{"id":176003,"date":"2026-08-12T09:04:33","date_gmt":"2026-08-12T09:04:33","guid":{"rendered":"https:\/\/pabau.com\/?p=176003"},"modified":"2026-08-12T09:04:35","modified_gmt":"2026-08-12T09:04:35","slug":"icd-10-code-s61311s","status":"publish","type":"post","link":"https:\/\/pabau.com\/fr\/diagnostic-codes\/icd-10-code-s61311s\/","title":{"rendered":"ICD-10 Code S61.311S: Left index finger laceration with nail damage"},"content":{"rendered":"\n<script type=\"application\/ld+json\">{\"@context\":\"https:\/\/schema.org\",\"@type\":\"MedicalWebPage\",\"headline\":\"ICD-10 Code S61.311S: Laceration Without Foreign Body of Left Index Finger With Nail Damage, Sequela\",\"description\":\"S61.311S (Laceration Without Foreign Body of Left Index Finger With Damage to Nail, Sequela) is a billable ICD-10-CM code. Learn the 7th character rules, documentation requirements, and related codes.\",\"url\":\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-s61311s\/\",\"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\":\"2026-08-12\",\"dateModified\":\"2026-08-12\"}<\/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>S61.311S is a billable ICD-10-CM code for laceration without foreign body of the left index finger with damage to nail, sequela. It is valid for FY2026.<\/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 marks a sequela encounter, used only after active treatment has ended and a late effect still needs management.<\/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>S61.311A covers the initial encounter, S61.311D covers subsequent care, and S61.311S covers sequela. Picking the wrong one is a leading cause of denials.<\/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>A sequela claim needs two codes. List the condition being treated today first, then add S61.311S as the additional code.<\/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 records laterality, wound type, and encounter phase at the visit. That leaves coders less to reconstruct at billing time.<\/p>\n                        <\/div>\n                                                <\/div>\n        <\/div>\n    \n\n\n<p class=\"wp-block-paragraph\">ICD-10 Code S61.311S is a billable code for laceration without foreign body of the left index finger with damage to nail, sequela. The S in the 7th position marks a sequela encounter. It applies after active wound care has finished and a late effect still brings the patient back.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Five qualifiers are packed into that description, and every one has to match the chart note. This guide covers the 7th character framework, the sibling codes in S61.31, the documentation that supports the code, and the common errors.<\/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-s61-311s-code-details-at-a-glance\" class=\"wp-block-heading\">ICD-10 Code S61.311S: Code details at a glance<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">S61.311S is a billable and specific ICD-10-CM diagnosis code, valid for fiscal year 2026 claims. Each position in the code string carries a distinct clinical qualifier.<\/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;min-width:160px\">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\">Detail<\/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\">S61.311S<\/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 left index finger 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\">Code system<\/td>\n<td style=\"padding:12px 16px;color:#374151\">ICD-10-CM (International Classification of Diseases, 10th Revision, Clinical Modification)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Billable\/specific<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Yes, billable and specific for FY2026<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Code category<\/td>\n<td style=\"padding:12px 16px;color:#374151\">S61.3 (Open wound of other finger with damage to nail)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Parent chapter<\/td>\n<td style=\"padding:12px 16px;color:#374151\">S00-T88: Injury, poisoning and certain other consequences of external causes<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">7th character<\/td>\n<td style=\"padding:12px 16px;color:#374151\">S, for 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\">Fiscal year validity<\/td>\n<td style=\"padding:12px 16px;color:#374151\">FY2026 (October 1, 2025 to September 30, 2026)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">All five qualifiers have to match the documented record. Wound type, foreign body status, laterality, nail involvement, and encounter type each carry weight, and any mismatch is grounds for denial.