S50.36 (Insect bite (nonvenomous) of elbow) compared with S60 (Superficial injury of wrist, hand and fingers), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Distinct conditions — both may be reported.
“superficial injury of wrist and hand (S60.-)”
An Excludes2 note means the excluded condition is not part of the code above it, but a patient can have both. Report both when both are documented.
Source: CMS ICD-10-CM tabular instructional notes
Yes, when both are documented. S50.36 carries an Excludes2 note covering S60: “superficial injury of wrist and hand (S60.-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
| S50.36Insect bite (nonvenomous) of elbow | S60Superficial injury of wrist, hand and fingers | |
|---|---|---|
| Billing status | Non-billable header | Non-billable header Report instead: S60.00XA, S60.00XD, S60.00XS, S60.011A, S60.011D |
| Classification | S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) | S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) |
| Definition | Insect bite (nonvenomous) of elbow is a non-billable ICD-10-CM category code (S50.36). | Superficial injury of wrist, hand and fingers is a non-billable ICD-10-CM category code (S60). |
| 7th character | The appropriate 7th character is to be added to each code from category S50 | The appropriate 7th character is to be added to each code from category S60 |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources