{"id":175459,"date":"2026-08-11T11:37:50","date_gmt":"2026-08-11T11:37:50","guid":{"rendered":"https:\/\/pabau.com\/?p=175459"},"modified":"2026-08-11T13:01:02","modified_gmt":"2026-08-11T13:01:02","slug":"icd-10-code-s61059a","status":"publish","type":"post","link":"https:\/\/pabau.com\/nl\/diagnostic-codes\/icd-10-code-s61059a\/","title":{"rendered":"ICD-10 code S61.059A: Open bite of unspecified thumb without nail damage"},"content":{"rendered":"\n<script type=\"application\/ld+json\">{\"@context\":\"https:\/\/schema.org\",\"@type\":\"MedicalWebPage\",\"headline\":\"ICD-10 code S61.059A: Open bite of unspecified thumb without damage to nail\",\"description\":\"ICD-10 code S61.059A (Open bite of unspecified thumb without damage to nail, initial encounter) is a billable FY2026 diagnosis code. Learn the hierarchy, related codes, 7th character rules, and documentation requirements.\",\"url\":\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-s61059a\/\",\"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\":\"2026-01-15\",\"dateModified\":\"2026-01-15\"}<\/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>ICD-10 code S61.059A describes an open bite of the unspecified thumb without damage to the nail, classified as an initial encounter<\/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>S61.059A is a billable ICD-10-CM code valid for fiscal year 2026 (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 A denotes an initial encounter, while S61.059D covers subsequent encounters and S61.059S covers sequela. Picking the wrong character triggers claim rejections<\/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 carries Excludes1 notes for S68.- amputations and S62.- open fractures, so neither is ever coded alongside S61.059A<\/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 flags incomplete wound documentation before the claim reaches the payer<\/p>\n                        <\/div>\n                                                <\/div>\n        <\/div>\n    \n\n\n<p class=\"wp-block-paragraph\">ICD-10 code S61.059A covers the initial encounter for an open bite of the unspecified thumb without damage to the nail. Below you&#8217;ll find the billable status, the 7th character rules, the code hierarchy, and the documentation your notes need.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">S61.059A is a billable ICD-10-CM diagnosis code. According to the <a href=\"https:\/\/icd10cmtool.cdc.gov\/\" target=\"_blank\" rel=\"nofollow noopener\">CDC\/NCHS ICD-10-CM web tool<\/a>, it is valid for fiscal year 2026, effective October 1, 2025 through September 30, 2026.<\/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\">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\">S61.059A<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Short description<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Open bite of unspecified thumb without damage to nail, initial encounter<\/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, billable and specific<\/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<\/td>\n<td style=\"padding:12px 16px;color:#374151\">FY2026 (October 1, 2025 to 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\">Code system<\/td>\n<td style=\"padding:12px 16px;color:#374151\">ICD-10-CM (American version)<\/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, open wound of wrist, hand and fingers<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\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-official-description-open-bite-of-unspecified-thumb-without-damage-to-nail\" class=\"wp-block-heading\">Official description: Open bite of unspecified thumb without damage to nail<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Each element of the code description carries a specific clinical and coding meaning. Misreading any one of them produces a different code entirely.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Open bite:<\/strong> A wound caused by teeth, whether animal or human. The bite breaks the skin, which makes it an open wound. That separates it from a closed bite contusion and from a puncture wound with no biting mechanism.<\/li>\n\n\n\n<li><strong>Unspecified thumb:<\/strong> The affected thumb&#8217;s laterality is not documented or genuinely unknown at the time of the encounter. If laterality is known, use S61.051A for the right thumb or S61.052A for the left.<\/li>\n\n\n\n<li><strong>Without damage to nail:<\/strong> The nail plate, nail bed, and nail matrix are intact. If the bite caused nail damage, a different subcategory applies.<\/li>\n\n\n\n<li><strong>Initial encounter:<\/strong> The 7th character A indicates the patient is receiving active treatment for this injury. It applies to the first visit and to any later visit where active treatment continues.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Documentation that captures all four elements supports ICD-10 code S61.059A cleanly. Missing any one of them forces the coder to pick a less specific code or to flag the record for a physician query. Accurate <a href=\"https:\/\/pabau.com\/blog\/why-you-should-keep-client-records-up-to-date\/\">clinical records<\/a> are the most reliable defense against that kind of ambiguity.<\/p>\n\n\n\n<h2 id=\"h-understanding-the-7th-character-initial-subsequent-and-sequela-encounters\" class=\"wp-block-heading\">Understanding the 7th character: Initial, subsequent, and sequela encounters<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Per the <a href=\"https:\/\/www.cms.gov\/medicare\/coding-billing\/icd-10-codes\" target=\"_blank\" rel=\"nofollow noopener\">CMS ICD-10-CM official guidelines<\/a>, Section I.C.19.a governs 7th character assignment for injury codes. The same rule runs through every S61 wound code, including <a href=\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-s61238a\/\">S61.238A<\/a>, so the character you pick decides whether the claim clears.<\/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\">S61.059A<\/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\">Active treatment is being provided, such as wound care, debridement, or antibiotics for a bite infection<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S61.059D<\/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 after active treatment is complete, such as a healing check or suture removal<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S61.059S<\/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\">Treating a late effect of the original bite wound, such as scarring or reduced grip strength<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">A common coder error is switching from A to D too early. A patient still on antibiotics for a bite wound infection remains in the initial encounter phase, even at their third visit. The switch to D happens once active treatment has concluded and the patient returns only for routine healing checks.<\/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>Document the treatment status in every note, not just the wound description. A note reading &#8216;wound healing well, no further treatment planned&#8217; signals the move to a subsequent encounter. One reading &#8216;continuing oral antibiotics for wound infection&#8217; keeps the encounter at 7th character A.<\/p>\n            <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-code-hierarchy-and-parent-code\" class=\"wp-block-heading\">Code hierarchy and parent code<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">ICD-10 code S61.059A sits within a layered hierarchy. Understanding the parent chain helps coders navigate related codes and confirm that S61.059A is the most specific code available for the documented injury.<\/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\">S61.0<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Open wound of thumb without 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\">S61.05<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Open bite of thumb without 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\">Non-billable parent<\/td>\n<td style=\"padding:12px 16px;color:#374151\">S61.059<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Open bite of unspecified thumb without damage to nail, requires a 7th character<\/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\">S61.059A<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Open bite of unspecified thumb without damage to nail, initial encounter<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">S61.059 without the 7th character is not billable, and a claim carrying it will be rejected. Always assign the complete seven-character code. For <a href=\"https:\/\/pabau.com\/industry\/physical-therapy-emr\/\">physical therapy practices<\/a> handling post-bite rehabilitation, the hierarchy matters when injury diagnoses are cross-coded with therapy procedures.<\/p>\n\n\n\n<h2 id=\"h-related-and-sibling-codes\" class=\"wp-block-heading\">Related and sibling codes<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The S61.05x family covers open bite of the thumb without nail damage across every encounter type and laterality. Open bites elsewhere on the body follow the same pattern, as <a href=\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-s31627a\/\">S31.627A<\/a> shows. When the record names the bitten thumb, use the laterality-specific code rather than the unspecified version.<\/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\">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\">Notes<\/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\">S61.051A<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Open bite of right thumb without damage to nail, initial encounter<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Use when right thumb laterality is documented<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S61.052A<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Open bite of left thumb without damage to nail, initial encounter<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Use when left thumb laterality is documented<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S61.059A<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Open bite of unspecified thumb without damage to nail, initial encounter<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Use only when laterality is genuinely unknown<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S61.059D<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Open bite of unspecified thumb without damage to nail, subsequent encounter<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Routine follow-up after active treatment concludes<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S61.059S<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Open bite of unspecified thumb without damage to nail, sequela<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Late effects or complications from the original bite<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">Use the <a href=\"https:\/\/www.aapc.com\/codes\/icd-10-codes-range\/\" target=\"_blank\" rel=\"nofollow noopener\">AAPC ICD-10-CM code range lookup<\/a> to verify sibling codes when documentation is ambiguous. Sequela claims usually arrive after a hand therapy referral, so <a href=\"https:\/\/pabau.com\/industry\/occupational-therapy-software\/\">occupational therapy practices<\/a> meet S61.059S far more often than the initial encounter code.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Practice management software like Pabau flags incomplete documentation before a claim goes out. Its <a href=\"https:\/\/pabau.com\/features\/claims-management-software\/\">claims management tools<\/a> keep laterality queries visible, so fewer rejections come back weeks later.<\/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-s61059a\/automate-claims-through-healthcode.webp\" alt=\"Pabau claims and billing dashboard showing submitted and outstanding claims\"\/><figcaption class=\"wp-element-caption\"><em>Pabau tracks every claim and invoice in one place, so a rejected thumb bite claim surfaces the same week rather than the next month.<\/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-open-bite-vs-other-open-wound-types-coding-distinctions\" class=\"wp-block-heading\">Open bite vs. other open wound types: Coding distinctions<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">One of the most common coding errors in the S61 category is picking the wrong wound-type subcategory. The structure under S61.0 splits thumb wounds into six code blocks by mechanism. Choosing the wrong block is a specificity failure, and it can trigger a medical necessity challenge.<\/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\">Wound 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\">Code block (thumb, no nail damage)<\/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\">Clinical characteristic<\/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\">Unspecified open wound<\/td>\n<td style=\"padding:12px 16px;color:#374151\">S61.001-S61.009<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Wound mechanism not documented or unclear<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Laceration without foreign body<\/td>\n<td style=\"padding:12px 16px;color:#374151\">S61.011-S61.019<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Cut or tear by a sharp object, with edges that are irregular but not bite-shaped<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Laceration with foreign body<\/td>\n<td style=\"padding:12px 16px;color:#374151\">S61.021-S61.029<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Laceration with embedded material such as glass or metal retained in 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\">Puncture without foreign body<\/td>\n<td style=\"padding:12px 16px;color:#374151\">S61.031-S61.039<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Narrow, deep wound from a pointed object, with no retained material<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Puncture with foreign body<\/td>\n<td style=\"padding:12px 16px;color:#374151\">S61.041-S61.049<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Puncture with retained material such as a splinter or 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\">Open bite<\/td>\n<td style=\"padding:12px 16px;color:#374151\">S61.051-S61.059<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Wound caused by teeth, animal or human, often with bite-pattern bruising alongside it<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">The note must name the mechanism. &#8220;Bite wound to thumb&#8221; supports the S61.05x range, while &#8220;cut to thumb&#8221; with no biting mechanism points to S61.01x or S61.02x. A bite that bruises without breaking the skin is a contusion from the S60 range, such as <a href=\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-s60159d\/\">S60.159D<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">When the record says only &#8220;wound,&#8221; the coder has to query the provider rather than assume. Capturing mechanism at intake stops the misclassification before it reaches billing, and <a href=\"https:\/\/pabau.com\/blog\/medical-forms-at-your-healthcare-practice\/\">structured clinical forms<\/a> make that a habit instead of a memory test.<\/p>\n\n\n\n<h2 id=\"h-documentation-requirements-for-s61-059a\" class=\"wp-block-heading\">Documentation requirements for S61.059A<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Four documentation elements must be present to support ICD-10 code S61.059A. Missing any one of them forces a less specific code or a physician query. <a href=\"https:\/\/pabau.com\/features\/patient-intake-software\/\">Digital intake forms<\/a> that capture wound mechanism at triage keep those details on the record from first contact.<\/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-s61059a\/customizable-consent-and-intake-forms.webp\" alt=\"Customizable consent and intake form templates inside Pabau\"\/><figcaption class=\"wp-element-caption\"><em>Pabau&#8217;s customizable intake forms can ask for wound mechanism, digit, laterality, and nail status before the patient reaches the treatment room.<\/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<ul class=\"wp-block-list\">\n<li><strong>Wound mechanism documented as a bite:<\/strong> The note must state that a bite caused the wound, animal or human. &#8220;Dog bite to left thumb&#8221; or &#8220;human bite wound&#8221; are enough. &#8220;Traumatic wound&#8221; alone is not.<\/li>\n\n\n\n<li><strong>Affected digit identified as the thumb:<\/strong> The word &#8220;thumb&#8221; must appear. &#8220;Hand wound&#8221; is not specific enough for S61.059A, and it would take a different S61 subcategory.<\/li>\n\n\n\n<li><strong>Laterality addressed:<\/strong> If left or right is known, the physician note should say so. A record reading &#8220;right thumb&#8221; takes S61.051A, not S61.059A. The unspecified code fits only when laterality was not determinable at the encounter.<\/li>\n\n\n\n<li><strong>Nail status noted:<\/strong> The note should confirm the nail is intact, for example &#8220;nail plate intact&#8221; or &#8220;no nail involvement.&#8221; If nail damage is present, the S61.1x subcategory applies instead.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Your wound notes live in the same record as everything else, so your general <a href=\"https:\/\/pabau.com\/blog\/hipaa-compliance-for-medical-offices\/\">documentation standards<\/a> apply here too. Structured note templates that prompt for mechanism, digit, laterality, and nail status make all four elements automatic.<\/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>Flag &#8216;unspecified&#8217; laterality in your billing workflow. S61.059A is acceptable when laterality is genuinely unknown. Some payers still ask for extra documentation confirming the physician did not simply forget to record it. A short note reading &#8216;laterality could not be determined&#8217; protects the claim.