S60.468A (Insect bite (nonvenomous) of other finger, initial encounter) compared with S60.468S (Insect bite (nonvenomous) of other finger, sequela), from the official CMS tabular data. S60.468A and S60.468S code the same injury at a different phase of treatment.
Same underlying diagnosis, different encounter phase.
The 7th character records the phase of care for the encounter being coded, so a single encounter takes one of these characters, not several. Review whether both phases belong on the same episode of care.
Source: ICD-10-CM Official Guidelines, Section I.C.19.a
Same injury, other encounter phase. S60.468A and S60.468S code the same injury at a different phase of treatment, set by the 7th character.
The 7th character records the type of care given at the encounter being coded (ICD-10-CM Official Guidelines, Section I.C.19.a), so one encounter takes one of these, not both.
| S60.468AInsect bite (nonvenomous) of other finger, initial encounter | S60.468SInsect bite (nonvenomous) of other finger, sequela | |
|---|---|---|
| Billing status | Billable | Billable |
| 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 other finger, initial encounter is a billable ICD-10-CM diagnosis code (S60.468A). | Insect bite (nonvenomous) of other finger, sequela is a billable ICD-10-CM diagnosis code (S60.468S). |
| 7th character | The appropriate 7th character is to be added to each code from category S60 | The appropriate 7th character is to be added to each code from category S60 |
| Includes | Insect bite (nonvenomous) of specified finger with unspecified laterality | Insect bite (nonvenomous) of specified finger with unspecified laterality |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources