S61.142A: Puncture wound with foreign body of left thumb with damage to nail, initial encounter
S61.142A, puncture wound with foreign body of left thumb with damage to nail, initial encounter, is listed as a covered diagnosis in 5 Medicare billing and coding articles that apply to 36 HCPCS Level II codes, including J1670 (Injection, tetanus immune globulin, human, up to 250 units), G0281 (Electrical stimulation, (unattended), to one or more…), G0329 (Electromagnetic therapy, to one or more areas for chronic…). The articles come from 3 Medicare contractors. A listed diagnosis supports medical necessity only; coverage still depends on the LCD's criteria and on documentation in the medical record.
HCPCS Level II codes with S61.142A as a covered diagnosis
| Code | Description | Medicare coverage | DMEPOS fee 2026 (state range) | Articles listing it |
|---|---|---|---|---|
| J1670 | Injection, tetanus immune globulin, human, up to 250 units | Special coverage instructions apply | — | 2 |
| G0281 | Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care | Carrier judgment | — | 2 |
| G0329 | Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care as part of a therapy plan of care | Carrier judgment | — | 2 |
| J1575 | Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin | Carrier judgment | — | 1 |
| J1569 | Injection, immune globulin, (gammagard liquid/gammagard liquid erc), 500 mg | Special coverage instructions apply | — | 1 |
| J1561 | Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg | Special coverage instructions apply | — | 1 |
| J1459 | Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg | Carrier judgment | — | 1 |
| J1557 | Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g., liquid), 500 mg | Carrier judgment | — | 1 |
| J1556 | Injection, immune globulin (bivigam), 500 mg | Carrier judgment | — | 1 |
| J1568 | Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg | Carrier judgment | — | 1 |
| J1566 | Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg | Special coverage instructions apply | — | 1 |
| J1554 | Injection, immune globulin (asceniv), 500 mg | Carrier judgment | — | 1 |
| J1599 | Injection, immune globulin, intravenous, non-lyophilized (e.g., liquid), not otherwise specified, 500 mg | Carrier judgment | — | 1 |
| J1572 | Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg | Special coverage instructions apply | — | 1 |
| J1460 | Injection, gamma globulin, intramuscular, 1 cc | Special coverage instructions apply | — | 1 |
| J0840 | Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram | Carrier judgment | — | 1 |
| J0850 | Injection, cytomegalovirus immune globulin intravenous (human), per vial | Special coverage instructions apply | — | 1 |
| J1552 | Injection, immune globulin (alyglo), 500 mg | Carrier judgment | — | 1 |
| J1560 | Injection, gamma globulin, intramuscular, over 10 cc | Special coverage instructions apply | — | 1 |
| J1571 | Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml | Special coverage instructions apply | — | 1 |
| J1573 | Injection, hepatitis b immune globulin (hepagam b), intravenous, 0.5 ml | Carrier judgment | — | 1 |
| J1577 | Injection, immune globulin (qivigy), 100 mg | Carrier judgment | — | 1 |
| G0008 | Administration of influenza virus vaccine | Carrier judgment | — | 1 |
| G0009 | Administration of pneumococcal vaccine | Carrier judgment | — | 1 |
| G0010 | Administration of hepatitis b vaccine | Carrier judgment | — | 1 |
11 more codes are listed. See every code with payment by region in Caduvo.
Medicare policy articles listing S61.142A
- A57554: Billing and Coding: Immune Globulins (WPS Insurance Corporation (MAC - Part A, MAC - Part B); 20 Level II codes). LCD with the same title: L34771
- A55909: Billing and Coding: Wound Care (WPS Insurance Corporation (MAC - Part A, MAC - Part B); 2 Level II codes). LCD with the same title: L35125, L37166, L37228
- A52438: Billing and Coding: Tetanus Immunization (CGS Administrators, LLC (MAC - Part A, MAC - Part B); 1 Level II codes)
- A54767: Billing and Coding: Medicare Preventive Coverage for Certain Vaccines (Palmetto GBA (MAC - Part A, MAC - Part B); 9 Level II codes)
- A57311: Billing and Coding: Physical Therapy - Home Health (CGS Administrators, LLC (HHH MAC); 7 Level II codes). LCD with the same title: L33942
A diagnosis listed as covered in a billing and coding article supports medical necessity for the article's codes; it does not guarantee payment. Coverage depends on the LCD's criteria, the contractor's jurisdiction and documentation in the medical record.
Other S61 diagnoses (Open wound of wrist, hand and fingers)
- S61.141A — Puncture wound with foreign body of right thumb with damage to nail…
- S61.111A — Laceration without foreign body of right thumb with damage to nail…
- S61.112A — Laceration without foreign body of left thumb with damage to nail…
- S61.121A — Laceration with foreign body of right thumb with damage to nail…
- S61.122A — Laceration with foreign body of left thumb with damage to nail…
- S61.131A — Puncture wound without foreign body of right thumb with damage to…
- S61.132A — Puncture wound without foreign body of left thumb with damage to…
- S61.151A — Open bite of right thumb with damage to nail, initial encounter
- S61.152A — Open bite of left thumb with damage to nail, initial encounter
- S61.011A — Laceration without foreign body of right thumb without damage to…
- S61.012A — Laceration without foreign body of left thumb without damage to…
- S61.021A — Laceration with foreign body of right thumb without damage to nail…
- S61.022A — Laceration with foreign body of left thumb without damage to nail…
- S61.031A — Puncture wound without foreign body of right thumb without damage to…
- S61.032A — Puncture wound without foreign body of left thumb without damage to…
- S61.041A — Puncture wound with foreign body of right thumb without damage to…
- S61.042A — Puncture wound with foreign body of left thumb without damage to…
- S61.051A — Open bite of right thumb without damage to nail, initial encounter
- S61.052A — Open bite of left thumb without damage to nail, initial encounter
- S61.210A — Laceration without foreign body of right index finger without damage…
- S61.211A — Laceration without foreign body of left index finger without damage…
- S61.212A — Laceration without foreign body of right middle finger without…
- S61.213A — Laceration without foreign body of left middle finger without damage…
- S61.214A — Laceration without foreign body of right ring finger without damage…
- S61.215A — Laceration without foreign body of left ring finger without damage…
- S61.216A — Laceration without foreign body of right little finger without…
- S61.217A — Laceration without foreign body of left little finger without damage…
- S61.220A — Laceration with foreign body of right index finger without damage to…
- S61.221A — Laceration with foreign body of left index finger without damage to…
- S61.222A — Laceration with foreign body of right middle finger without damage…
Frequently asked questions
Does Medicare cover S61.142A (Puncture wound with foreign body of left thumb with damage…)?
Medicare covers items and services, not diagnoses. 5 Medicare billing and coding articles list S61.142A as a covered diagnosis for 36 HCPCS Level II codes: the diagnosis can support medical necessity for those codes, but payment still depends on the LCD's coverage criteria and the medical record.
Which HCPCS codes can be billed with ICD-10 S61.142A?
The Level II codes from the policies most specific to this diagnosis are J1670 (Injection, tetanus immune globulin, human, up to 250 units, 2 articles); G0281 (Electrical stimulation, (unattended), to one or more…, 2 articles); G0329 (Electromagnetic therapy, to one or more areas for chronic…, 2 articles); J1575 (Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg…, 1 article); J1569 (Injection, immune globulin, (gammagard liquid/gammagard…, 1 article). Code choice depends on the item supplied; check each code's descriptor.
Which Medicare policy articles list S61.142A?
A57554 (Billing and Coding: Immune Globulins); A55909 (Billing and Coding: Wound Care); A52438 (Billing and Coding: Tetanus Immunization), and 2 more articles.
What is ICD-10-CM code S61.142A?
S61.142A is the ICD-10-CM code for puncture wound with foreign body of left thumb with damage to nail, initial encounter, in category S61 (Open wound of wrist, hand and fingers), chapter 19: Injury, poisoning and other consequences of external causes.
Next steps
- Run a reimbursement report for a device billed under J1670
- Watch J1670 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J1670
Sources: CMS Medicare Coverage Database billing and coding articles (covered ICD-10 code lists and HCPCS links); ICD-10-CM FY2026; CMS HCPCS Level II release October 2026; CMS DMEPOS fee schedule 2026 (non-rural state fees). Not billing or legal advice.
Chapter 19: Injury, poisoning and other consequences of external causes · All diagnoses · HCPCS lookup