S61.442A (Puncture wound with foreign body of left hand, initial encounter) compared with S61.449A (Puncture wound with foreign body of unspecified hand, initial encounter), from the official CMS tabular data. S61.442A and S61.449A code the same condition on opposite sides.
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)
Same condition, opposite side. S61.442A and S61.449A 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.
| S61.442APuncture wound with foreign body of left hand, initial encounter | S61.449APuncture wound with foreign body of unspecified hand, initial 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 | Puncture wound with foreign body of left hand, initial encounter is a billable ICD-10-CM diagnosis code (S61.442A). | Puncture wound with foreign body of unspecified hand, initial encounter is a billable ICD-10-CM diagnosis code (S61.449A). |
| 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