2026 ICD-10-CM Diagnosis Code S61.451SOpen bite of right hand, sequela
S61.451S is a billable ICD-10-CM diagnosis code for open bite of right hand, sequela. The 7th character S marks it as a sequela code, which reports a problem that remains after the original condition has resolved. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 604 through 605. The code is exempt from POA reporting. Coders also document this condition as human bite of hand. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Injury, sequela.
Code Identity
Code Classification
Present on Admission (POA)Billing
S61.451S 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.
- Human bite of hand
- Open wound of hand due to dog bite
- Open wound of right hand due to animal bite
- Open wound of right hand due to bite
- Open wound of right hand due to cat bite
- Open wound of right hand due to dog bite
- Open wound of right hand due to human bite
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
Animal Bites
Wild animals usually avoid people. They might attack, however, if they feel threatened, are sick, or are protecting their young or territory. Attacks by pets are more common. Animal bites rarely are life-threatening, but if they become infected, you can develop serious medical problems.
Read the full article at MedlinePlus
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Convert S61.451S to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About S61.451SOverview
Is S61.451S (Open bite of right hand) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report open bite of right hand, sequela on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character S in S61.451S mean?
The final character S makes this a sequela code: it reports a lingering problem that remains after the open bite of right hand itself has resolved, not the original event.
What MS-DRG does S61.451S group to?
When open bite of right hand, sequela is the principal diagnosis on an inpatient stay, it groups to MS-DRG 604, 605, with relative weights from 0.9160 to 1.4721 depending on complications. Higher weights mean higher Medicare reimbursement.
Is S61.451S 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 open bite of right hand, sequela on inpatient claims.
What is the ICD-9 equivalent of S61.451S?
Under the General Equivalence Mappings, open bite of right hand, sequela converts to ICD-9-CM 906.1 (late eff open wnd extrem). 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.