<\/p>\n\n\n\n<h2 id=\"h-what-the-7th-character-s-means-in-sequela-coding\" class=\"wp-block-heading\">What the 7th character S means in sequela coding<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The 7th character is the most misapplied element in injury coding. For the S61.311 base code, three options exist, and each maps to 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\">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\">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\">Encounter type<\/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\">S61.311A<\/td>\n<td style=\"padding:12px 16px;color:#374151\">A<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Initial encounter<\/td>\n<td style=\"padding:12px 16px;color:#374151\">First time the patient receives active treatment for the 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\">S61.311D<\/td>\n<td style=\"padding:12px 16px;color:#374151\">D<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Subsequent encounter<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Routine follow-up care while the wound is still under active treatment<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S61.311S<\/td>\n<td style=\"padding:12px 16px;color:#374151\">S<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Sequela<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Late effect or complication persisting after active treatment has concluded<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">The sequela character is right when the wound has healed but a residual condition still needs clinical management. That might be scar tissue, restricted joint movement, or a chronic nail deformity. Active wound care stops. The sequela begins.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The ICD-10-CM Official Guidelines add a second rule, set out in Section I.C.19.a. When S is used, you also assign a code for the specific sequela condition being treated. S61.311S is the causal code, so it sits second, behind the sequela diagnosis that brought the patient in.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Reversed sequencing is the next most common failure after picking the wrong 7th character. Many billing systems flag it automatically. The harder problem sits upstream, where the sequela condition may never have been documented at all. The same rule applies to every injury sequela, including <a href=\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-s338xxs\/\">S33.8XXS<\/a>.<\/p>\n\n\n\n<h3 id=\"h-s61-311a-vs-s61-311d-vs-s61-311s-choosing-the-right-variant\" class=\"wp-block-heading\">S61.311A vs. S61.311D vs. S61.311S: Choosing the right variant<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">The split between D and S trips up even experienced coders. The test is whether active treatment is still ongoing.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Still doing wound care, dressing changes, or suture removal?<\/strong> Use D for a subsequent encounter.<\/li>\n\n\n\n<li><strong>Wound healed, but the patient is back for scar management, nail reconstruction, or stiffness?<\/strong> Use S for sequela.<\/li>\n\n\n\n<li><strong>First visit for this injury, anywhere?<\/strong> Use A. Even if the patient was treated elsewhere first, A applies to the first encounter at your facility.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">A repair that is still at the suture-removal stage, billed under <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-15851\/\">CPT code 15851<\/a>, sits firmly in D territory. Once that visit is done and the chart says so, the door to S opens. The same pattern shows up in <a href=\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-s01111d\/\">S01.111D<\/a>, where a laceration is still under active care.<\/p>\n\n\n\n<h2 id=\"h-clinical-description-what-each-qualifier-means\" class=\"wp-block-heading\">Clinical description: what each qualifier means<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Each word in the S61.311S descriptor encodes a specific clinical finding. Knowing the anatomy behind the code helps coders catch missing detail before claims go out.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Laceration:<\/strong> A jagged or irregular wound from a sharp object or a tearing force. It is distinct from an incision, a puncture, or an abrasion. The mechanism has to be documented as a laceration, not assumed. A puncture wound is coded elsewhere in the S61 block, such as <a href=\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-s61238a\/\">S61.238A<\/a>.<\/li>\n\n\n\n<li><strong>Without foreign body:<\/strong> No retained material sits in the wound at the time of the encounter. Glass, metal, and wood splinters all count. If a foreign body came out at an earlier visit and none remains, this qualifier still holds.<\/li>\n\n\n\n<li><strong>Left index finger:<\/strong> Laterality is mandatory, and the index finger is the second digit. Left specificity rules out S61.310S, the right index finger equivalent. Without explicit left or right documentation, the claim cannot go out as S61.311S.<\/li>\n\n\n\n<li><strong>With damage to nail:<\/strong> The nail plate, nail bed, or surrounding tissue shows clinically significant damage. Nail involvement is what puts the injury in S61.3 rather than S61.2. The left index finger equivalent without nail damage is S61.211S. That detail has to appear in the clinical note, not only in a procedure summary.<\/li>\n\n\n\n<li><strong>Sequela:<\/strong> The encounter happens after active treatment has concluded. The presenting complaint is a late effect of the original laceration.