ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesS61.059

S61.059

Billable

Open bite of unspecified thumb without damage to nail

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/24/2025

Code Description

ICD-10 S61.059 is a billable code used to indicate a diagnosis of open bite of unspecified thumb without damage to nail.

Key Diagnostic Point:

An open bite of the thumb is a type of injury characterized by a break in the skin and underlying tissues, typically resulting from a puncture or laceration caused by a sharp object or animal bite. This specific code, S61.059, refers to an open bite that does not involve damage to the nail. Clinically, such injuries can lead to significant pain, swelling, and potential complications such as infection or tendon damage. The thumb is crucial for hand function, and injuries can impair grip strength and dexterity. In cases of open bites, careful assessment is required to evaluate for associated injuries, including fractures of the phalanges, tendon injuries, or nerve damage. Treatment may involve wound care, possible surgical intervention to repair damaged structures, and rehabilitation to restore function. Accurate coding is essential for proper management and reimbursement, as it reflects the complexity of the injury and the care provided.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and severity of the injury
  • Potential for associated injuries (fractures, tendon, or nerve damage)
  • Need for detailed documentation of the mechanism of injury
  • Variations in treatment protocols based on injury severity

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to document associated injuries or complications
  • Misclassification of the injury type (open vs. closed)
  • Inconsistent coding of follow-up visits or treatments

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed notes on the injury mechanism, physical examination findings, and treatment plan.

Common Clinical Scenarios

Fractures associated with open bites, tendon repairs, and post-operative follow-ups.

Billing Considerations

Ensure documentation reflects the complexity of the injury and any surgical interventions performed.

Emergency Medicine

Documentation Requirements

Comprehensive assessment of the injury, including vital signs, wound care provided, and any imaging studies performed.

Common Clinical Scenarios

Initial evaluation and management of open bites, including infection risk assessment.

Billing Considerations

Document all treatments provided in the emergency setting to support coding and billing.

Coding Guidelines

Inclusion Criteria

Use S61.059 When
  • Follow the official ICD
  • CM coding guidelines for injuries, ensuring accurate documentation of the injury type, location, and any associated complications
  • Include details about the mechanism of injury and treatment provided

Exclusion Criteria

Do NOT use S61.059 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used for initial treatment of the open bite in the emergency department.

Documentation Requirements

Document the size of the wound and the method of repair.

Specialty Considerations

Orthopedic surgeons may perform more complex repairs if deeper structures are involved.

26300CPT Code

Tendon repair

Clinical Scenario

Used if tendon damage is identified during the evaluation of the open bite.

Documentation Requirements

Detailed notes on the extent of tendon injury and repair technique.

Specialty Considerations

Ensure that the surgical report clearly outlines the procedure performed.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of injuries, including open bites. This specificity aids in better tracking of injury types and treatment outcomes, impacting reimbursement and quality of care metrics.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, including open bites. This specificity aids in better tracking of injury types and treatment outcomes, impacting reimbursement and quality of care metrics.

Reimbursement & Billing Impact

reimbursement and quality of care metrics.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the difference between an open bite and a laceration?

An open bite typically involves a puncture or break in the skin caused by a sharp object or animal, while a laceration is a tear or cut in the skin that may not necessarily involve a puncture.