<\/p>\n            <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-excludes-notes-and-coding-restrictions\" class=\"wp-block-heading\">Excludes notes and coding restrictions<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">ICD-10 code S61.059A sits inside the broader S61 excludes framework. The official ICD-10-CM tabular list attaches Excludes1 notes at the S61 category level. Those notes decide which codes can never appear on the same claim as S61.059A, so check them before the claim is finalized.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Excludes1, nail damage:<\/strong> Open wound of thumb with damage to nail (S61.1x) cannot be coded with S61.059A. If the nail is damaged, assign the appropriate S61.1x code instead. The two are mutually exclusive, because a thumb bite either damages the nail or it does not.<\/li>\n\n\n\n<li><strong>Excludes1, traumatic amputation:<\/strong> Traumatic amputation of wrist and hand (S68.-) is an official Excludes1 note at the S61 category level. S68 and S61 codes are mutually exclusive. If the bite caused a partial or total amputation, code from S68 instead of S61.059A, never both.<\/li>\n\n\n\n<li><strong>Excludes1, open fracture:<\/strong> Open fracture of wrist, hand and finger (S62.- with 7th character B) is also an Excludes1 note at S61. It cannot be coded alongside S61.059A.<\/li>\n\n\n\n<li><strong>Present on admission:<\/strong> Inpatient hospital claims require a present on admission indicator, known as POA. For an open bite wound presenting at an emergency department, the POA indicator is typically &#8220;Y.&#8221;<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Checking excludes notes by hand does not scale. An Excludes1 violation comes back as a rejection, and the corrected claim costs administrative time and delays payment. Software with built-in ICD-10 edit checks catches the conflict before the claim leaves the practice.<\/p>\n\n\n\n<h2 id=\"h-how-pabau-keeps-bite-wound-claims-clean\" class=\"wp-block-heading\">How Pabau keeps bite wound claims clean<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Most practices find their coding problems after the payer does. The claim goes out with S61.059A and the rejection lands two weeks later. Someone then reopens the chart to work out whether the note ever named the thumb.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Pabau keeps the note, the code, and the invoice in the same client record. Build one wound template that asks for mechanism, digit, laterality, and nail status, and the coder reads a complete note instead of chasing the physician. Nothing has to be exported between systems to make that work.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The result is fewer corrected claims and faster payment on injury encounters. Your front desk stops fielding payer callbacks about a thumb nobody wrote down.<\/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                    Send cleaner injury claims the first time                <\/h3>\n\n                <p class=\"description\">\n                    Pabau keeps clinical notes, coding, and billing in one record, so a missing detail shows up before you submit rather than after a rejection. See how it fits your billing workflow.                <\/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 practice 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\">S61.059A is only as precise as the note behind it. Mechanism, digit, nail status, and encounter type are the four things a coder cannot infer. None of them takes more than a few words to record.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&#8220;Unspecified&#8221; is a legitimate answer when laterality genuinely could not be determined. Used as cover for a thin note, it invites payer scrutiny that one documented word would have avoided. That is the trade-off worth remembering every time this code comes up.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Fix the intake note and the coding mostly takes care of itself. <a href=\"https:\/\/pabau.com\/book-demo\/\">Book a demo<\/a> to see how Pabau keeps wound documentation and claim submission in one system.<\/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>Sorting out which NPI goes on the claim?<\/strong> <a href=\"https:\/\/pabau.com\/blog\/type-1-vs-type-2-npi\/\">Type 1 vs Type 2 NPI<\/a> explains which identifier belongs where, and who in your practice needs each one.<\/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>Coding a follow-up visit rather than the first one?<\/strong> <a href=\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-s01111d\/\">S01.111D<\/a> shows how the subsequent-encounter character works on another open wound 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=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Need a note template that prompts for the right detail?<\/strong> <a href=\"https:\/\/pabau.com\/templates\/medical-notes\/\">Medical notes template<\/a> gives you a structure your team can fill in the same way at every encounter.<\/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 the diagnosis captured cleanly at intake?<\/strong> <a href=\"https:\/\/pabau.com\/templates\/medical-diagnosis-form\/\">Medical diagnosis form<\/a> sets out the fields a coder needs before the record reaches billing.<\/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-1786433946990\"><h3 class=\"schema-faq-question\">What does ICD-10 code S61.059A mean?<\/h3> <p class=\"schema-faq-answer\">ICD-10 code S61.059A is a billable diagnosis code for an open bite of the unspecified thumb without damage to the nail. &#8220;Open bite&#8221; means a wound caused by teeth, and &#8220;without damage to nail&#8221; confirms the nail plate is intact. The 7th character A means active treatment is being provided at this visit.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786433946991\"><h3 class=\"schema-faq-question\">Is S61.059A a billable ICD-10 code?<\/h3> <p class=\"schema-faq-answer\">Yes. S61.059A is a billable, specific ICD-10-CM code valid for fiscal year 2026 (October 1, 2025 through September 30, 2026). The parent code S61.059 without the 7th character is not billable and will be rejected by payers.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786433946992\"><h3 class=\"schema-faq-question\">What is the difference between S61.059A, S61.059D, and S61.059S?<\/h3> <p class=\"schema-faq-answer\">The three codes differ only in the 7th character, which reflects the encounter type. S61.059A is used when active treatment is being provided. S61.059D applies to routine follow-up visits after active treatment has concluded. S61.059S covers the treatment of late effects or complications arising from the original bite wound, such as residual scarring or limited thumb mobility.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786433946993\"><h3 class=\"schema-faq-question\">When should I use S61.059A versus S61.051A or S61.052A?<\/h3> <p class=\"schema-faq-answer\">Use S61.059A only when the affected thumb&#8217;s laterality is genuinely unknown or not documented. If the clinical record specifies the right thumb, use S61.051A. If it specifies the left thumb, use S61.052A. The unspecified code is not a fallback for incomplete documentation. It should reflect a genuine situation where laterality could not be determined.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786433946994\"><h3 class=\"schema-faq-question\">Can S61.059A be coded with an amputation or open fracture code?<\/h3> <p class=\"schema-faq-answer\">No. Traumatic amputation of wrist and hand (S68.-) is an Excludes1 note at the S61 category level. If the bite caused an amputation, code from S68 instead of S61.059A. Open fracture of wrist, hand and finger (S62.- with 7th character B) is also Excludes1 and cannot be coded with S61.059A.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786433946995\"><h3 class=\"schema-faq-question\">Is S61.059A valid for fiscal year 2026?<\/h3> <p class=\"schema-faq-answer\">Yes. ICD-10 code S61.059A is valid for fiscal year 2026, effective October 1, 2025 through September 30, 2026, per the CDC\/NCHS ICD-10-CM FY2026 release.<\/p> <\/div> <\/div>\n","protected":false},"excerpt":{"rendered":"<p>S61.059A is billable through FY2026 and covers an open thumb bite with the nail intact. Document mechanism, digit, laterality, nail status.<\/p>\n","protected":false},"author":82,"featured_media":175457,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_yoast_wpseo_linkdex":"77","_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-175459","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 S61.059A: Thumb bite code, billable for FY2026<\/title>\n<meta name=\"description\" content=\"S61.059A is billable through FY2026 and covers an open thumb bite with the nail intact. Document mechanism, digit, laterality, nail status.\" \/>\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\/nl\/diagnostic-codes\/icd-10-code-s61059a\/\" \/>\n<meta property=\"og:locale\" content=\"nl_NL\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"ICD-10 code S61.059A: Thumb bite code, billable for FY2026\" \/>\n<meta property=\"og:description\" content=\"S61.059A is billable through FY2026 and covers an open thumb bite with the nail intact. Document mechanism, digit, laterality, nail status.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/pabau.com\/nl\/diagnostic-codes\/icd-10-code-s61059a\/\" \/>\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=\"2026-08-11T11:37:50+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-08-11T13:01:02+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/08\/icd-10-code-s61059a.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=\"Maja Popovska\" \/>\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=\"Geschreven door\" \/>\n\t<meta name=\"twitter:data1\" content=\"Maja Popovska\" \/>\n\t<meta name=\"twitter:label2\" content=\"Geschatte leestijd\" \/>\n\t<meta name=\"twitter:data2\" content=\"10 minuten\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/diagnostic-codes\\\/icd-10-code-s61059a\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/diagnostic-codes\\\/icd-10-code-s61059a\\\/\"},\"author\":{\"name\":\"Maja Popovska\",\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/#\\\/schema\\\/person\\\/b00aec1dd379f0ddcf6137d78e2a21db\"},\"headline\":\"ICD-10 code S61.059A: Open bite of unspecified thumb without nail damage\",\"datePublished\":\"2026-08-11T11:37:50+00:00\",\"dateModified\":\"2026-08-11T13:01:02+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/diagnostic-codes\\\/icd-10-code-s61059a\\\/\"},\"wordCount\":2241,\"publisher\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/diagnostic-codes\\\/icd-10-code-s61059a\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/08\\\/icd-10-code-s61059a.webp\",\"articleSection\":[\"Diagnostic Codes\",\"ICD-10-CM\"],\"inLanguage\":\"nl-NL\"},{\"@type\":[\"WebPage\",\"FAQPage\"],\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/diagnostic-codes\\\/icd-10-code-s61059a\\\/\",\"url\":\"https:\\\/\\\/pabau.com\\\/nl\\\/diagnostic-codes\\\/icd-10-code-s61059a\\\/\",\"name\":\"ICD-10 code S61.059A: Thumb bite code, billable for FY2026\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/diagnostic-codes\\\/icd-10-code-s61059a\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/diagnostic-codes\\\/icd-10-code-s61059a\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/08\\\/icd-10-code-s61059a.webp\",\"datePublished\":\"2026-08-11T11:37:50+00:00\",\"dateModified\":\"2026-08-11T13:01:02+00:00\",\"description\":\"S61.059A is billable through FY2026 and covers an open thumb bite with the nail intact. Document mechanism, digit, laterality, nail status.