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Practices managing wound care and post-injury follow-up lean on structured <a href=\"https:\/\/pabau.com\/features\/medical-records-management\/\">clinical record keeping<\/a>. It captures each qualifier at the point of documentation, not at billing time.<\/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-s61312s\/comprehensive-emr-patient-record-management.webp\" alt=\"Comprehensive EMR and patient record management\"\/><figcaption class=\"wp-element-caption\"><em>Pabau&rsquo;s client records store laterality, wound type, and encounter phase as structured fields, so the detail is still there at the sequela visit.<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:35px;width:800px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 id=\"h-icd-10-cm-code-hierarchy-and-category-s61-3\" class=\"wp-block-heading\">ICD-10-CM code hierarchy and category S61.3<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">S61.311S sits inside a well-defined hierarchy. Knowing the parent structure helps coders navigate to adjacent codes quickly and avoids category-level errors.<\/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\">Level<\/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\">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\">Description<\/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\">Chapter<\/td>\n<td style=\"padding:12px 16px;color:#374151\">S00-T88<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Injury, poisoning and certain other consequences of external causes<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Block<\/td>\n<td style=\"padding:12px 16px;color:#374151\">S60-S69<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Injuries to the wrist, hand, and fingers<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Category<\/td>\n<td style=\"padding:12px 16px;color:#374151\">S61<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Open wound of wrist, hand, and fingers<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Subcategory<\/td>\n<td style=\"padding:12px 16px;color:#374151\">S61.3<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Open wound of other finger with damage to nail<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Sub-subcategory<\/td>\n<td style=\"padding:12px 16px;color:#374151\">S61.31<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Laceration without foreign body of finger with damage to nail<\/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 (base)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">S61.311<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Laceration without foreign body of left index finger with damage to nail<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Billable code<\/td>\n<td style=\"padding:12px 16px;color:#374151\">S61.311S<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Laceration without foreign body of left index finger with damage to nail, sequela<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">The S61.3 subcategory covers open wounds with damage to nail on fingers other than the thumb. Thumb wounds fall under S61.0 and S61.1, as in <a href=\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-s61059a\/\">S61.059A<\/a>. The same fingers without nail damage are coded from S61.2 instead.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Within S61.3, codes branch by wound type, laterality, and digit. Practices handling hand therapy and post-injury rehabilitation can look at <a href=\"https:\/\/pabau.com\/industry\/occupational-therapy-software\/\">occupational therapy software<\/a> for follow-up documentation. The <a href=\"https:\/\/icd10cmtool.cdc.gov\/\" target=\"_blank\" rel=\"nofollow noopener\">CDC\/NCHS ICD-10-CM web tool<\/a> confirms parent code notes and Type 1 Excludes at each level.<\/p>\n\n\n\n<h3 id=\"h-related-and-sibling-codes-in-the-s61-31-family\" class=\"wp-block-heading\">Related and sibling codes in the S61.31 family<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">The table below shows the adjacent codes in S61.31 by finger and laterality. All of them share the laceration-without-foreign-body and nail-damage qualifiers. Only the digit and the side change.<\/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 (sequela)<\/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\">Finger<\/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\">Side<\/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\">S61.310S<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Index finger<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Right<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S61.311S<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Index finger<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Left<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S61.312S<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Middle finger<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Right<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S61.313S<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Middle