S61.53 vs S62
S61.53 (Puncture wound without foreign body of wrist) compared with S62 (Fracture at wrist and hand level), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Can these codes be reported together?
No — do not report together. S61.53 carries an Excludes1 note covering S62: “open fracture of wrist, hand and finger (S62.- with 7th character B)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Side by side
| S61.53Puncture wound without foreign body of wrist | S62Fracture at wrist and hand level | |
|---|---|---|
| Billing status | Non-billable header | Non-billable header Report instead: S62.001A, S62.001B, S62.001D, S62.001G, S62.001K |
| 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 without foreign body of wrist is a non-billable ICD-10-CM category code (S61.53). | Fracture at wrist and hand level is a non-billable ICD-10-CM category code (S62). |
| 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 S62 |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources