S60.41 ICD-10-CM Code: Abrasion of fingers
Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.
Coding at a Glance
- 7th character
- Required — see the character table on this page
- Tabular directives
- 3 Excludes2
Coding instructions
Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for S60.41 in the official ICD-10-CM tabular list, quoted as published.
Notes without a marker are published on S60.41 itself; “inherited from” names the category or block whose note applies here.
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- burns and corrosions (T20-T32) Compare S60.41 vs T20 →
- frostbite (T33-T34) Compare S60.41 vs T33 →
- insect bite or sting, venomous (T63.4) Compare S60.41 vs T63.4 →
Source: inherited from S60-S69
7th Character Guide
"The appropriate 7th character is to be added to each code from category S60"
- A — initial encounter
- D — subsequent encounter
- S — sequela
How the encounter character is assigned. “Initial encounter” means the patient is receiving active treatment for the condition — it is not limited to the first visit, and a different or new provider giving active treatment still assigns it. “Subsequent encounter” covers care during the healing or recovery phase after active treatment. “Sequela” is for complications or conditions that arise as a direct result of the original condition.
ICD-10-CM Official Guidelines for Coding and Reporting, Section I.C.19.a (paraphrased by MedCoder).
Variant codes in this family
S60.410A, S60.410D, S60.410S, S60.411A, S60.411D, S60.411S, S60.412A, S60.412D
Character meanings are CMS's official 7th-character extensions for this family, as carried in each variant code's official description; variant codes are registry rows. The explanation of how the encounter character is assigned is MedCoder editorial, distinct from the official content above it.
Coder workflow for S60.41
MedCoder structured workflow — derived from this code’s own official record
Before you code S60.41
- S60.41 is not reportable as written. Select the more specific code beneath it that the documentation supports. Codes are reported to the highest level of specificity the classification provides (Guidelines I.B.2).
ReviewS60.410, S60.411, S60.412, S60.413, S60.414
See the hierarchy · Guide: How to choose an ICD-10-CM code →
- A 7th character is required in this family. Confirm the documented encounter: initial (active treatment), subsequent (healing or recovery phase), or sequela. S60.41 is not valid without one. “Initial” means active treatment, not the first visit (Guidelines I.C.19.a).
See the 7th Character Guide · Guide: 7th characters: initial, subsequent, sequela →
- Confirm the injury type, the anatomical site at the most specific level documented, laterality where the family codes it, and the encounter for the 7th character. Each injury is coded separately unless the classification provides a combination code, and a superficial injury is not coded when a more severe injury of the same site is documented. Injury chapter guidelines (Guidelines I.C.19.b, I.C.19.b.1).
Choose the right path
- Does the documentation support one of the more specific codes beneath S60.41?
Yes → Select that code and continue the checks below on its own page.
No → S60.41 cannot be reported as written; query for the specificity its subcategory needs. - Is the encounter phase documented — active treatment, healing or recovery, or a sequela?
Yes → Assign the matching 7th character; the variant codes are in the 7th Character Guide.
No → The code is invalid without its 7th character — query for the missing element.
Consider S60.41. Then confirm the code is valid for the date of service in the Verify section.
Documentation check
- The provider’s diagnostic statement
- Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
- Anatomical site
- At the most specific level the record states; a site the classification separates cannot be assumed from a procedure or a measurement.
- Encounter type
- Active treatment, healing or recovery phase, or sequela — the basis of the 7th character (Guidelines I.C.19.a).
- External cause, place and activity
- For the external cause codes reported with the injury or poisoning, where documented (Guidelines I.C.20.a).
Official instructions as workflow
Excludes2 — not part of S60.41(3 notes)
Coding workflow: The conditions named in this note are not included in S60.41. When the record documents both, both may be reported; the note is a boundary, not a prohibition.
CompareT63.4
See the official tabular notes · Guidelines I.A.12.b
Coding decision scenarios
Pattern scenarios for this code’s structure — decision rules, not clinical cases
Documentation: The patient returns during the healing or recovery phase after active treatment of the same condition.
Coding question: Which 7th character applies?
Path: Review the official 7th-character definitions for this family in the 7th Character Guide.
Reason: “Initial encounter” means active treatment, not the first visit; care during recovery takes “subsequent encounter”, and a complication arising from the original condition takes “sequela” (Guidelines I.C.19.a).
Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.
Code Overview
MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.
Verify Before Coding
- Not billable as written — a more specific code is required: S60.410A, S60.410D, S60.410S, S60.411A, S60.411D.
- Requires a 7th character. "The appropriate 7th character is to be added to each code from category S60" Options: S60.410A, S60.410D, S60.410S, S60.411A, S60.411D, S60.411S
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.
Relationships & Classification
Other codes that name S60.41 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.
