{"id":176001,"date":"2026-08-12T08:58:22","date_gmt":"2026-08-12T08:58:22","guid":{"rendered":"https:\/\/pabau.com\/?p=176001"},"modified":"2026-08-12T08:58:26","modified_gmt":"2026-08-12T08:58:26","slug":"icd-10-code-s61119s","status":"publish","type":"post","link":"https:\/\/pabau.com\/de\/diagnostic-codes\/icd-10-code-s61119s\/","title":{"rendered":"ICD-10 Code S61.119S: Thumb laceration with nail damage, sequela"},"content":{"rendered":"\n<script type=\"application\/ld+json\">{\"@context\":\"https:\/\/schema.org\",\"@type\":\"MedicalWebPage\",\"headline\":\"ICD-10 Code S61.119S: Laceration without foreign body of unspecified thumb with damage to nail, sequela\",\"description\":\"ICD-10 Code S61.119S is a billable diagnosis code for laceration without foreign body of unspecified thumb with damage to nail, sequela. Valid FY2026.\",\"url\":\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-s61119s\/\",\"audience\":{\"@type\":\"MedicalAudience\",\"audienceType\":\"Clinician\"},\"reviewedBy\":{\"@type\":\"Person\",\"name\":\"Dr Vanja Kitanova\",\"jobTitle\":\"Medical Reviewer\",\"affiliation\":{\"@type\":\"Organization\",\"name\":\"Pabau\"},\"knowsAbout\":[\"Medical Coding\",\"Clinical Documentation\",\"Healthcare Billing\",\"Clinical Safety\"],\"sameAs\":\"https:\/\/pabau.com\/blog\/author\/vanja\/\"},\"datePublished\":\"2026-02-15\",\"dateModified\":\"2026-02-15\"}<\/script>\n\n\n        <div id=\"key_takeaways\">\n            <div class=\"header\">\n                                    <img decoding=\"async\" src=\"https:\/\/pabau.com\/wp-content\/uploads\/2025\/12\/Key-Takeaways-Icon.svg\" alt=\"Key takeaways\" height=\"42\" width=\"42\">\n                                <h3>Key takeaways<\/h3>\n            <\/div>\n            <div class=\"list\">\n                                                            <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>S61.119S is a billable ICD-10-CM diagnosis code for laceration without foreign body of unspecified thumb with damage to nail, sequela. It is valid for FY2026, which runs October 1, 2025 through September 30, 2026<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>The 7th character S designates sequela. That means a residual condition, such as scarring or nail deformity, that remains after the active healing phase has ended<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>The parent code S61.119 is non-billable, so you must append a 7th character (A, D, or S) before submitting a claim. Sequela claims also require the residual condition to be reported first<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>Practice management software like Pabau helps billing teams apply the correct 7th character, flag sequela encounters, and cut rejections tied to injury code sequencing<\/p>\n                        <\/div>\n                                                <\/div>\n        <\/div>\n    \n\n\n<p class=\"wp-block-paragraph\">ICD-10 Code S61.119S is a billable code for laceration without foreign body of unspecified thumb with damage to nail, sequela. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">You reach for it once the wound has healed and the patient is being treated for what the injury left behind. Nail deformity and scar contracture are the two residual conditions coders see most often here.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The S on the end is what makes the code specific enough to bill. This reference covers the 7th character rules and how sequela differs from a subsequent encounter. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">It also sets out where the code sits in the hierarchy, and what your record needs to say before the claim goes out.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe title=\"ICD-10 Revisions: Stay Updated or Fall Behind\" width=\"800\" height=\"450\" src=\"https:\/\/www.youtube.com\/embed\/bqAyb-BCA0w?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<h2 id=\"h-icd-10-code-s61-119s-definition-and-billable-status\" class=\"wp-block-heading\">ICD-10 Code S61.119S: Definition and billable status<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>ICD-10 Code S61.119S<\/strong> is a billable <a href=\"https:\/\/icd10cmtool.cdc.gov\/\" target=\"_blank\" rel=\"nofollow noopener\">ICD-10-CM diagnosis code<\/a> for laceration without foreign body of unspecified thumb with damage to nail, sequela. It is valid for submission under HIPAA-covered transactions for fiscal year 2026, covering October 1, 2025 through September 30, 2026.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The code belongs to Chapter 19 of ICD-10-CM, which covers injury, poisoning, and certain other consequences of external causes. It sits in the S61 category for open wounds of the wrist, hand, and fingers.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Each part of the description does a job. &#8222;Without foreign body&#8220; means no retained material was documented. &#8222;Unspecified thumb&#8220; means the record does not say left or right. &#8222;With damage to nail&#8220; confirms nail structure involvement. The 7th character S signals a sequela encounter rather than an active treatment visit.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Category S61 also carries a &#8222;code also&#8220; instruction for any associated wound infection. That note is most relevant to the original injury encounter. It is still worth checking when you review the prior records that support the sequela claim.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Field<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Details<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Code<\/td>\n<td style=\"padding:12px 16px;color:#374151\">S61.119S<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Full description<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Laceration without foreign body of unspecified thumb with damage to nail, sequela<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Billable<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Yes<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Valid fiscal year<\/td>\n<td style=\"padding:12px 16px;color:#374151\">FY2026 (October 1, 2025 through September 30, 2026)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Code type<\/td>\n<td style=\"padding:12px 16px;color:#374151\">ICD-10-CM diagnosis code<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">7th character<\/td>\n<td style=\"padding:12px 16px;color:#374151\">S (sequela)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Chapter<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Chapter 19: Injury, Poisoning, and Certain Other Consequences of External Causes (S00-T88)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Category note<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Code also any associated wound infection (S61 category instruction)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Laterality alternatives<\/td>\n<td style=\"padding:12px 16px;color:#374151\">S61.111S (right thumb), S61.112S (left thumb)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<h2 id=\"h-what-the-7th-character-means-a-d-and-s\" class=\"wp-block-heading\">What the 7th character means: A, D, and S<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The parent code S61.119 is non-billable on its own. <a href=\"https:\/\/www.aapc.com\/codes\/icd-10-codes-range\/\" target=\"_blank\" rel=\"nofollow noopener\">Per AAPC&#8217;s ICD-10-CM reference<\/a>, a 7th character must be appended before the code can be submitted on a claim. Three options apply to S61.119, each reflecting a distinct phase of care.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">7th character<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Full code<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Designation<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">When to use<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">A<\/td>\n<td style=\"padding:12px 16px;color:#374151\">S61.119A<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Initial encounter<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Active treatment phase: the patient is receiving definitive care for the laceration, such as wound repair, debridement, or suturing<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">D<\/td>\n<td style=\"padding:12px 16px;color:#374151\">S61.119D<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Subsequent encounter<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Routine healing phase: the wound is still healing, but care is now routine follow-up, such as suture removal or a dressing change<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S<\/td>\n<td style=\"padding:12px 16px;color:#374151\">S61.119S<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Sequela<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Healing is complete, and the patient is being treated for a residual condition such as nail deformity, scarring, or stiffness<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">The deciding factor is what the clinician is treating at that specific visit. S61.119A applies when the wound is receiving active care. S61.119D applies while healing is ongoing but routine. S61.119S applies only once the wound has fully healed and a lasting complication has developed.<\/p>\n\n\n\n<h2 id=\"h-what-does-sequela-mean-in-icd-10-cm-coding\" class=\"wp-block-heading\">What does sequela mean in ICD-10-CM coding?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Sequela is the ICD-10-CM term for a late effect. It is a condition that arises as a direct consequence of a previous injury, once healing has ended. The <a href=\"https:\/\/www.cms.gov\/medicare\/coding-billing\/icd-10-codes\" target=\"_blank\" rel=\"nofollow noopener\">ICD-10-CM Official Guidelines for Coding and Reporting (Section I.B.10)<\/a> are co-published by CMS and NCHS. They define sequela as the residual effect left after the acute phase of an illness or injury has terminated.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">For S61.119S, the sequela is a residual condition stemming from the original thumb laceration. Common examples include nail deformity, such as onychogryphosis or nail plate loss. Others are hypertrophic scarring, scar contracture limiting thumb mobility, and chronic hypersensitivity at the wound site.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>The original injury<\/strong> must be a laceration without foreign body of an unspecified thumb, with documented nail involvement<\/li>\n\n\n\n<li><strong>The healing phase<\/strong> must have ended before the sequela encounter is coded<\/li>\n\n\n\n<li><strong>The residual condition<\/strong> (the sequela itself) is what the clinician is treating at the visit<\/li>\n\n\n\n<li><strong>The code sequence<\/strong> typically places the sequela condition first, followed by S61.119S as the causative code<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">One practical note: the ICD-10-CM guidelines indicate there is no time limit on coding sequela. A patient could present three years after the original laceration with a persistent nail deformity, and S61.119S remains the appropriate causative code.<\/p>\n\n\n\n<h2 id=\"h-sequela-vs-subsequent-encounter-how-to-tell-them-apart\" class=\"wp-block-heading\">Sequela vs subsequent encounter: How to tell them apart<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">This is the most common coding error in this category. Coders sometimes default to S61.119D for any follow-up visit, when S61.119S is required. Misclassification leads to claim rejections and audit exposure. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The same A, D, and S logic runs through the rest of Chapter 19, including spine codes such as <a href=\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-s338xxs\/\">S33.8XXS<\/a>.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Factor<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">S61.119D (subsequent encounter)<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">S61.119S (sequela)<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Healing status<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Wound is still healing<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Wound has fully healed<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">What is being treated<\/td>\n<td style=\"padding:12px 16px;color:#374151\">The laceration itself, as routine care<\/td>\n<td style=\"padding:12px 16px;color:#374151\">A residual complication, such as scarring or nail deformity<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Visit type<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Wound check, suture removal, dressing change<\/td>\n<td style=\"padding:12px 16px;color:#374151\">New complaint arising from the healed wound<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Code sequencing<\/td>\n<td style=\"padding:12px 16px;color:#374151\">S61.119D is the primary code<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Sequela condition coded first, S61.119S reported second as causative<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Time since injury<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Typically days to weeks post-injury<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Any time after healing is confirmed, with no time limit<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Clinical scenario example<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Patient returns at 10 days for suture removal, with the wound healing normally<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Patient returns at four months with nail plate deformity after a healed thumb laceration<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<h2 id=\"h-code-hierarchy-where-s61-119s-sits-in-icd-10-cm\" class=\"wp-block-heading\">Code hierarchy: Where S61.119S sits in ICD-10-CM<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The parent-child structure is how you check that you have landed on the most specific billable code. The same breadcrumb runs through every code in the S61 category, from this one down to <a href=\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-s61238a\/\">S61.238A<\/a>.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Chapter 19:<\/strong> S00-T88 (Injury, Poisoning, and Certain Other Consequences of External Causes)<\/li>\n\n\n\n<li><strong>Block:<\/strong> S60-S69 (Injuries to the wrist, hand, and fingers)<\/li>\n\n\n\n<li><strong>Category:<\/strong> S61 (Open wound of wrist, hand, and fingers)<\/li>\n\n\n\n<li><strong>Subcategory:<\/strong> S61.1 (Open wound of thumb with damage to nail)<\/li>\n\n\n\n<li><strong>Sub-subcategory:<\/strong> S61.11 (Laceration without foreign body of thumb with damage to nail)<\/li>\n\n\n\n<li><strong>Parent:<\/strong> S61.119, laceration without foreign body of unspecified thumb with damage to nail, which is non-billable<\/li>\n\n\n\n<li><strong>Billable:<\/strong> S61.119S (adds 7th character S for sequela)<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Note that S61.119 sits one level above S61.119S. The non-billable parent captures the anatomical and injury concept, and the 7th character makes the code specific enough for claim submission.<\/p>\n\n\n\n<h2 id=\"h-related-codes-s61-119a-s61-119d-and-sibling-codes\" class=\"wp-block-heading\">Related codes: S61.119A, S61.119D, and sibling codes<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Three billable child codes exist under S61.119, differentiated only by the 7th character. Within S61.11, the sibling codes cover one variable: which thumb was injured. Thumb lacerations with no nail damage are a separate family altogether, and they sit under S61.01.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Code<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Full description<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">7th character<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S61.119A<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Laceration without foreign body of unspecified thumb with damage to nail, initial encounter<\/td>\n<td style=\"padding:12px 16px;color:#374151\">A (initial)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S61.119D<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Laceration without foreign body of unspecified thumb with damage to nail, subsequent encounter<\/td>\n<td style=\"padding:12px 16px;color:#374151\">D (subsequent)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S61.119S<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Laceration without foreign body of unspecified thumb with damage to nail, sequela<\/td>\n<td style=\"padding:12px 16px;color:#374151\">S (sequela)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S61.111A\/D\/S<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Laceration without foreign body of right thumb with damage to nail<\/td>\n<td style=\"padding:12px 16px;color:#374151\">A\/D\/S<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S61.112A\/D\/S<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Laceration without foreign body of left thumb with damage to nail<\/td>\n<td style=\"padding:12px 16px;color:#374151\">A\/D\/S<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S61.019A\/D\/S<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Laceration without foreign body of unspecified thumb <strong>without<\/strong> damage to nail, from the separate S61.01 subcategory<\/td>\n<td style=\"padding:12px 16px;color:#374151\">A\/D\/S<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">When laterality is documented in the medical record, use the right-thumb or left-thumb codes in preference to the unspecified S61.119x codes. The unspecified codes are appropriate only when the documentation genuinely does not say which thumb was injured.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Watch the other fork in this family too. The S61.11- codes require documented nail damage, so a thumb laceration recorded without nail involvement belongs in S61.01- instead. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Other wound types without nail damage sit in the same S61.0- group, at codes such as <a href=\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-s61059a\/\">S61.059A<\/a>. That one phrase in the wound note decides which subcategory you bill.<\/p>\n\n\n\n<h2 id=\"h-documentation-requirements-for-s61-119s\" class=\"wp-block-heading\">Documentation requirements for S61.119S<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Four documentation elements must be present in the medical record to support ICD-10 Code S61.119S. Missing any one of them creates audit exposure and risks claim denial. The code is only ever as strong as the <a href=\"https:\/\/pabau.com\/blog\/clinical-documentation-software\/\">clinical documentation<\/a> behind it.<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Prior laceration without foreign body:<\/strong> The record must confirm the original injury was a clean laceration with no retained foreign material. Emergency or urgent care notes from the initial visit typically provide this.<\/li>\n\n\n\n<li><strong>Nail involvement:<\/strong> The original treating provider must have documented nail damage. Phrases like &#8222;laceration extending to nail bed,&#8220; &#8222;subungual laceration,&#8220; or &#8222;nail plate disruption&#8220; satisfy this requirement.<\/li>\n\n\n\n<li><strong>Confirmation that the healing phase has ended:<\/strong> The current visit note must indicate the wound has healed. A statement such as &#8222;wound fully healed, no active wound care required&#8220; distinguishes this from a subsequent encounter.<\/li>\n\n\n\n<li><strong>Identification of the residual condition:<\/strong> The provider must name the specific sequela being treated. Generic statements such as &#8222;patient has complications&#8220; are insufficient. Name the condition: nail deformity, hypertrophic scar, scar contracture, nail plate dystrophy, or persistent paresthesia at the wound site.<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">Good <a href=\"https:\/\/pabau.com\/blog\/hipaa-compliance-checklist-for-primary-care\/\">documentation practices<\/a> tie each of these elements to a visit date. Coders who cannot find a prior-injury reference in the same patient record should query the treating provider before coding the sequela encounter.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Referencing the original encounter in the current note strengthens the documentation chain. Thorough <a href=\"https:\/\/pabau.com\/features\/medical-records-management\/\">patient record documentation<\/a> across visits is what makes sequela coding defensible at audit.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/cdn.pabau.com\/cdn\/attachments\/pulse\/content-engine\/diagnostic_codes\/icd-10-code-s61019s\/comprehensive-emr-patient-record-management.webp\" alt=\"Comprehensive EMR and patient record management\"\/><figcaption class=\"wp-element-caption\"><em>Pabau holds every visit note for one patient in a single record, so you can evidence the healing timeline behind a sequela claim.<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:35px;width:800px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n        <div id=\"pro_tip\">\n            <div class=\"img\">\n                <svg width=\"42\" height=\"42\" viewBox=\"0 0 42 42\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M12.6383 19.5238C12.6632 21.2071 12.8734 22.9926 12.0685 24.5523C11.0341 26.8917 8.45076 28.169 7.56292 30.5918C6.63082 33.1061 7.19505 36.185 9.31371 37.9786C10.929 39.5678 13.4183 39.9873 15.6061 39.5463C17.4592 39.073 19.1049 37.8388 19.9706 36.1608C20.781 34.7141 20.7866 32.9904 20.5293 31.3985C20.1006 29.3092 18.3775 27.8705 16.9807 26.362C14.8814 24.1005 14.6684 20.6854 15.595 17.8915C16.4331 15.4768 19.0026 14.2344 20.0425 11.9461C20.7202 10.6769 20.7506 9.20327 20.6068 7.81304C20.1864 5.40098 18.3139 3.23631 15.8716 2.56674C13.9742 2.03969 11.8224 2.30052 10.1739 3.37614C8.70522 4.34688 7.5878 5.86618 7.28356 7.58178C6.76081 9.82981 7.53525 12.2822 9.20307 13.9118C10.7658 15.4741 12.4806 17.2273 12.6383 19.5238Z\"\n                        fill=\"#2BADD4\" \/>\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M22.7048 19.8387C22.6822 22.3279 24.4507 24.6234 26.7493 25.4682C28.0531 25.961 29.4725 25.9183 30.7989 25.5487C32.0575 24.9955 33.301 24.2237 34.0069 23.0092C34.8384 21.5811 35.2982 19.8286 34.7832 18.2094C34.3611 16.2507 32.8739 14.6541 31.0275 13.9426C28.6736 12.9595 25.8073 13.7942 24.1719 15.7001C23.2022 16.8366 22.6143 18.3326 22.7048 19.8387Z\"\n                        fill=\"#2BADD4\" \/>\n                <\/svg>\n            <\/div>\n            <div class=\"text\">\n                <h3>Pro Tip<\/h3>\n                <p>Document the specific sequela condition by name, not just &#8218;complications from prior injury.&#8216; ICD-10-CM requires the residual condition to be identifiable. &#8218;Nail deformity following healed thumb laceration&#8216; supports S61.119S far better than a vague note. Ask the treating provider to name the sequela explicitly in their assessment.<\/p>\n            <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-clinical-scenarios-when-s61-119s-is-the-right-code\" class=\"wp-block-heading\">Clinical scenarios: When S61.119S is the right code<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">A definition only takes you so far. These two vignettes show what the code looks like against a working patient record.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Scenario 1: Nail deformity three months after the injury<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A 34-year-old patient presents to a hand surgery practice. Three months earlier, they cut the thumb with a box cutter at work, and the record does not state which thumb. The original wound was sutured, the nail bed repaired, and the patient was seen twice for suture removal and wound checks.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Today the wound is fully healed, but the nail plate has regrown with a longitudinal ridge and splits easily. The provider documents &#8222;nail plate dystrophy following resolved thumb laceration with nail bed involvement.&#8220; The correct code for this encounter is S61.119S, with the nail plate dystrophy coded first as the reason for the visit.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Scenario 2: Scar contracture limiting thumb opposition<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A 52-year-old presents six months after a kitchen laceration to the thumb, again with no side recorded. The laceration healed without infection, but the patient now reports difficulty pinching and gripping.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Examination reveals a hypertrophic scar across the thenar eminence, with contracture limiting thumb opposition to 70% of the unaffected side. The provider documents &#8222;scar contracture of the thumb, sequela of prior laceration with nail involvement.&#8220; <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The scar contracture is coded first, then S61.119S as the causative code. Hand therapy delivered at that visit is coded alongside it, and practices running <a href=\"https:\/\/pabau.com\/industry\/occupational-therapy-software\/\">occupational therapy software<\/a> chart it against the same record.<\/p>\n\n\n\n<h2 id=\"h-billing-and-claim-submission-for-sequela-codes\" class=\"wp-block-heading\">Billing and claim submission for sequela codes<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Sequela coding carries a sequencing requirement that differs from most injury encounters. The ICD-10-CM Official Guidelines, Section I.B.10, set the order for sequela claims. The residual effect is sequenced first, followed by S61.119S as the causative code.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">That inverts the habit most coders build elsewhere in <a href=\"https:\/\/pabau.com\/blog\/what-is-medical-billing\/\">medical billing<\/a>, which is why it produces so many rejections. Good <a href=\"https:\/\/pabau.com\/blog\/practice-management-software\/\">practice management software<\/a> builds the sequencing rule into the billing queue, so the claim is checked before it reaches the payer.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Correct sequence:<\/strong> the residual condition code, then S61.119S<\/li>\n\n\n\n<li><strong>Incorrect sequence:<\/strong> S61.119S first, then the residual condition code<\/li>\n\n\n\n<li><strong>Payer variability:<\/strong> some payers set extra rules for sequela claims. Check individual payer policies first, since additional documentation or prior authorization may apply<\/li>\n\n\n\n<li><strong>Claim integrity:<\/strong> codes on a claim must reflect the conditions treated at that encounter. Submitting S61.119D for a healed wound with a residual complication misrepresents the visit<\/li>\n\n\n\n<li><strong>Common rejection reason:<\/strong> payers often reject S61.119S when no residual condition is coded, because nothing on the claim identifies what was treated<\/li>\n\n\n\n<li><strong>External cause codes:<\/strong> a code from the V00-Y99 range may also describe how the original injury happened. Requirements vary by plan<\/li>\n<\/ul>\n\n\n\n<h2 id=\"h-how-practice-management-software-supports-accurate-sequela-coding\" class=\"wp-block-heading\">How practice management software supports accurate sequela coding<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Sequela claims usually fail for process reasons rather than clinical ones. The healed-wound statement sits in one visit note and the residual condition in another, so the coder never sees both at once.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">These cases also move between settings. The repair happens in urgent care. The residual scar work lands months later with a hand surgeon, or a rehab team working from <a href=\"https:\/\/pabau.com\/industry\/physical-therapy-emr\/\">physical therapy software<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Practice management software like Pabau keeps the whole injury history on a single patient record. Your coder can open the original laceration note, the wound checks, and today&#8217;s assessment side by side. That makes the healing timeline behind S61.119S straightforward to evidence at audit.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Pabau&#8217;s <a href=\"https:\/\/pabau.com\/features\/claims-management-software\/\">claims management software<\/a> then flags sequela encounters at the point of code entry. The billing team can see which residual condition was documented, then sequence it ahead of the causative code. Fewer claims come back over a 7th character error or a missing primary diagnosis.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/cdn.pabau.com\/cdn\/attachments\/pulse\/content-engine\/diagnostic_codes\/icd-10-code-s61019s\/automate-claims-through-healthcode.webp\" alt=\"Automate claims and billing with Pabau\"\/><figcaption class=\"wp-element-caption\"><em>Pabau&#8217;s claims tools flag sequela encounters as the code is entered, so the residual condition is sequenced ahead of S61.119S.<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:35px;width:800px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n        <div id=\"book_a_demo\">\n            <div class=\"left-side\">\n                <div class=\"logo\">\n                    <img decoding=\"async\"\n                        src=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/01\/Logo.svg\"\n                        alt=\"Logo\"\n                        loading=\"lazy\"\n                    \/>\n                <\/div>\n\n                <h3 class=\"heading\">\n                    Reduce claim rejections on sequela encounters                <\/h3>\n\n                <p class=\"description\">\n                    Pabau&#8217;s claims management tools help your billing team apply the right ICD-10-CM codes. Sequencing errors and wrong 7th characters get caught before they reach the payer. See how it works in a live demo.                <\/p>\n\n                <div class=\"button-group\">\n                    <a href=\"\/book-demo\/\" class=\"btn btn-scale-effect btn-cta-color btn-md\">\n                        <span class=\"btn-text\">Book a demo<\/span>\n                        <div class=\"btn-icon btn-icon-right\" aria-hidden=\"true\">\n                            <svg\n                                width=\"14\"\n                                height=\"12\"\n                                viewBox=\"0 0 14 12\"\n                                fill=\"none\"\n                                xmlns=\"http:\/\/www.w3.org\/2000\/svg\"\n                            >\n                                <path\n                                    d=\"M0.75 4.77295C0.335786 4.77295 0 5.10874 0 5.52295C0 5.93716 0.335786 6.27295 0.75 6.27295V5.52295V4.77295ZM13.2803 6.05328C13.5732 5.76039 13.5732 5.28551 13.2803 4.99262L8.50736 0.219648C8.21447 -0.073245 7.73959 -0.073245 7.4467 0.219648C7.15381 0.512542 7.15381 0.987415 7.4467 1.28031L11.6893 5.52295L7.4467 9.76559C7.15381 10.0585 7.15381 10.5334 7.4467 10.8263C7.73959 11.1191 8.21447 11.1191 8.50736 10.8263L13.2803 6.05328ZM0.75 5.52295V6.27295L12.75 6.27295V5.52295V4.77295L0.75 4.77295V5.52295Z\"\n                                    fill=\"currentColor\"\n                                ><\/path>\n                            <\/svg>\n                        <\/div>\n                    <\/a>\n                <\/div>\n            <\/div>\n\n            <div class=\"right-side\">\n                <img decoding=\"async\"\n                    src=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/01\/Home-Page-Concept-4.webp\"\n                    alt=\"Pabau claims management dashboard\"\n                    loading=\"lazy\"\n                \/>\n            <\/div>\n        <\/div>\n        \n\n\n<h2 id=\"h-conclusion\" class=\"wp-block-heading\">Conclusion<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The safest habit with S61.119S is to check healing status before you choose the 7th character. If the note says the wound is closed and names what it left behind, S is right. If the note is silent on either point, query the provider before the claim goes out.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">That one check heads off most rejections in this family. It also leaves you with a record that holds up under review. A payer may ask why an injury from years ago is on a current claim.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Pabau&#8217;s <a href=\"https:\/\/pabau.com\/features\/patient-intake-software\/\">digital forms<\/a> and clinical record tools capture sequela documentation at the point of care. The billing team then has exactly what it needs when the claim is built. <a href=\"https:\/\/pabau.com\/book-demo\/\">Book a demo<\/a> to see how Pabau supports injury coding workflows.<\/p>\n\n\n        <div id=\"expert_picks\">\n            <div class=\"header\">\n                                    <img decoding=\"async\" src=\"https:\/\/pabau.com\/wp-content\/uploads\/2025\/11\/Expert-Picks.svg\" alt=\"Continue your research\" height=\"42\" width=\"42\">\n                                <h3>Continue your research<\/h3>\n            <\/div>\n            <div class=\"content\">\n                                                            <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Coding another nail injury on the hand?<\/strong> <a href=\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-s60159d\/\">S60.159D<\/a> walks through the contusion side of the same nail damage rule.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Need the subsequent encounter version of a laceration code?<\/strong> <a href=\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-s01111d\/\">S01.111D<\/a> shows how the 7th character D is applied while healing is still routine.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Measuring residual hand function after a thumb injury?<\/strong> The <a href=\"https:\/\/pabau.com\/templates\/quick-dash-outcome-measure\/\">QuickDASH outcome measure<\/a> scores upper limb function, which helps you evidence the sequela you are coding.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Want a cleaner structure for your visit notes?<\/strong> Our <a href=\"https:\/\/pabau.com\/templates\/medical-notes\/\">medical notes template<\/a> captures healing status and residual findings in the same place.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Dealing with payers that ask for approval first?<\/strong> The <a href=\"https:\/\/pabau.com\/templates\/medical-prior-authorization-form\/\">prior authorization form<\/a> covers the details payers want before they approve treatment.<\/p>\n                        <\/div>\n                                                <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-frequently-asked-questions\" class=\"wp-block-heading\">Frequently asked questions<\/h2>\n\n\n\n<div class=\"schema-faq wp-block-yoast-faq-block\"><div class=\"schema-faq-section\" id=\"faq-question-1786453738993\"><h3 class=\"schema-faq-question\">What does ICD-10 Code S61.119S mean?<\/h3> <p class=\"schema-faq-answer\">ICD-10 Code S61.119S is a billable diagnosis code for laceration without foreign body of unspecified thumb with damage to nail, sequela. Use it when a patient presents with a residual condition, such as nail deformity or scar contracture. The original thumb laceration must have healed first. The code is valid for FY2026 under HIPAA-covered transactions.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786453738994\"><h3 class=\"schema-faq-question\">Is S61.119S a billable ICD-10 code?<\/h3> <p class=\"schema-faq-answer\">Yes. S61.119S is a fully billable ICD-10-CM diagnosis code. The parent code S61.119 is not billable on its own. Adding the 7th character S makes the code specific enough for claim submission under HIPAA-covered transactions. It is valid from October 1, 2025 through September 30, 2026.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786453738995\"><h3 class=\"schema-faq-question\">What is the difference between S61.119A, S61.119D, and S61.119S?<\/h3> <p class=\"schema-faq-answer\">The three codes differ only by the 7th character, which indicates the phase of care. S61.119A covers active treatment of the laceration. S61.119D applies during routine healing care, such as wound checks and suture removal. S61.119S is used only after the wound has fully healed, when the patient is treated for a lasting complication of the original injury.<\/p> <\/div> <\/div>\n\n\n\n<h3 id=\"h-more-questions-on-s61-119s-coding-and-documentation\" class=\"wp-block-heading\">More questions on S61.119S coding and documentation<\/h3>\n\n\n\n<div class=\"schema-faq wp-block-yoast-faq-block\"><div class=\"schema-faq-section\" id=\"faq-question-1786453738996\"><h3 class=\"schema-faq-question\">What documentation is required to support S61.119S?