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S51.85 vs S61

S51.85 (Open bite of forearm) compared with S61 (Open wound of wrist, hand and fingers), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).

Can these codes be reported together?

Yes, when both are documented. S51.85 carries an Excludes2 note covering S61: “open wound of wrist and hand (S61.-)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Side by side

S51.85Open bite of forearmS61Open wound of wrist, hand and fingers
Billing statusNon-billable header

Report instead: S51.851A, S51.851D, S51.851S, S51.852A, S51.852D

Non-billable header

Report instead: S61.001A, S61.001D, S61.001S, S61.002A, S61.002D

ClassificationS00-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)
DefinitionOpen bite of forearm is a non-billable ICD-10-CM category code (S51.85).Open wound of wrist, hand and fingers is a non-billable ICD-10-CM category code (S61).
7th characterThe appropriate 7th character is to be added to each code from category S51The appropriate 7th character is to be added to each code from category S61
Includes
Bite of forearm NOS

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources