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S61.441D vs S61.442D

S61.441D (Puncture wound with foreign body of right hand, subsequent encounter) compared with S61.442D (Puncture wound with foreign body of left hand, subsequent encounter), from the official CMS tabular data. S61.441D and S61.442D code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S61.441D
Right
Puncture wound with foreign body of right hand, subsequent encounter
S61.442D
Left
Puncture wound with foreign body of left hand, subsequent encounter

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. S61.441D and S61.442D 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

S61.441DPuncture wound with foreign body of right hand, subsequent encounterS61.442DPuncture wound with foreign body of left hand, subsequent encounter
Billing statusBillableBillable
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 hand, subsequent encounter is a billable ICD-10-CM diagnosis code (S61.441D).Puncture wound with foreign body of left hand, subsequent encounter is a billable ICD-10-CM diagnosis code (S61.442D).
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