finger<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Left<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S61.314S<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Ring finger<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Right<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S61.315S<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Ring finger<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Left<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S61.316S<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Little finger<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Right<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S61.317S<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Little finger<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Left<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S61.318S<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Other finger<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Not applicable<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S61.319S<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Unspecified finger<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Unspecified<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">S61.319S belongs on a claim only when the record genuinely does not name the digit. Defaulting to it when documentation is thin is a shortcut payers increasingly flag in audits. The AAPC Codify ICD-10-CM lookup lets coders browse the whole S61.31 family side by side.<\/p>\n\n\n\n<h2 id=\"h-documentation-requirements-for-icd-10-code-s61-311s\" class=\"wp-block-heading\">Documentation requirements for ICD-10 Code S61.311S<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Clean sequela coding starts with documentation written correctly during active treatment, not reconstructed at billing. A record that supported S61.311A or S61.311D at the time gives you the evidence chain for S61.311S later.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Laterality:<\/strong> The note has to name the left hand and the index finger. \u00ab\u00a0Index finger injury\u00a0\u00bb with no side documented cannot support S61.311S.<\/li>\n\n\n\n<li><strong>Injury type:<\/strong> The wound description has to read like a laceration. \u00ab\u00a0Cut,\u00a0\u00bb \u00ab\u00a0tear,\u00a0\u00bb or \u00ab\u00a0wound with irregular edges\u00a0\u00bb all work. \u00ab\u00a0Scrape\u00a0\u00bb and \u00ab\u00a0abrasion\u00a0\u00bb do not.<\/li>\n\n\n\n<li><strong>Foreign body status:<\/strong> State that no foreign body is retained, or that one came out at a prior encounter. A wound description that never mentions foreign body status is incomplete for this code.<\/li>\n\n\n\n<li><strong>Nail involvement:<\/strong> The note has to record damage to the nail plate, nail bed, or periungual tissue. \u00ab\u00a0Nail bed lacerated\u00a0\u00bb or \u00ab\u00a0nail plate disrupted\u00a0\u00bb supports the qualifier.<\/li>\n\n\n\n<li><strong>Encounter type:<\/strong> The provider has to state that active treatment ended and this visit addresses a residual condition. \u00ab\u00a0Presenting for scar management following resolved laceration\u00a0\u00bb does the job.<\/li>\n\n\n\n<li><strong>The sequela condition:<\/strong> The presenting condition needs its own code, documented and listed first. S61.311S is the additional code, not the reason for the visit.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Practices that follow <a href=\"https:\/\/pabau.com\/blog\/safer-clinical-notes\/\">safer clinical notes<\/a> habits, with structured templates, miss laterality and encounter type far less often at the point of care.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">For teams building or auditing note templates, <a href=\"https:\/\/pabau.com\/features\/patient-intake-software\/\">digital intake forms<\/a> can make wound laterality and nail involvement mandatory fields before the chart note opens. The <a href=\"https:\/\/www.cms.gov\/medicare\/coding-billing\/icd-10-codes\" target=\"_blank\" rel=\"nofollow noopener\">CMS ICD-10 codes page<\/a> publishes the Official Guidelines for Coding and Reporting, which is the authority on sequela documentation.<\/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-s61312s\/customizable-consent-and-intake-forms.webp\" alt=\"Customizable consent and intake forms\"\/><figcaption class=\"wp-element-caption\"><em>Pabau&rsquo;s intake forms can require wound laterality and nail involvement before the chart note opens, so nothing is missing at coding.<\/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>Run a retrospective audit of S61.311D claims dated more than 90 days after the injury. If the wound is healed and the patient keeps returning for scar or nail sequelae, those encounters may need S61.311S rather than the D character. Continued use of D past the active treatment phase is one of the most common triggers for payer audits on finger laceration claims.<\/p>\n            <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-common-coding-errors-and-how-to-prevent-them\" class=\"wp-block-heading\">Common coding errors and how to prevent them<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">A few failure patterns recur across practices billing S61.311S and its siblings. Each one is avoidable with a clear documentation protocol.<\/p>\n\n\n\n<h3 id=\"h-error-1-using-d-when-s-is-correct\" class=\"wp-block-heading\">Error 1: Using D when S is correct<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">This is the most common one. Coders keep billing S61.311D for months after the wound has healed, because the chart notes stop mentioning the injury. When the patient returns for nail reconstruction or scar management, a new note goes in without re-establishing the encounter type.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The result is a D code trail for a condition that is already in the sequela phase. The fix is to build an explicit \u00ab\u00a0active treatment concluded\u00a0\u00bb entry into the final wound-care note. That gives billing a clear transition point and supports the move to S coding.<\/p>\n\n\n\n<h3 id=\"h-error-2-missing-the-sequela-condition-code\" class=\"wp-block-heading\">Error 2: Missing the sequela condition code<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">S61.311S cannot stand alone as the primary diagnosis. ICD-10-CM guidelines require a code for the sequela condition, such as scar contracture, chronic pain, or nail deformity, to be listed first. Submitting S61.311S on its own will draw a return-to-provider request or a denial from most payers.<\/p>\n\n\n\n<h3 id=\"h-error-3-omitting-nail-involvement\" class=\"wp-block-heading\">Error 3: Omitting nail involvement<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Nail damage documented at the initial visit sometimes drops out of later notes, and coders default to the without-nail variant. S61.211S and S61.311S sit in different ICD-10-CM categories. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Billing the without-nail version when the original injury damaged the nail misrepresents the clinical history. The same nail-damage split runs through neighboring finger categories, including <a href=\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-s60159d\/\">S60.159D<\/a>.<\/p>\n\n\n\n<h3 id=\"h-error-4-incorrect-laterality\" class=\"wp-block-heading\">Error 4: Incorrect laterality<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Laterality errors cluster where billing teams abstract from scanned paper notes or short dictations. S61.310S and S61.311S generate different claims. Payers can cross-reference the original encounter claim for laterality, and a mismatch flags the account for review. <a href=\"https:\/\/pabau.com\/features\/claims-management-software\/\">Claims management software<\/a> with laterality validation catches this before submission.<\/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-s61312s\/track-claims-from-start-to-finish.webp\" alt=\"Track claims from start to finish\"\/><figcaption class=\"wp-element-caption\"><em>Pabau&rsquo;s claims tracking shows where every S61.311S claim sits, so a laterality or encounter-type rejection surfaces in days rather than weeks.<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:35px;width:800px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 id=\"h-approximate-synonyms-and-alphabetic-index-paths\" class=\"wp-block-heading\">Approximate synonyms and alphabetic index paths<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The ICD-10-CM alphabetic index reaches S61.311S through several entry points. Knowing the synonyms helps coders confirm they landed on the right code when starting from a clinical term.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Laceration of left index finger with nail damage, late effect<\/li>\n\n\n\n<li>Sequela, laceration, finger (with nail damage), left index<\/li>\n\n\n\n<li>Late effect of open wound of left index finger with nail involvement<\/li>\n\n\n\n<li>Post-traumatic nail deformity, left index finger<\/li>\n\n\n\n<li>Scar following laceration of left index finger with nail damage<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Searching under \u00ab\u00a0Laceration,\u00a0\u00bb coders follow finger, then foreign body status, then damage to nail, then left index. The S 7th character is appended last to confirm the sequela encounter. Searching under \u00ab\u00a0Sequela,\u00a0\u00bb the path runs injury, open wound, finger, left index.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Teams using <a href=\"https:\/\/pabau.com\/templates\/medical-notes\/\">structured note templates<\/a> can embed these index terms as prompts, steering providers toward language that maps cleanly to ICD-10-CM. The <a href=\"https:\/\/www.icd10data.com\/ICD10CM\/Codes\/S00-T88\/S60-S69\/S61-\/S61.311\" target=\"_blank\" rel=\"nofollow noopener\">2026 ICD-10-CM listing<\/a> for S61.311 shows the approximate synonyms alongside the code.<\/p>\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>At a sequela encounter for a finger laceration, ask the provider to note two things. First, the specific late effect being treated today, such as scar contracture limiting PIP joint flexion. Second, a line reading &lsquo;active wound care concluded on [date].