S61.208A vs S61.208D

S61.208A (Unspecified open wound of other finger without damage to nail, initial encounter) compared with S61.208D (Unspecified open wound of other finger without damage to nail, subsequent encounter), from the official CMS tabular data. S61.208A and S61.208D code the same injury at a different phase of treatment.

Relationship

Review

Encounter relationship

S61.208A

Initial encounter

Unspecified open wound of other finger without damage to nail, initial encounter

↔

S61.208D

Subsequent encounter

Unspecified open wound of other finger without damage to nail, subsequent encounter

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

Can these codes be reported together?

Same injury, other encounter phase. S61.208A and S61.208D 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.

Side by side

	S61.208AUnspecified open wound of other finger without damage to nail, initial encounter	S61.208DUnspecified open wound of other finger without damage to nail, subsequent encounter
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	Unspecified open wound of other finger without damage to nail, initial encounter is a billable ICD-10-CM diagnosis code (S61.208A).	Unspecified open wound of other finger without damage to nail, subsequent encounter is a billable ICD-10-CM diagnosis code (S61.208D).
7th character	The appropriate 7th character is to be added to each code from category S61	The appropriate 7th character is to be added to each code from category S61
Includes	Unspecified open wound of specified finger with unspecified laterality without damage to nail	Unspecified open wound of specified finger with unspecified laterality without damage to nail

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