S61.4 – Open wound of hand

ICD-10-CM 2027 diagnosis code · Injuries to the wrist, hand and fingers

Non-billable header

ICD-10-CM code S61.4

Code: S61.4 (claims format: S614)
Description: Open wound of hand
Billable: No – use a more specific code below
Valid for: Dates of service October 1, 2026 – September 30, 2027 (FY2027)
Chapter: 19. Injury, poisoning and certain other consequences of external causes (S00-T88)
Block: S60-S69 Injuries to the wrist, hand and fingers
Parent codes: S61

Billable codes under S61.4

S61.4 is a header code and cannot be used on claims. Choose the most specific code:

S61.40 – Unspecified open wound of handHeader (more codes below)
S61.41 – Laceration without foreign body of handHeader (more codes below)
S61.42 – Laceration with foreign body of handHeader (more codes below)
S61.43 – Puncture wound without foreign body of handHeader (more codes below)
S61.44 – Puncture wound with foreign body of handHeader (more codes below)
S61.45 – Open bite of handHeader (more codes below)

7th character values

Codes in this category need a 7th character to describe the encounter or episode of care (use placeholder X for empty positions).

Character	Meaning
`A`	initial encounter
`D`	subsequent encounter
`S`	sequela

Notes inherited from parent codes

Instructional notes at a category or block level apply to every code below it.

S61 – Open wound of wrist, hand and fingers

Excludes1 (not coded here):

open fracture of wrist, hand and finger (S62.- with 7th character B)
traumatic amputation of wrist and hand (S68.-)

Code also:

any associated wound infection

7th character note:

The appropriate 7th character is to be added to each code from category S61

Block S60-S69

Excludes2 (not included here):

burns and corrosions (T20-T32)
frostbite (T33-T34)
insect bite or sting, venomous (T63.4)

Related codes in S61

Frequently asked questions

What is ICD-10 code S61.4?

S61.4 is the ICD-10-CM code for open wound of hand, in the block S60-S69 (Injuries to the wrist, hand and fingers).

Is S61.4 a billable code?

No. S61.4 is a header code with more specific child codes; report one of the billable codes listed above.

What category does S61.4 belong to?

It belongs to category S61 – Open wound of wrist, hand and fingers.

Source: CDC/NCHS ICD-10-CM FY2027 code files, tabular list and index. Reference only – code assignment must follow the official ICD-10-CM guidelines and documentation in the medical record.