&rsquo; Both support correct sequela code selection and sequencing.<\/p>\n            <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-how-pabau-supports-accurate-sequela-documentation\" class=\"wp-block-heading\">How Pabau supports accurate sequela documentation<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Sequela coding errors are almost always documentation errors caught late. By the time billing opens the chart, the sequela condition note is missing, laterality is vague, and nobody recorded the encounter-type transition.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Practice management software like Pabau holds laterality, wound description, and encounter phase as structured fields, not free text. When a clinician documents a finger laceration with nail damage at the first visit, that detail travels with the record. At the sequela encounter, the note template surfaces the original injury automatically.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">So providers confirm or update the encounter status without rebuilding the history from memory. Embedding the ICD-10 lookup inside the clinical workflow, rather than in a separate tab, cuts the context switching that causes encounter-type errors.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Practices handling wound care, nail deformity, and scar management get the same benefit from Pabau&rsquo;s <a href=\"https:\/\/pabau.com\/industry\/dermatology-emr-software\/\">dermatology EMR software<\/a> for tracking injuries over time.<\/p>\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 ICD-10 coding errors at the visit                <\/h3>\n\n                <p class=\"description\">\n                    Pabau&rsquo;s structured clinical records capture laterality, wound description, and encounter type before billing reviews the chart. See how clean documentation at the visit supports accurate ICD-10 Code S61.311S claims downstream.                <\/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 clinical records supporting ICD-10 documentation\"\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\">Sequela coding for finger lacerations is precise by design. S61.311S packs five clinical qualifiers into one code, and each has to match the record. The most preventable failure is the D-to-S handoff that never happens.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">So make that transition explicit. One line in the final wound-care note, saying active treatment has concluded, is what lets billing move to S coding without guessing. It costs a clinician a few seconds and prevents a denial.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Structured records make that habit easy to keep, because the encounter phase is a field rather than a sentence someone remembers to write. <a href=\"https:\/\/pabau.com\/book-demo\/\">Book a demo<\/a> to see how Pabau captures laterality and encounter type at the visit.<\/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 an open fracture with a different 7th character?<\/strong> <a href=\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-s32492b\/\">S32.492B<\/a> shows how the character set shifts once the injury is an open fracture.<\/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>Documenting laterality on an initial encounter?<\/strong> <a href=\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-s3157a\/\">S31.157A<\/a> walks through the same left-or-right requirement on a torso wound.<\/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>Handling subsequent-encounter care after an upper limb injury?<\/strong> <a href=\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-s58022d\/\">S58.022D<\/a> covers the D character on a partial traumatic amputation.<\/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>Chasing approvals before the claim goes out?<\/strong> <a href=\"https:\/\/pabau.com\/templates\/medical-prior-authorization-form\/\">Medical prior authorization form<\/a> collects the clinical detail payers ask for up front.<\/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 to pin down when active treatment ends?<\/strong> <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-15851\/\">CPT code 15851<\/a> covers suture removal billing, the visit that usually marks the switch to sequela coding.<\/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-1786453750579\"><h3 class=\"schema-faq-question\">What does ICD-10 Code S61.311S mean?<\/h3> <p class=\"schema-faq-answer\">S61.311S is a billable ICD-10-CM code for laceration without foreign body of the left index finger with damage to nail, sequela. It applies once active wound care has ended and a late effect still needs treatment. The code is valid for FY2026 claims.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786453750580\"><h3 class=\"schema-faq-question\">When should you use the sequela (S) 7th character in ICD-10?