S61.241A vs S61.241S
S61.241A (Puncture wound with foreign body of left index finger without damage to nail, initial encounter) compared with S61.241S (Puncture wound with foreign body of left index finger without damage to nail, sequela), from the official CMS tabular data. S61.241A and S61.241S code the same injury at a different phase of treatment.
Can these codes be reported together?
Same injury, other encounter phase. S61.241A and S61.241S 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
| S61.241APuncture wound with foreign body of left index finger without damage to nail, initial encounter | S61.241SPuncture wound with foreign body of left index finger without damage to nail, 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 | Puncture wound with foreign body of left index finger without damage to nail, initial encounter is a billable ICD-10-CM diagnosis code (S61.241A). | Puncture wound with foreign body of left index finger without damage to nail, sequela is a billable ICD-10-CM diagnosis code (S61.241S). |
| 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 |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources