2026 ICD-10-CM Diagnosis Code S61.401DUnspecified open wound of right hand, subsequent encounter
S61.401D is a billable ICD-10-CM diagnosis code for unspecified open wound of right hand, 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 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 949 through 950. The code is exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Open wounds to limbs, subsequent encounter.
Code Identity
Code Classification
Present on Admission (POA)Billing
S61.401D is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Degloving injury of hand
- Fracture of base of fifth metacarpal
- Fracture of first metacarpal bone of right hand
- Fracture of neck of fifth metacarpal
- Open fracture finger metacarpal neck
- Open fracture of base of fifth metacarpal bone
- Open fracture of base of fifth metacarpal bone of right hand
- Open fracture of base of first metacarpal bone of right hand
- Open fracture of base of fourth metacarpal bone
- Open fracture of base of fourth metacarpal bone of right hand
- Open fracture of base of second metacarpal bone
- Open fracture of base of second metacarpal bone of right hand
- Open fracture of base of third metacarpal bone
- Open fracture of base of third metacarpal bone of right hand
- Open fracture of base of thumb
- Open fracture of fifth metacarpal bone of right hand
- Open fracture of first metacarpal bone of right hand
- Open fracture of fourth metacarpal bone of right hand
- Open fracture of neck of fifth metacarpal bone
- Open fracture of neck of fifth metacarpal bone of right hand
- Open fracture of neck of fourth metacarpal bone
- Open fracture of neck of fourth metacarpal bone of right hand
- Open fracture of neck of metacarpal bone of right hand
- Open fracture of neck of second metacarpal bone
- Open fracture of neck of second metacarpal bone of right hand
- Open fracture of right hand
- Open fracture of second metacarpal bone of right hand
- Open fracture of shaft of fifth metacarpal bone
- Open fracture of shaft of fifth metacarpal bone of right hand
- Open fracture of shaft of fourth metacarpal bone
- Open fracture of shaft of fourth metacarpal bone of right hand
- Open fracture of shaft of metacarpal bone of right hand
- Open fracture of shaft of metacarpus of right thumb
- Open fracture of shaft of second metacarpal bone
- Open fracture of shaft of second metacarpal bone of right hand
- Open fracture of shaft of third metacarpal bone
- Open fracture of shaft of third metacarpal bone of right hand
- Open fracture of third metacarpal bone
- Open fracture of third metacarpal bone of right hand
- Open fracture thumb metacarpal shaft
- Open wound of right hand
- Right hand degloving injury
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.
Patient EducationClinical
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.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert S61.401D to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About S61.401DOverview
Is S61.401D (Unspecified open wound of right hand) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report unspecified open wound of right hand, subsequent encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character D in S61.401D mean?
The final character D marks a subsequent encounter: use it for routine care while the unspecified open wound of right hand is healing, after active treatment has ended.
What MS-DRG does S61.401D group to?
When unspecified open wound of right hand, subsequent encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 949, 950, with relative weights from 0.6277 to 1.1897 depending on complications. Higher weights mean higher Medicare reimbursement.
Is S61.401D 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 unspecified open wound of right hand, subsequent encounter on inpatient claims.
What is the ICD-9 equivalent of S61.401D?
Under the General Equivalence Mappings, unspecified open wound of right hand, subsequent encounter converts to ICD-9-CM V58.89 (other specfied aftercare). 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.