<\/h3> <p class=\"schema-faq-answer\">Use S when active treatment for the original injury has ended and the patient returns for a late effect. Scar tissue, joint stiffness, and chronic nail deformity all qualify. The guidelines require the sequela condition to be the primary diagnosis, with S61.311S as an additional code.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786453750581\"><h3 class=\"schema-faq-question\">What is the difference between S61.311A, S61.311D, and S61.311S?<\/h3> <p class=\"schema-faq-answer\">S61.311A is the initial encounter, used the first time a patient gets active treatment for the laceration. S61.311D covers follow-up visits while active treatment continues. S61.311S is the sequela code, used only after treatment has ended and a late effect persists. Using D when S applies is a leading cause of denials.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786453750582\"><h3 class=\"schema-faq-question\">Is S61.311S a billable ICD-10-CM code?<\/h3> <p class=\"schema-faq-answer\">Yes. S61.311S is billable and specific, valid for FY2026 claims. It works on physician claims, facility claims, and anywhere a specific ICD-10-CM code is required. The documentation has to support all five qualifiers: laceration, no foreign body, left index finger, nail damage, and sequela.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786453750583\"><h3 class=\"schema-faq-question\">What documentation is required to use S61.311S?<\/h3> <p class=\"schema-faq-answer\">The record must name the left side and the index finger, describe a laceration, and confirm no retained foreign body. It also has to document damage to the nail or nail bed. Finally, it has to show that active treatment ended and this visit addresses a sequela. The sequela diagnosis itself is coded separately and listed first.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786453750584\"><h3 class=\"schema-faq-question\">What ICD-10 code is used for laceration of the left index finger with nail damage?<\/h3> <p class=\"schema-faq-answer\">It depends on the encounter. S61.311A covers the initial encounter, S61.311D covers subsequent encounters during active treatment, and S61.311S covers sequela encounters. All three describe laceration without foreign body of the left index finger with damage to nail. Only the 7th character changes.<\/p> <\/div> <\/div>\n","protected":false},"excerpt":{"rendered":"<p>ICD-10 Code S61.311S is a billable code for laceration without foreign body of the left index finger with damage to nail, sequela. The S in the 7th position marks a sequela encounter. It applies after active wound care has finished and a late effect still brings the patient back. Five qualifiers are packed into that [&hellip;]<\/p>\n","protected":false},"author":83,"featured_media":176000,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_yoast_wpseo_linkdex":"94","_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":[],"class_list":["post-176003","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-diagnostic-codes","category-icd-10-cm"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.2 (Yoast SEO v28.2) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>ICD-10 Code S61.311S: Left index finger laceration (nail damage)<\/title>\n<meta name=\"description\" content=\"Learn about ICD-10 Code S61.311S for laceration of the left index finger. 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Understand coding requirements and documentation.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/pabau.com\/fr\/diagnostic-codes\/icd-10-code-s61311s\/\" \/>\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=\"2026-08-12T09:04:33+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-08-12T09:04:35+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/08\/icd-10-code-s61312s.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=\"\u00c9crit par\" \/>\n\t<meta name=\"twitter:data1\" content=\"Anja Dodevska\" \/>\n\t<meta name=\"twitter:label2\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data2\" content=\"12 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/diagnostic-codes\\\/icd-10-code-s61311s\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/diagnostic-codes\\\/icd-10-code-s61311s\\\/\"},\"author\":{\"name\":\"Anja Dodevska\",\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/#\\\/schema\\\/person\\\/f2e43b25ed02313e8781f0f4507398b9\"},\"headline\":\"ICD-10 Code S61.311S: Left index finger laceration with nail damage\",\"datePublished\":\"2026-08-12T09:04:33+00:00\",\"dateModified\":\"2026-08-12T09:04:35+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/diagnostic-codes\\\/icd-10-code-s61311s\\\/\"},\"wordCount\":2631,\"publisher\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/diagnostic-codes\\\/icd-10-code-s61311s\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/08\\\/icd-10-code-s61312s.webp\",\"articleSection\":[\"Diagnostic Codes\",\"ICD-10-CM\"],\"inLanguage\":\"fr-FR\"},{\"@type\":[\"WebPage\",\"FAQPage\"],\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/diagnostic-codes\\\/icd-10-code-s61311s\\\/\",\"url\":\"https:\\\/\\\/pabau.com\\\/fr\\\/diagnostic-codes\\\/icd-10-code-s61311s\\\/\",\"name\":\"ICD-10 Code S61.311S: Left index finger laceration (nail damage)\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/diagnostic-codes\\\/icd-10-code-s61311s\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/diagnostic-codes\\\/icd-10-code-s61311s\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/08\\\/icd-10-code-s61312s.webp\",\"datePublished\":\"2026-08-12T09:04:33+00:00\",\"dateModified\":\"2026-08-12T09:04:35+00:00\",\"description\":\"Learn about ICD-10 Code S61.311S for laceration of the left index finger. 