<\/h3> <p class=\"schema-faq-answer\">Four documentation elements are required. The first is evidence of a prior thumb laceration without foreign body, with nail involvement. The second is confirmation that the wound has fully healed. The third is identification of the residual condition, such as nail plate dystrophy or scar contracture. The fourth is a provider statement linking that condition to the original laceration. Generic references to &#8222;complications&#8220; are insufficient.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786453738997\"><h3 class=\"schema-faq-question\">Does S61.119S require a causative code?<\/h3> <p class=\"schema-faq-answer\">Per ICD-10-CM Official Guidelines Section I.B.10, the residual condition is coded first. S61.119S is then sequenced as the causative code in second position. Submitting S61.119S alone without a coded sequela condition is a common rejection trigger. Payers may add further documentation or prior authorization requirements, so verify their policies before submission.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786453738998\"><h3 class=\"schema-faq-question\">What are the sibling codes of S61.119S?<\/h3> <p class=\"schema-faq-answer\">The primary sibling codes are S61.119A and S61.119D, which share the same parent, S61.119. When laterality is documented, use S61.111x for the right thumb or S61.112x for the left thumb instead of the unspecified codes. Where no nail damage is documented, the S61.01- family applies instead. S61.119S is reserved for records that do not specify which thumb was injured.<\/p> <\/div> <\/div>\n","protected":false},"excerpt":{"rendered":"<p>S61.119S is billable for a healed thumb laceration with nail damage. Code the residual condition first, then S61.119S.<\/p>\n","protected":false},"author":83,"featured_media":175999,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_yoast_wpseo_linkdex":"89","_yoast_wpseo_content_score":"90","_yoast_wpseo_is_cornerstone":"","_yoast_wpseo_keywordsynonyms":"[\"\",\"\",\"\",\"\"]","_yoast_wpseo_focuskw_text_input":"","_seo_original_html":"","footnotes":""},"categories":[1549,1550],"tags":[4116,2972,1543,2394],"class_list":["post-176001","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-diagnostic-codes","category-icd-10-cm","tag-billing-codes","tag-clinical-coding","tag-clinical-documentation","tag-coding-compliance"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.3 (Yoast SEO v28.3) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>ICD-10 Code S61.119S: Thumb laceration sequela (billable)<\/title>\n<meta name=\"description\" content=\"S61.119S is billable for a healed thumb laceration with nail damage. Code the residual condition first, then S61.119S.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/pabau.com\/de\/diagnostic-codes\/icd-10-code-s61119s\/\" \/>\n<meta property=\"og:locale\" content=\"de_DE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"ICD-10 Code S61.119S: Thumb laceration sequela (billable)\" \/>\n<meta property=\"og:description\" content=\"S61.119S is billable for a healed thumb laceration with nail damage. Code the residual condition first, then S61.119S.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/pabau.com\/de\/diagnostic-codes\/icd-10-code-s61119s\/\" \/>\n<meta property=\"og:site_name\" content=\"Pabau\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/Pabau\/\" \/>\n<meta property=\"article:published_time\" content=\"2026-08-12T08:58:22+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-08-12T08:58:26+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/08\/icd-10-code-s61019s.webp\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"630\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/webp\" \/>\n<meta name=\"author\" content=\"Anja Dodevska\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@pabaucrm\" \/>\n<meta name=\"twitter:site\" content=\"@pabaucrm\" \/>\n<meta name=\"twitter:label1\" content=\"Verfasst von\" \/>\n\t<meta name=\"twitter:data1\" content=\"Anja Dodevska\" \/>\n\t<meta name=\"twitter:label2\" content=\"Gesch\u00e4tzte Lesezeit\" \/>\n\t<meta name=\"twitter:data2\" content=\"13\u00a0Minuten\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/diagnostic-codes\\\/icd-10-code-s61119s\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/diagnostic-codes\\\/icd-10-code-s61119s\\\/\"},\"author\":{\"name\":\"Anja Dodevska\",\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/#\\\/schema\\\/person\\\/f2e43b25ed02313e8781f0f4507398b9\"},\"headline\":\"ICD-10 Code S61.119S: Thumb laceration with nail damage, sequela\",\"datePublished\":\"2026-08-12T08:58:22+00:00\",\"dateModified\":\"2026-08-12T08:58:26+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/diagnostic-codes\\\/icd-10-code-s61119s\\\/\"},\"wordCount\":2799,\"publisher\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/diagnostic-codes\\\/icd-10-code-s61119s\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/08\\\/icd-10-code-s61019s.webp\",\"keywords\":[\"billing codes\",\"Clinical Coding\",\"Clinical Documentation\",\"Coding Compliance\"],\"articleSection\":[\"Diagnostic Codes\",\"ICD-10-CM\"],\"inLanguage\":\"de\"},{\"@type\":[\"WebPage\",\"FAQPage\"],\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/diagnostic-codes\\\/icd-10-code-s61119s\\\/\",\"url\":\"https:\\\/\\\/pabau.com\\\/de\\\/diagnostic-codes\\\/icd-10-code-s61119s\\\/\",\"name\":\"ICD-10 Code S61.119S: Thumb laceration sequela (billable)\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/diagnostic-codes\\\/icd-10-code-s61119s\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/diagnostic-codes\\\/icd-10-code-s61119s\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/08\\\/icd-10-code-s61019s.webp\",\"datePublished\":\"2026-08-12T08:58:22+00:00\",\"dateModified\":\"2026-08-12T08:58:26+00:00\",\"description\":\"S61.119S is billable for a healed thumb laceration with nail damage. Code the residual condition first, then S61.119S.\",\"mainEntity\":[{\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/diagnostic-codes\\\/icd-10-code-s61119s\\\/#faq-question-1786453738993\"},{\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/diagnostic-codes\\\/icd-10-code-s61119s\\\/#faq-question-1786453738994\"},{\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/diagnostic-codes\\\/icd-10-code-s61119s\\\/#faq-question-1786453738995\"},{\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/diagnostic-codes\\\/icd-10-code-s61119s\\\/#faq-question-1786453738996\"},{\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/diagnostic-codes\\\/icd-10-code-s61119s\\\/#faq-question-1786453738997\"},{\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/diagnostic-codes\\\/icd-10-code-s61119s\\\/#faq-question-1786453738998\"}],\"inLanguage\":\"de\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/pabau.com\\\/de\\\/diagnostic-codes\\\/icd-10-code-s61119s\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"de\",\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/diagnostic-codes\\\/icd-10-code-s61119s\\\/#primaryimage\",\"url\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/08\\\/icd-10-code-s61019s.webp\",\"contentUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/08\\\/icd-10-code-s61019s.webp\",\"width\":1200,\"height\":630},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/#website\",\"url\":\"https:\\\/\\\/pabau.com\\\/de\\\/\",\"name\":\"Pabau\",\"description\":\"Clinic Software for your Business | Go Paperless Today\",\"publisher\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/pabau.com\\\/de\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"de\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/#organization\",\"name\":\"Pabau\",\"url\":\"https:\\\/\\\/pabau.com\\\/de\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"de\",\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2022\\\/05\\\/Logo-4-e1654525062364.png\",\"contentUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2022\\\/05\\\/Logo-4-e1654525062364.png\",\"width\":736,\"height\":195,\"caption\":\"Pabau\"},\"image\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/Pabau\\\/\",\"https:\\\/\\\/x.com\\\/pabaucrm\",\"https:\\\/\\\/www.linkedin.com\\\/company\\\/pabau-ltd\\\/\",\"https:\\\/\\\/www.instagram.com\\\/pabausoftware\\\/\"],\"description\":\"Pabau is an all-in-one healthcare practice management software platform designed for clinics, medspas, therapists, and medical professionals. It combines scheduling, electronic health records, clinical forms, payments, marketing automation, reporting, and patient engagement tools into one secure cloud system to help practices streamline operations and grow their business.