S61.449D Puncture wound with foreign body of unspecified hand, subsequent encounter

Billable ICD-10-CM code, FY2026.

Built from S61.449 with 7th character D (subsequent encounter).

Applies from S61 Open wound of wrist, hand and fingers

Excludes1 (never code together)

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

Code also

• any associated wound infection

7th character note

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

7th character required

• A — initial encounter
• D — subsequent encounter
• S — sequela

Code annotations containing back-references to S61.449D

Back-references to S61

• Type 2 Excludes: S51 Open wound of elbow and forearm ("open wound of wrist and hand (S61.-)")
• Code Also: S64 Injury of nerves at wrist and hand level ("any associated open wound (S61.-)")
• Code Also: S65 Injury of blood vessels at wrist and hand level ("any associated open wound (S61.-)")
• Code Also: S66 Injury of muscle, fascia and tendon at wrist and hand level ("any associated open wound (S61.-)")
• Use Additional: S67 Crushing injury of wrist, hand and fingers ("open wound of wrist and hand (S61.-)")

Diagnosis Index entries for S61.449D

• Puncture › hand › with › foreign body

Nearby codes

• S61.442A Puncture wound with foreign body of left hand, initial encounter
• S61.442D Puncture wound with foreign body of left hand, subsequent encounter
• S61.442S Puncture wound with foreign body of left hand, sequela
• S61.449 Puncture wound with foreign body of unspecified hand
• S61.449A Puncture wound with foreign body of unspecified hand, initial encounter
• S61.449D Puncture wound with foreign body of unspecified hand, subsequent encounter (this code)
• S61.449S Puncture wound with foreign body of unspecified hand, sequela
• S61.45 Open bite of hand
• S61.451 Open bite of right hand
• S61.451A Open bite of right hand, initial encounter
• S61.451D Open bite of right hand, subsequent encounter