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The guidelines require the sequela condition to be the primary diagnosis, with S61.311S as an additional code.","inLanguage":"fr-FR"},"inLanguage":"fr-FR"},{"@type":"Question","@id":"https:\/\/pabau.com\/fr\/diagnostic-codes\/icd-10-code-s61311s\/#faq-question-1786453750581","position":3,"url":"https:\/\/pabau.com\/fr\/diagnostic-codes\/icd-10-code-s61311s\/#faq-question-1786453750581","name":"What is the difference between S61.311A, S61.311D, and S61.311S?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"S61.311A is the initial encounter, used the first time a patient gets active treatment for the laceration. S61.311D covers follow-up visits while active treatment continues. S61.311S is the sequela code, used only after treatment has ended and a late effect persists. Using D when S applies is a leading cause of denials.","inLanguage":"fr-FR"},"inLanguage":"fr-FR"},{"@type":"Question","@id":"https:\/\/pabau.com\/fr\/diagnostic-codes\/icd-10-code-s61311s\/#faq-question-1786453750582","position":4,"url":"https:\/\/pabau.com\/fr\/diagnostic-codes\/icd-10-code-s61311s\/#faq-question-1786453750582","name":"Is S61.311S a billable ICD-10-CM code?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Yes. S61.311S is billable and specific, valid for FY2026 claims. It works on physician claims, facility claims, and anywhere a specific ICD-10-CM code is required. The documentation has to support all five qualifiers: laceration, no foreign body, left index finger, nail damage, and sequela.","inLanguage":"fr-FR"},"inLanguage":"fr-FR"},{"@type":"Question","@id":"https:\/\/pabau.com\/fr\/diagnostic-codes\/icd-10-code-s61311s\/#faq-question-1786453750583","position":5,"url":"https:\/\/pabau.com\/fr\/diagnostic-codes\/icd-10-code-s61311s\/#faq-question-1786453750583","name":"What documentation is required to use S61.311S?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"The record must name the left side and the index finger, describe a laceration, and confirm no retained foreign body. It also has to document damage to the nail or nail bed. Finally, it has to show that active treatment ended and this visit addresses a sequela. The sequela diagnosis itself is coded separately and listed first.","inLanguage":"fr-FR"},"inLanguage":"fr-FR"},{"@type":"Question","@id":"https:\/\/pabau.com\/fr\/diagnostic-codes\/icd-10-code-s61311s\/#faq-question-1786453750584","position":6,"url":"https:\/\/pabau.com\/fr\/diagnostic-codes\/icd-10-code-s61311s\/#faq-question-1786453750584","name":"What ICD-10 code is used for laceration of the left index finger with nail damage?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"It depends on the encounter. S61.311A covers the initial encounter, S61.311D covers subsequent encounters during active treatment, and S61.311S covers sequela encounters. All three describe laceration without foreign body of the left index finger with damage to nail. Only the 7th character changes.","inLanguage":"fr-FR"},"inLanguage":"fr-FR"}]}},"yoast":{"focus_keyword":"ICD-10 Code S61.311S","seo_title":"ICD-10 Code S61.311S: Left index finger laceration (nail damage)","meta_description":"Learn about ICD-10 Code S61.311S for laceration of the left index finger. Understand coding requirements and documentation.","content_score":"90","is_cornerstone":"","related_keyphrases":[{"keyword":"sequela icd 10 coding","score":67},{"keyword":"icd 10 finger laceration","score":89},{"keyword":"7th character sequela icd 10","score":61}]},"_links":{"self":[{"href":"https:\/\/pabau.com\/fr\/wp-json\/wp\/v2\/posts\/176003","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pabau.com\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/pabau.com\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/pabau.com\/fr\/wp-json\/wp\/v2\/users\/83"}],"replies":[{"embeddable":true,"href":"https:\/\/pabau.com\/fr\/wp-json\/wp\/v2\/comments?post=176003"}],"version-history":[{"count":4,"href":"https:\/\/pabau.com\/fr\/wp-json\/wp\/v2\/posts\/176003\/revisions"}],"predecessor-version":[{"id":176394,"href":"https:\/\/pabau.com\/fr\/wp-json\/wp\/v2\/posts\/176003\/revisions\/176394"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/pabau.com\/fr\/wp-json\/wp\/v2\/media\/176000"}],"wp:attachment":[{"href":"https:\/\/pabau.com\/fr\/wp-json\/wp\/v2\/media?parent=176003"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pabau.com\/fr\/wp-json\/wp\/v2\/categories?post=176003"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pabau.com\/fr\/wp-json\/wp\/v2\/tags?post=176003"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}