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S61.451A vs S61.459A

S61.451A (Open bite of right hand, initial encounter) compared with S61.459A (Open bite of unspecified hand, initial encounter), from the official CMS tabular data. S61.451A and S61.459A code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S61.451A
Right
Open bite of right hand, initial encounter
S61.459A
Unspecified
Open bite of unspecified hand, initial 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. S61.451A and S61.459A 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

S61.451AOpen bite of right hand, initial encounterS61.459AOpen bite of unspecified hand, initial 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)
DefinitionOpen bite of right hand, initial encounter is a billable ICD-10-CM diagnosis code (S61.451A).Open bite of unspecified hand, initial encounter is a billable ICD-10-CM diagnosis code (S61.459A).
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