\",\"mainEntity\":[{\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/diagnostic-codes\\\/icd-10-code-s61059a\\\/#faq-question-1786433946990\"},{\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/diagnostic-codes\\\/icd-10-code-s61059a\\\/#faq-question-1786433946991\"},{\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/diagnostic-codes\\\/icd-10-code-s61059a\\\/#faq-question-1786433946992\"},{\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/diagnostic-codes\\\/icd-10-code-s61059a\\\/#faq-question-1786433946993\"},{\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/diagnostic-codes\\\/icd-10-code-s61059a\\\/#faq-question-1786433946994\"},{\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/diagnostic-codes\\\/icd-10-code-s61059a\\\/#faq-question-1786433946995\"}],\"inLanguage\":\"nl-NL\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/pabau.com\\\/nl\\\/diagnostic-codes\\\/icd-10-code-s61059a\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"nl-NL\",\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/diagnostic-codes\\\/icd-10-code-s61059a\\\/#primaryimage\",\"url\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/08\\\/icd-10-code-s61059a.webp\",\"contentUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/08\\\/icd-10-code-s61059a.webp\",\"width\":1200,\"height\":630},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/#website\",\"url\":\"https:\\\/\\\/pabau.com\\\/nl\\\/\",\"name\":\"Pabau\",\"description\":\"Clinic Software for your Business | Go Paperless Today\",\"publisher\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/pabau.com\\\/nl\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"nl-NL\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/#organization\",\"name\":\"Pabau\",\"url\":\"https:\\\/\\\/pabau.com\\\/nl\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"nl-NL\",\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/#\\\/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\\\/nl\\\/#\\\/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\\\/nl\\\/#\\\/schema\\\/person\\\/b00aec1dd379f0ddcf6137d78e2a21db\",\"name\":\"Maja Popovska\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"nl-NL\",\"@id\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/06\\\/cropped-Maja-Popovska_WP-1-96x96.jpeg\",\"url\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/06\\\/cropped-Maja-Popovska_WP-1-96x96.jpeg\",\"contentUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/06\\\/cropped-Maja-Popovska_WP-1-96x96.jpeg\",\"caption\":\"Maja Popovska\"},\"description\":\"Maja is a Senior Content Writer at Pabau, where she covers everything from practice management and compliance to medical aesthetics and patient experience. Off the clock: binging true crime docuseries, baking and dreaming about travel.\",\"url\":\"https:\\\/\\\/pabau.com\\\/nl\\\/blog\\\/author\\\/maja-popovska\\\/\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/diagnostic-codes\\\/icd-10-code-s61059a\\\/#faq-question-1786433946990\",\"position\":1,\"url\":\"https:\\\/\\\/pabau.com\\\/nl\\\/diagnostic-codes\\\/icd-10-code-s61059a\\\/#faq-question-1786433946990\",\"name\":\"What does ICD-10 code S61.059A mean?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"ICD-10 code S61.059A is a billable diagnosis code for an open bite of the unspecified thumb without damage to the nail. \\\"Open bite\\\" means a wound caused by teeth, and \\\"without damage to nail\\\" confirms the nail plate is intact. The 7th character A means active treatment is being provided at this visit.\",\"inLanguage\":\"nl-NL\"},\"inLanguage\":\"nl-NL\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/diagnostic-codes\\\/icd-10-code-s61059a\\\/#faq-question-1786433946991\",\"position\":2,\"url\":\"https:\\\/\\\/pabau.com\\\/nl\\\/diagnostic-codes\\\/icd-10-code-s61059a\\\/#faq-question-1786433946991\",\"name\":\"Is S61.059A a billable ICD-10 code?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Yes. S61.059A is a billable, specific ICD-10-CM code valid for fiscal year 2026 (October 1, 2025 through September 30, 2026). The parent code S61.059 without the 7th character is not billable and will be rejected by payers.\",\"inLanguage\":\"nl-NL\"},\"inLanguage\":\"nl-NL\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/diagnostic-codes\\\/icd-10-code-s61059a\\\/#faq-question-1786433946992\",\"position\":3,\"url\":\"https:\\\/\\\/pabau.com\\\/nl\\\/diagnostic-codes\\\/icd-10-code-s61059a\\\/#faq-question-1786433946992\",\"name\":\"What is the difference between S61.059A, S61.059D, and S61.059S?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"The three codes differ only in the 7th character, which reflects the encounter type. S61.059A is used when active treatment is being provided. S61.059D applies to routine follow-up visits after active treatment has concluded. S61.059S covers the treatment of late effects or complications arising from the original bite wound, such as residual scarring or limited thumb mobility.\",\"inLanguage\":\"nl-NL\"},\"inLanguage\":\"nl-NL\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/diagnostic-codes\\\/icd-10-code-s61059a\\\/#faq-question-1786433946993\",\"position\":4,\"url\":\"https:\\\/\\\/pabau.com\\\/nl\\\/diagnostic-codes\\\/icd-10-code-s61059a\\\/#faq-question-1786433946993\",\"name\":\"When should I use S61.059A versus S61.051A or S61.052A?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Use S61.059A only when the affected thumb's laterality is genuinely unknown or not documented. If the clinical record specifies the right thumb, use S61.051A. If it specifies the left thumb, use S61.052A. The unspecified code is not a fallback for incomplete documentation. It should reflect a genuine situation where laterality could not be determined.\",\"inLanguage\":\"nl-NL\"},\"inLanguage\":\"nl-NL\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/diagnostic-codes\\\/icd-10-code-s61059a\\\/#faq-question-1786433946994\",\"position\":5,\"url\":\"https:\\\/\\\/pabau.com\\\/nl\\\/diagnostic-codes\\\/icd-10-code-s61059a\\\/#faq-question-1786433946994\",\"name\":\"Can S61.059A be coded with an amputation or open fracture code?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"No. Traumatic amputation of wrist and hand (S68.-) is an Excludes1 note at the S61 category level. If the bite caused an amputation, code from S68 instead of S61.059A. Open fracture of wrist, hand and finger (S62.- with 7th character B) is also Excludes1 and cannot be coded with S61.059A.\",\"inLanguage\":\"nl-NL\"},\"inLanguage\":\"nl-NL\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/diagnostic-codes\\\/icd-10-code-s61059a\\\/#faq-question-1786433946995\",\"position\":6,\"url\":\"https:\\\/\\\/pabau.com\\\/nl\\\/diagnostic-codes\\\/icd-10-code-s61059a\\\/#faq-question-1786433946995\",\"name\":\"Is S61.059A valid for fiscal year 2026?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Yes. ICD-10 code S61.059A is valid for fiscal year 2026, effective October 1, 2025 through September 30, 2026, per the CDC\\\/NCHS ICD-10-CM FY2026 release.\",\"inLanguage\":\"nl-NL\"},\"inLanguage\":\"nl-NL\"}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"ICD-10 code S61.059A: Thumb bite code, billable for FY2026","description":"S61.059A is billable through FY2026 and covers an open thumb bite with the nail intact. Document mechanism, digit, laterality, nail status.","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\/nl\/diagnostic-codes\/icd-10-code-s61059a\/","og_locale":"nl_NL","og_type":"article","og_title":"ICD-10 code S61.059A: Thumb bite code, billable for FY2026","og_description":"S61.059A is billable through FY2026 and covers an open thumb bite with the nail intact. Document mechanism, digit, laterality, nail status.","og_url":"https:\/\/pabau.com\/nl\/diagnostic-codes\/icd-10-code-s61059a\/","og_site_name":"Pabau","article_publisher":"https:\/\/www.facebook.com\/Pabau\/","article_published_time":"2026-08-11T11:37:50+00:00","article_modified_time":"2026-08-11T13:01:02+00:00","og_image":[{"width":1200,"height":630,"url":"https:\/\/pabau.com\/wp-content\/uploads\/2026\/08\/icd-10-code-s61059a.webp","type":"image\/webp"}],"author":"Maja Popovska","twitter_card":"summary_large_image","twitter_creator":"@pabaucrm","twitter_site":"@pabaucrm","twitter_misc":{"Geschreven door":"Maja Popovska","Geschatte leestijd":"10 minuten"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/pabau.com\/nl\/diagnostic-codes\/icd-10-code-s61059a\/#article","isPartOf":{"@id":"https:\/\/pabau.com\/nl\/diagnostic-codes\/icd-10-code-s61059a\/"},"author":{"name":"Maja Popovska","@id":"https:\/\/pabau.com\/nl\/#\/schema\/person\/b00aec1dd379f0ddcf6137d78e2a21db"},"headline":"ICD-10 code S61.059A: Open bite of unspecified thumb without nail damage","datePublished":"2026-08-11T11:37:50+00:00","dateModified":"2026-08-11T13:01:02+00:00","mainEntityOfPage":{"@id":"https:\/\/pabau.com\/nl\/diagnostic-codes\/icd-10-code-s61059a\/"},"wordCount":2241,"publisher":{"@id":"https:\/\/pabau.com\/nl\/#organization"},"image":{"@id":"https:\/\/pabau.com\/nl\/diagnostic-codes\/icd-10-code-s61059a\/#primaryimage"},"thumbnailUrl":"https:\/\/pabau.com\/wp-content\/uploads\/2026\/08\/icd-10-code-s61059a.webp","articleSection":["Diagnostic Codes","ICD-10-CM"],"inLanguage":"nl-NL"},{"@type":["WebPage","FAQPage"],"@id":"https:\/\/pabau.com\/nl\/diagnostic-codes\/icd-10-code-s61059a\/","url":"https:\/\/pabau.com\/nl\/diagnostic-codes\/icd-10-code-s61059a\/","name":"ICD-10 code S61.059A: Thumb bite code, billable for FY2026","isPartOf":{"@id":"https:\/\/pabau.com\/nl\/#website"},"primaryImageOfPage":{"@id":"https:\/\/pabau.com\/nl\/diagnostic-codes\/icd-10-code-s61059a\/#primaryimage"},"image":{"@id":"https:\/\/pabau.com\/nl\/diagnostic-codes\/icd-10-code-s61059a\/#primaryimage"},"thumbnailUrl":"https:\/\/pabau.com\/wp-content\/uploads\/2026\/08\/icd-10-code-s61059a.webp","datePublished":"2026-08-11T11:37:50+00:00","dateModified":"2026-08-11T13:01:02+00:00","description":"S61.059A is billable through FY2026 and covers an open thumb bite with the nail intact. Document mechanism, digit, laterality, nail status.","mainEntity":[{"@id":"https:\/\/pabau.com\/nl\/diagnostic-codes\/icd-10-code-s61059a\/#faq-question-1786433946990"},{"@id":"https:\/\/pabau.com\/nl\/diagnostic-codes\/icd-10-code-s61059a\/#faq-question-1786433946991"},{"@id":"https:\/\/pabau.com\/nl\/diagnostic-codes\/icd-10-code-s61059a\/#faq-question-1786433946992"},{"@id":"https:\/\/pabau.com\/nl\/diagnostic-codes\/icd-10-code-s61059a\/#faq-question-1786433946993"},{"@id":"https:\/\/pabau.com\/nl\/diagnostic-codes\/icd-10-code-s61059a\/#faq-question-1786433946994"},{"@id":"https:\/\/pabau.com\/nl\/diagnostic-codes\/icd-10-code-s61059a\/#faq-question-1786433946995"}],"inLanguage":"nl-NL","potentialAction":[{"@type":"ReadAction","target":["https:\/\/pabau.com\/nl\/diagnostic-codes\/icd-10-code-s61059a\/"]}]},{"@type":"ImageObject","inLanguage":"nl-NL","@id":"https:\/\/pabau.com\/nl\/diagnostic-codes\/icd-10-code-s61059a\/#primaryimage","url":"https:\/\/pabau.com\/wp-content\/uploads\/2026\/08\/icd-10-code-s61059a.webp","contentUrl":"https:\/\/pabau.com\/wp-content\/uploads\/2026\/08\/icd-10-code-s61059a.webp","width":1200,"height":630},{"@type":"WebSite","@id":"https:\/\/pabau.com\/nl\/#website","url":"https:\/\/pabau.com\/nl\/","name":"Pabau","description":"Clinic Software for your Business | Go Paperless Today","publisher":{"@id":"https:\/\/pabau.com\/nl\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/pabau.com\/nl\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"nl-NL"},{"@type":"Organization","@id":"https:\/\/pabau.com\/nl\/#organization","name":"Pabau","url":"https:\/\/pabau.com\/nl\/","logo":{"@type":"ImageObject","inLanguage":"nl-NL","@id":"https:\/\/pabau.com\/nl\/#\/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\/nl\/#\/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\/nl\/#\/schema\/person\/b00aec1dd379f0ddcf6137d78e2a21db","name":"Maja Popovska","image":{"@type":"ImageObject","inLanguage":"nl-NL","@id":"https:\/\/pabau.com\/wp-content\/uploads\/2026\/06\/cropped-Maja-Popovska_WP-1-96x96.jpeg","url":"https:\/\/pabau.com\/wp-content\/uploads\/2026\/06\/cropped-Maja-Popovska_WP-1-96x96.jpeg","contentUrl":"https:\/\/pabau.com\/wp-content\/uploads\/2026\/06\/cropped-Maja-Popovska_WP-1-96x96.jpeg","caption":"Maja Popovska"},"description":"Maja is a Senior Content Writer at Pabau, where she covers everything from practice management and compliance to medical aesthetics and patient experience. Off the clock: binging true crime docuseries, baking and dreaming about travel.","url":"https:\/\/pabau.com\/nl\/blog\/author\/maja-popovska\/"},{"@type":"Question","@id":"https:\/\/pabau.com\/nl\/diagnostic-codes\/icd-10-code-s61059a\/#faq-question-1786433946990","position":1,"url":"https:\/\/pabau.com\/nl\/diagnostic-codes\/icd-10-code-s61059a\/#faq-question-1786433946990","name":"What does ICD-10 code S61.059A mean?