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S61.242 vs S61.243

S61.242 (Puncture wound with foreign body of right middle finger without damage to nail) compared with S61.243 (Puncture wound with foreign body of left middle finger without damage to nail), from the official CMS tabular data. S61.242 and S61.243 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S61.242
Right
Puncture wound with foreign body of right middle finger without damage to nail
S61.243
Left
Puncture wound with foreign body of left middle finger without damage to nail

Same condition; these differ only in which side is documented.

These codes share a category and title and differ only in the side affected. The documentation decides which applies, and a bilateral code is reported only where the code set provides one.

Source: ICD-10-CM tabular list (laterality variant derived from the code title)

Can these codes be reported together?

Same condition, opposite side. S61.242 and S61.243 name the same condition on opposite sides of the body.

Same category and title, differing only in which side is affected — the documentation decides which one applies, and a bilateral code is reported only where the code set provides one.

Side by side

S61.242Puncture wound with foreign body of right middle finger without damage to nailS61.243Puncture wound with foreign body of left middle finger without damage to nail
Billing statusNon-billable header

Report instead: S61.242A, S61.242D, S61.242S

Non-billable header

Report instead: S61.243A, S61.243D, S61.243S

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)
DefinitionPuncture wound with foreign body of right middle finger without damage to nail is a non-billable ICD-10-CM category code (S61.242).Puncture wound with foreign body of left middle finger without damage to nail is a non-billable ICD-10-CM category code (S61.243).
7th characterThe appropriate 7th character is to be added to each code from category S61The 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