ICD-10-CM 2027
ICD-10 code for hand puncture
From the official ICD-10-CM alphabetic index entry “Puncture › hand”. Page updated September 29, 2026.
About coding hand puncture
The ICD-10-CM code for hand puncture is S61.439 (Puncture wound without foreign body of unspecified hand). The official index lists 5 more specific codes, so check the documentation for details such as type, cause, site or severity before settling on S61.439.
Within S61.43, choose S61.439 (unspecified hand) only when documentation doesn't support a more specific option: right hand (S61.431) and left hand (S61.432).
Codes in this range require a 7th character: A for initial encounter, D for subsequent encounter and S for sequela. Use placeholder "X" characters to fill any empty positions before the 7th character.
It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.
More specific hand puncture codes (official index)
- with
- foreign body S61.449 — Puncture wound with foreign body of unspecified hand
- finger
- left S61.432 — Puncture wound without foreign body of left hand
- with
- foreign body S61.442 — Puncture wound with foreign body of left hand
- right S61.431 — Puncture wound without foreign body of right hand
- with
- foreign body S61.441 — Puncture wound with foreign body of right hand
- thumb
Common questions about hand puncture ICD-10 codes
What is the ICD-10 code for hand puncture?
- S61.439 — Puncture wound without foreign body of unspecified hand (a header code; report a more specific subcode). More specific codes apply when the documentation supports them: S61.449, S61.432, S61.442, S61.431 and others below.
What is the ICD-10 code for left hand puncture?
- S61.432 — Puncture wound without foreign body of left hand (header code; choose a more specific subcode).
What is the ICD-10 code for right hand puncture?
- S61.431 — Puncture wound without foreign body of right hand (header code; choose a more specific subcode).
Is S61.439 billable?
- No. S61.439 is a header code. Report one of its more specific subcodes instead.