\",\"foundingDate\":\"2011-10-20\",\"numberOfEmployees\":{\"@type\":\"QuantitativeValue\",\"minValue\":\"201\",\"maxValue\":\"500\"}},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/#\\\/schema\\\/person\\\/f2e43b25ed02313e8781f0f4507398b9\",\"name\":\"Anja Dodevska\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"de\",\"@id\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/06\\\/cropped-CE0C072E-91B7-4BB7-BD27-D1E3B38ED0CA-scaled-1-96x96.jpg\",\"url\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/06\\\/cropped-CE0C072E-91B7-4BB7-BD27-D1E3B38ED0CA-scaled-1-96x96.jpg\",\"contentUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/06\\\/cropped-CE0C072E-91B7-4BB7-BD27-D1E3B38ED0CA-scaled-1-96x96.jpg\",\"caption\":\"Anja Dodevska\"},\"description\":\"Anja Dodevska writes about healthcare, dermatology, and the day-to-day realities of running a medical practice for Pabau. She enjoys breaking down complex topics into clear, accessible content and has a soft spot for the often-overlooked aspects of clinic life. When she's not writing, she's exploring cafes, walking her dog, or spending time with friends and family.\",\"url\":\"https:\\\/\\\/pabau.com\\\/de\\\/blog\\\/author\\\/anja-dodevska\\\/\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/diagnostic-codes\\\/icd-10-code-s61119s\\\/#faq-question-1786453738993\",\"position\":1,\"url\":\"https:\\\/\\\/pabau.com\\\/de\\\/diagnostic-codes\\\/icd-10-code-s61119s\\\/#faq-question-1786453738993\",\"name\":\"What does ICD-10 Code S61.119S mean?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"ICD-10 Code S61.119S is a billable diagnosis code for laceration without foreign body of unspecified thumb with damage to nail, sequela. Use it when a patient presents with a residual condition, such as nail deformity or scar contracture. The original thumb laceration must have healed first. The code is valid for FY2026 under HIPAA-covered transactions.\",\"inLanguage\":\"de\"},\"inLanguage\":\"de\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/diagnostic-codes\\\/icd-10-code-s61119s\\\/#faq-question-1786453738994\",\"position\":2,\"url\":\"https:\\\/\\\/pabau.com\\\/de\\\/diagnostic-codes\\\/icd-10-code-s61119s\\\/#faq-question-1786453738994\",\"name\":\"Is S61.119S a billable ICD-10 code?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Yes. S61.119S is a fully billable ICD-10-CM diagnosis code. The parent code S61.119 is not billable on its own. Adding the 7th character S makes the code specific enough for claim submission under HIPAA-covered transactions. It is valid from October 1, 2025 through September 30, 2026.\",\"inLanguage\":\"de\"},\"inLanguage\":\"de\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/diagnostic-codes\\\/icd-10-code-s61119s\\\/#faq-question-1786453738995\",\"position\":3,\"url\":\"https:\\\/\\\/pabau.com\\\/de\\\/diagnostic-codes\\\/icd-10-code-s61119s\\\/#faq-question-1786453738995\",\"name\":\"What is the difference between S61.119A, S61.119D, and S61.119S?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"The three codes differ only by the 7th character, which indicates the phase of care. S61.119A covers active treatment of the laceration. S61.119D applies during routine healing care, such as wound checks and suture removal. S61.119S is used only after the wound has fully healed, when the patient is treated for a lasting complication of the original injury.\",\"inLanguage\":\"de\"},\"inLanguage\":\"de\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/diagnostic-codes\\\/icd-10-code-s61119s\\\/#faq-question-1786453738996\",\"position\":4,\"url\":\"https:\\\/\\\/pabau.com\\\/de\\\/diagnostic-codes\\\/icd-10-code-s61119s\\\/#faq-question-1786453738996\",\"name\":\"What documentation is required to support S61.119S?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Four documentation elements are required. The first is evidence of a prior thumb laceration without foreign body, with nail involvement. The second is confirmation that the wound has fully healed. The third is identification of the residual condition, such as nail plate dystrophy or scar contracture. The fourth is a provider statement linking that condition to the original laceration. Generic references to \\\"complications\\\" are insufficient.\",\"inLanguage\":\"de\"},\"inLanguage\":\"de\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/diagnostic-codes\\\/icd-10-code-s61119s\\\/#faq-question-1786453738997\",\"position\":5,\"url\":\"https:\\\/\\\/pabau.com\\\/de\\\/diagnostic-codes\\\/icd-10-code-s61119s\\\/#faq-question-1786453738997\",\"name\":\"Does S61.119S require a causative code?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Per ICD-10-CM Official Guidelines Section I.B.10, the residual condition is coded first. S61.119S is then sequenced as the causative code in second position. Submitting S61.119S alone without a coded sequela condition is a common rejection trigger. Payers may add further documentation or prior authorization requirements, so verify their policies before submission.\",\"inLanguage\":\"de\"},\"inLanguage\":\"de\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/diagnostic-codes\\\/icd-10-code-s61119s\\\/#faq-question-1786453738998\",\"position\":6,\"url\":\"https:\\\/\\\/pabau.com\\\/de\\\/diagnostic-codes\\\/icd-10-code-s61119s\\\/#faq-question-1786453738998\",\"name\":\"What are the sibling codes of S61.119S?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"The primary sibling codes are S61.119A and S61.119D, which share the same parent, S61.119. When laterality is documented, use S61.111x for the right thumb or S61.112x for the left thumb instead of the unspecified codes. Where no nail damage is documented, the S61.01- family applies instead. S61.119S is reserved for records that do not specify which thumb was injured.\",\"inLanguage\":\"de\"},\"inLanguage\":\"de\"}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"ICD-10 Code S61.119S: Thumb laceration sequela (billable)","description":"S61.119S is billable for a healed thumb laceration with nail damage. Code the residual condition first, then S61.119S.