Referenced by 12 Excludes2 notes: S50 — Superficial injury of elbow and forearm (via S60.-), S50-S59 — Injuries to the elbow and forearm (S50-S59) (via S60.-), S51 — Open wound of elbow and forearm (via S60.-), S52 — Fracture of forearm (via S60.-), S53 — Dislocation and sprain of joints and ligaments of elbow (via S60.-), S54 — Injury of nerves at forearm level (via S60.-), S55 — Injury of blood vessels at forearm level (via S60.-), S56 — Injury of muscle, fascia and tendon at forearm level (via S60.-), S57 — Crushing injury of elbow and forearm (via S60.-), S58 — Traumatic amputation of elbow and forearm (via S60.-), S59 — Other and unspecified injuries of elbow and forearm (via S60.-), S60.5 — Other superficial injuries of hand (via S60.4.-).
These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.
Related Codes
Same Index main term, other category
The ICD-10-CM Index to Diseases and Injuries files this code under the main term “Abrasion”; these codes share that main term but sit in a different category of the Tabular List.
S30.812 — Abrasion of penis (penis), S30.813 — Abrasion of scrotum and testes (testis), S30.814 — Abrasion of vagina and vulva (vulva), S30.815 — Abrasion of unspecified external genital organs, male (pudendum, male), S30.816 — Abrasion of unspecified external genital organs, female (pudendum, female), S30.817 — Abrasion of anus (anus), S30.81A — Abrasion of flank (flank), S40.21 — Abrasion of shoulder (shoulder), S40.81 — Abrasion of upper arm (arm), S50.31 — Abrasion of elbow (elbow), S50.81 — Abrasion of forearm (forearm), S70.21 — Abrasion of hip (hip), S70.31 — Abrasion of thigh (thigh), S80.21 — Abrasion of knee (knee), S80.81 — Abrasion of lower leg (leg), S90.41 — Abrasion of toe (toe, great), S90.416 — Abrasion, unspecified lesser toe(s) (toe), S90.51 — Abrasion of ankle (ankle), S90.81 — Abrasion of foot (foot), T14.8 — Other injury of unspecified body region, +22 more
Contextual Map
Every relationship of S60.41 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Run S60.41 with these 8 related codes in Claim Check
Hierarchy
- S00-T88 — Chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) (S00-T88)[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
Referenced by Excludes2 notes (12)
- S50 — Superficial injury of elbow and forearm[Excludes2](via S60.-): “superficial injury of wrist and hand (S60.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- S50-S59 — Injuries to the elbow and forearm (S50-S59)[Excludes2](via S60.-): “injuries of wrist and hand (S60-S69)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- S51 — Open wound of elbow and forearm[Excludes2](via S60.-): “injuries of wrist and hand (S60-S69)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- S52 — Fracture of forearm[Excludes2](via S60.-): “injuries of wrist and hand (S60-S69)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- S53 — Dislocation and sprain of joints and ligaments of elbow[Excludes2](via S60.-): “injuries of wrist and hand (S60-S69)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- S54 — Injury of nerves at forearm level[Excludes2](via S60.-): “injuries of wrist and hand (S60-S69)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- S55 — Injury of blood vessels at forearm level[Excludes2](via S60.-): “injuries of wrist and hand (S60-S69)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- S56 — Injury of muscle, fascia and tendon at forearm level[Excludes2](via S60.-): “injuries of wrist and hand (S60-S69)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- and 4 more
Nearest codes (40)
- S60 — Superficial injury of wrist, hand and fingers[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- S60.372D — Other superficial bite of left thumb, subsequent encounter[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- S60.372S — Other superficial bite of left thumb, sequela[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- S60.379 — Other superficial bite of unspecified thumb[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- S60.379A — Other superficial bite of unspecified thumb, initial encounter[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- S60.379D — Other superficial bite of unspecified thumb, subsequent encounter[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- S60.379S — Other superficial bite of unspecified thumb, sequela[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- S60.39 — Other superficial injuries of thumb[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- and 32 more
Change history
- FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016
Common coding questions
Can S60.41 be billed directly?
No. S60.41 (Abrasion of fingers) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.
Does S60.41 require a 7th character?
Yes. The appropriate 7th character is to be added to each code from category S60.
Sources for this page
Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.
- Code, title, tabular notes and index terms Official source data
- CMS/CDC ICD-10-CM FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page
- Claim edits Official source data
- CMS Definitions of Medicare Code Edits — v43.1 (April 2026) Release, file and checksum · Publisher’s page
- Change history and date-of-service validity Official source data
- CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
- Comparisons, relationships and the contextual map MedCoder structured relationship
- Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
- Summary and FAQ answers MedCoder explanation
- Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.
Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates
Change history
- FY2016 — October 1, 2015In the code set at ICD-10-CM adoptionAbrasion of fingers
No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027 (effective October 1, 2026), and none are recorded for this code. Note changes are tracked from FY2027 only.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to S60.41 in its code family, with their registry titles.
- S60.399 — Other superficial injuries of unspecified thumb
- S60.399A — Other superficial injuries of unspecified thumb, initial encounter
- S60.399D — Other superficial injuries of unspecified thumb, subsequent encounter
- S60.399S — Other superficial injuries of unspecified thumb, sequela
- S60.4 — Other superficial injuries of other fingers
- S60.410 — Abrasion of right index finger
- S60.410A — Abrasion of right index finger, initial encounter
- S60.410D — Abrasion of right index finger, subsequent encounter
- S60.410S — Abrasion of right index finger, sequela
- S60.411 — Abrasion of left index finger