage to nail, initial encounter. The 7th character A marks it as an initial encounter code, used while the patient is receiving active treatment. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 913 through 914, 963 through 965. Coders also document this condition as laceration of hand with foreign body. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Open wounds to limbs, initial encounter.

Code Identity

ICD-10-CM Code
S61.029A
Billable Status
Yes — Valid for Submission
Code Describes
Laceration with foreign body of unspecified thumb without damage to nail, initial encounter
Short Description
Laceration w foreign body of thmb w/o damage to nail, init
Parent Code
S61.029
Laceration with foreign body of unspecified thumb without damage to nail

Code Classification

ChapterS00–T88Injury, poisoning and certain other consequences of external causes
SectionS60-S69Injuries to the wrist, hand and fingers
CategoryS61Open wound of wrist, hand and fingers
This CodeS61.029ALaceration with foreign body of unspecified thumb without damage to nail, initial encounter

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Laceration of hand with foreign body
  • Laceration of thumb with foreign body

Coding GuidelinesGuidance

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 applicable episode of care:

  • A - initial encounter
  • D - subsequent encounter
  • S - sequela

Source: ICD-10-CM Official Guidelines for Coding and Reporting, FY 2026, published by CMS and the National Center for Health Statistics.

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR INJ012
Open wounds to limbs, initial encounter
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

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:

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert S61.029A to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
883.1 Open wound finger-compl
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About S61.029AOverview

Is S61.029A a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report laceration with foreign body of unspecified thumb without damage to nail, initial encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What does the 7th character A in S61.029A mean?

The final character A marks the initial encounter: use it while the patient is receiving active treatment for laceration with foreign body of unspecified thumb without damage to nail, such as an emergency visit or first evaluation.

What MS-DRG does S61.029A group to?

When laceration with foreign body of unspecified thumb without damage to nail, initial encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 913, 914, 963, 964, 965, with relative weights from 0.8855 to 2.7338 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of S61.029A?

Under the General Equivalence Mappings, laceration with foreign body of unspecified thumb without damage to nail, initial encounter converts to ICD-9-CM 883.1 (open wound finger-compl). The mapping is approximate, so confirm the match fits the documentation.

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.