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/pabau.com\/de\/diagnostic-codes\/icd-10-code-s61119s\/","og_locale":"de_DE","og_type":"article","og_title":"ICD-10 Code S61.119S: Thumb laceration sequela (billable)","og_description":"S61.119S is billable for a healed thumb laceration with nail damage. Code the residual condition first, then S61.119S.","og_url":"https:\/\/pabau.com\/de\/diagnostic-codes\/icd-10-code-s61119s\/","og_site_name":"Pabau","article_publisher":"https:\/\/www.facebook.com\/Pabau\/","article_published_time":"2026-08-12T08:58:22+00:00","article_modified_time":"2026-08-12T08:58:26+00:00","og_image":[{"width":1200,"height":630,"url":"https:\/\/pabau.com\/wp-content\/uploads\/2026\/08\/icd-10-code-s61019s.webp","type":"image\/webp"}],"author":"Anja Dodevska","twitter_card":"summary_large_image","twitter_creator":"@pabaucrm","twitter_site":"@pabaucrm","twitter_misc":{"Verfasst von":"Anja Dodevska","Gesch\u00e4tzte Lesezeit":"13\u00a0Minuten"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/pabau.com\/de\/diagnostic-codes\/icd-10-code-s61119s\/#article","isPartOf":{"@id":"https:\/\/pabau.com\/de\/diagnostic-codes\/icd-10-code-s61119s\/"},"author":{"name":"Anja Dodevska","@id":"https:\/\/pabau.com\/de\/#\/schema\/person\/f2e43b25ed02313e8781f0f4507398b9"},"headline":"ICD-10 Code S61.119S: Thumb laceration with nail damage, sequela","datePublished":"2026-08-12T08:58:22+00:00","dateModified":"2026-08-12T08:58:26+00:00","mainEntityOfPage":{"@id":"https:\/\/pabau.com\/de\/diagnostic-codes\/icd-10-code-s61119s\/"},"wordCount":2799,"publisher":{"@id":"https:\/\/pabau.com\/de\/#organization"},"image":{"@id":"https:\/\/pabau.com\/de\/diagnostic-codes\/icd-10-code-s61119s\/#primaryimage"},"thumbnailUrl":"https:\/\/pabau.com\/wp-content\/uploads\/2026\/08\/icd-10-code-s61019s.webp","keywords":["billing codes","Clinical Coding","Clinical Documentation","Coding Compliance"],"articleSection":["Diagnostic Codes","ICD-10-CM"],"inLanguage":"de"},{"@type":["WebPage","FAQPage"],"@id":"https:\/\/pabau.com\/de\/diagnostic-codes\/icd-10-code-s61119s\/","url":"https:\/\/pabau.com\/de\/diagnostic-codes\/icd-10-code-s61119s\/","name":"ICD-10 Code S61.119S: Thumb laceration sequela (billable)","isPartOf":{"@id":"https:\/\/pabau.com\/de\/#website"},"primaryImageOfPage":{"@id":"https:\/\/pabau.com\/de\/diagnostic-codes\/icd-10-code-s61119s\/#primaryimage"},"image":{"@id":"https:\/\/pabau.com\/de\/diagnostic-codes\/icd-10-code-s61119s\/#primaryimage"},"thumbnailUrl":"https:\/\/pabau.com\/wp-content\/uploads\/2026\/08\/icd-10-code-s61019s.webp","datePublished":"2026-08-12T08:58:22+00:00","dateModified":"2026-08-12T08:58:26+00:00","description":"S61.119S is billable for a healed thumb laceration with nail damage. 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She enjoys breaking down complex topics into clear, accessible content and has a soft spot for the often-overlooked aspects of clinic life. When she's not writing, she's exploring cafes, walking her dog, or spending time with friends and family.","url":"https:\/\/pabau.com\/de\/blog\/author\/anja-dodevska\/"},{"@type":"Question","@id":"https:\/\/pabau.com\/de\/diagnostic-codes\/icd-10-code-s61119s\/#faq-question-1786453738993","position":1,"url":"https:\/\/pabau.com\/de\/diagnostic-codes\/icd-10-code-s61119s\/#faq-question-1786453738993","name":"What does ICD-10 Code S61.119S mean?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"ICD-10 Code S61.119S is a billable diagnosis code for laceration without foreign body of unspecified thumb with damage to nail, sequela. Use it when a patient presents with a residual condition, such as nail deformity or scar contracture. The original thumb laceration must have healed first. The code is valid for FY2026 under HIPAA-covered transactions.","inLanguage":"de"},"inLanguage":"de"},{"@type":"Question","@id":"https:\/\/pabau.com\/de\/diagnostic-codes\/icd-10-code-s61119s\/#faq-question-1786453738994","position":2,"url":"https:\/\/pabau.com\/de\/diagnostic-codes\/icd-10-code-s61119s\/#faq-question-1786453738994","name":"Is S61.119S a billable ICD-10 code?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Yes. S61.119S is a fully billable ICD-10-CM diagnosis code. The parent code S61.119 is not billable on its own. Adding the 7th character S makes the code specific enough for claim submission under HIPAA-covered transactions. It is valid from October 1, 2025 through September 30, 2026.","inLanguage":"de"},"inLanguage":"de"},{"@type":"Question","@id":"https:\/\/pabau.com\/de\/diagnostic-codes\/icd-10-code-s61119s\/#faq-question-1786453738995","position":3,"url":"https:\/\/pabau.com\/de\/diagnostic-codes\/icd-10-code-s61119s\/#faq-question-1786453738995","name":"What is the difference between S61.119A, S61.119D, and S61.119S?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"The three codes differ only by the 7th character, which indicates the phase of care. S61.119A covers active treatment of the laceration. S61.119D applies during routine healing care, such as wound checks and suture removal. S61.119S is used only after the wound has fully healed, when the patient is treated for a lasting complication of the original injury.","inLanguage":"de"},"inLanguage":"de"},{"@type":"Question","@id":"https:\/\/pabau.com\/de\/diagnostic-codes\/icd-10-code-s61119s\/#faq-question-1786453738996","position":4,"url":"https:\/\/pabau.com\/de\/diagnostic-codes\/icd-10-code-s61119s\/#faq-question-1786453738996","name":"What documentation is required to support S61.119S?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Four documentation elements are required. The first is evidence of a prior thumb laceration without foreign body, with nail involvement. The second is confirmation that the wound has fully healed. The third is identification of the residual condition, such as nail plate dystrophy or scar contracture. The fourth is a provider statement linking that condition to the original laceration. Generic references to \"complications\" are insufficient.","inLanguage":"de"},"inLanguage":"de"},{"@type":"Question","@id":"https:\/\/pabau.com\/de\/diagnostic-codes\/icd-10-code-s61119s\/#faq-question-1786453738997","position":5,"url":"https:\/\/pabau.com\/de\/diagnostic-codes\/icd-10-code-s61119s\/#faq-question-1786453738997","name":"Does S61.119S require a causative code?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Per ICD-10-CM Official Guidelines Section I.B.10, the residual condition is coded first. S61.119S is then sequenced as the causative code in second position. Submitting S61.119S alone without a coded sequela condition is a common rejection trigger. Payers may add further documentation or prior authorization requirements, so verify their policies before submission.","inLanguage":"de"},"inLanguage":"de"},{"@type":"Question","@id":"https:\/\/pabau.com\/de\/diagnostic-codes\/icd-10-code-s61119s\/#faq-question-1786453738998","position":6,"url":"https:\/\/pabau.com\/de\/diagnostic-codes\/icd-10-code-s61119s\/#faq-question-1786453738998","name":"What are the sibling codes of S61.119S?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"The primary sibling codes are S61.119A and S61.119D, which share the same parent, S61.119. When laterality is documented, use S61.111x for the right thumb or S61.112x for the left thumb instead of the unspecified codes. Where no nail damage is documented, the S61.01- family applies instead. S61.119S is reserved for records that do not specify which thumb was injured.","inLanguage":"de"},"inLanguage":"de"}]}},"yoast":{"focus_keyword":"ICD-10 Code S61.119S","seo_title":"ICD-10 Code S61.119S: Thumb laceration sequela (billable)","meta_description":"S61.119S is billable for a healed thumb laceration with nail damage. 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