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"ICD-10 code S61.059A is a billable diagnosis code for an open bite of the unspecified thumb without damage to the nail. \"Open bite\" means a wound caused by teeth, and \"without damage to nail\" confirms the nail plate is intact. The 7th character A means active treatment is being provided at this visit.","inLanguage":"nl-NL"},"inLanguage":"nl-NL"},{"@type":"Question","@id":"https:\/\/pabau.com\/nl\/diagnostic-codes\/icd-10-code-s61059a\/#faq-question-1786433946991","position":2,"url":"https:\/\/pabau.com\/nl\/diagnostic-codes\/icd-10-code-s61059a\/#faq-question-1786433946991","name":"Is S61.059A a billable ICD-10 code?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Yes. S61.059A is a billable, specific ICD-10-CM code valid for fiscal year 2026 (October 1, 2025 through September 30, 2026). The parent code S61.059 without the 7th character is not billable and will be rejected by payers.","inLanguage":"nl-NL"},"inLanguage":"nl-NL"},{"@type":"Question","@id":"https:\/\/pabau.com\/nl\/diagnostic-codes\/icd-10-code-s61059a\/#faq-question-1786433946992","position":3,"url":"https:\/\/pabau.com\/nl\/diagnostic-codes\/icd-10-code-s61059a\/#faq-question-1786433946992","name":"What is the difference between S61.059A, S61.059D, and S61.059S?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"The three codes differ only in the 7th character, which reflects the encounter type. S61.059A is used when active treatment is being provided. S61.059D applies to routine follow-up visits after active treatment has concluded. S61.059S covers the treatment of late effects or complications arising from the original bite wound, such as residual scarring or limited thumb mobility.","inLanguage":"nl-NL"},"inLanguage":"nl-NL"},{"@type":"Question","@id":"https:\/\/pabau.com\/nl\/diagnostic-codes\/icd-10-code-s61059a\/#faq-question-1786433946993","position":4,"url":"https:\/\/pabau.com\/nl\/diagnostic-codes\/icd-10-code-s61059a\/#faq-question-1786433946993","name":"When should I use S61.059A versus S61.051A or S61.052A?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Use S61.059A only when the affected thumb's laterality is genuinely unknown or not documented. If the clinical record specifies the right thumb, use S61.051A. If it specifies the left thumb, use S61.052A. The unspecified code is not a fallback for incomplete documentation. It should reflect a genuine situation where laterality could not be determined.","inLanguage":"nl-NL"},"inLanguage":"nl-NL"},{"@type":"Question","@id":"https:\/\/pabau.com\/nl\/diagnostic-codes\/icd-10-code-s61059a\/#faq-question-1786433946994","position":5,"url":"https:\/\/pabau.com\/nl\/diagnostic-codes\/icd-10-code-s61059a\/#faq-question-1786433946994","name":"Can S61.059A be coded with an amputation or open fracture code?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"No. Traumatic amputation of wrist and hand (S68.-) is an Excludes1 note at the S61 category level. If the bite caused an amputation, code from S68 instead of S61.059A. Open fracture of wrist, hand and finger (S62.- with 7th character B) is also Excludes1 and cannot be coded with S61.059A.","inLanguage":"nl-NL"},"inLanguage":"nl-NL"},{"@type":"Question","@id":"https:\/\/pabau.com\/nl\/diagnostic-codes\/icd-10-code-s61059a\/#faq-question-1786433946995","position":6,"url":"https:\/\/pabau.com\/nl\/diagnostic-codes\/icd-10-code-s61059a\/#faq-question-1786433946995","name":"Is S61.059A valid for fiscal year 2026?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Yes. ICD-10 code S61.059A is valid for fiscal year 2026, effective October 1, 2025 through September 30, 2026, per the CDC\/NCHS ICD-10-CM FY2026 release.","inLanguage":"nl-NL"},"inLanguage":"nl-NL"}]}},"yoast":{"focus_keyword":"ICD-10 Code S61.059A","seo_title":"ICD-10 code S61.059A: Thumb bite code, billable for FY2026","meta_description":"S61.059A is billable through FY2026 and covers an open thumb bite with the nail intact. Document mechanism, digit, laterality, nail status.","content_score":"90","is_cornerstone":"","related_keyphrases":[{"keyword":"open bite thumb icd-10","score":56},{"keyword":"initial encounter icd-10 coding","score":56},{"keyword":"hand injury coding icd-10-cm","score":56}]},"_links":{"self":[{"href":"https:\/\/pabau.com\/nl\/wp-json\/wp\/v2\/posts\/175459","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pabau.com\/nl\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/pabau.com\/nl\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/pabau.com\/nl\/wp-json\/wp\/v2\/users\/82"}],"replies":[{"embeddable":true,"href":"https:\/\/pabau.com\/nl\/wp-json\/wp\/v2\/comments?post=175459"}],"version-history":[{"count":4,"href":"https:\/\/pabau.com\/nl\/wp-json\/wp\/v2\/posts\/175459\/revisions"}],"predecessor-version":[{"id":175987,"href":"https:\/\/pabau.com\/nl\/wp-json\/wp\/v2\/posts\/175459\/revisions\/175987"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/pabau.com\/nl\/wp-json\/wp\/v2\/media\/175457"}],"wp:attachment":[{"href":"https:\/\/pabau.com\/nl\/wp-json\/wp\/v2\/media?parent=175459"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pabau.com\/nl\/wp-json\/wp\/v2\/categories?post=175459"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pabau.com\/nl\/wp-json\/wp\/v2\/tags?post=175459"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}