Is ICD-10-CM code S62 billable?

No, S62 (Fracture at wrist and hand level) is a non-billable ICD-10-CM code. It must be coded to a more specific subcategory before it can be used for reimbursement.

What chapter does ICD-10-CM code S62 belong to?

S62 belongs to Chapter 19 of the ICD-10-CM tabular list: S00–T88 (Injury, Poisoning and Certain Other Consequences of External Causes).

S62Not billable, use a more specific code below

Fracture at wrist and hand level

In Injuries to the wrist, hand and fingers (S60-S69), chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes

1,911 billable codes under S62: 819 are a CC; none map to an HCC.A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment.

Instructional notes

Excludes1: not coded here, use a different code

traumatic amputation of wrist and hand (S68.-)

Excludes2: not included here, code separately if applicable

fracture of distal parts of ulna and radius (S52.-)

Also applies, from Injuries to the wrist, hand and fingers (S60-S69)

These notes sit on S60-S69 and apply to every code under it, including S62.

Excludes2: not included here, code separately if applicable

burns and corrosions (T20-T32)
frostbite (T33-T34)
insect bite or sting, venomous (T63.4)

Official coding guidelines

From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.

Section I.C.19.c Coding of Traumatic Fractures (page 79), covers S62
Code fractures by site; default to closed and displaced when not specified. Use initial 7th characters during active treatment and subsequent ones during healing, not aftercare Z codes; use M80 for osteoporotic fractures from minor trauma.

Codes under S62

S62 can't be used on a claim. Pick a billable code below; grey headings group them.

S62 MS-DRGs

As the principal diagnosis, the billable codes under S62 group to these 11 MS-DRGs (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

DRG 559 Aftercare, Musculoskeletal System and Connective Tissue with MCC (819 of 1911 codes)
DRG 560 Aftercare, Musculoskeletal System and Connective Tissue with CC (819 of 1911 codes)
DRG 561 Aftercare, Musculoskeletal System and Connective Tissue without CC/MCC (819 of 1911 codes)
DRG 562 Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh with MCC (546 of 1911 codes)
DRG 563 Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without MCC (546 of 1911 codes)
DRG 564 Other Musculoskeletal System and Connective Tissue Diagnoses with MCC (546 of 1911 codes)
DRG 565 Other Musculoskeletal System and Connective Tissue Diagnoses with CC (546 of 1911 codes)
DRG 566 Other Musculoskeletal System and Connective Tissue Diagnoses without CC/MCC (546 of 1911 codes)
DRG 963 Other Multiple Significant Trauma with MCC (546 of 1911 codes)
DRG 964 Other Multiple Significant Trauma with CC (546 of 1911 codes)
DRG 965 Other Multiple Significant Trauma without CC/MCC (546 of 1911 codes)

Other codes that refer to S62

Notes on these codes point to S62.

M84.3 Excludes1: traumatic fracture (S12.-, S22.-, S32.-, S42.-, S52.-, S62.-, S72.-, S82.-, S92.-)
M84.4 Excludes1: traumatic fracture (S12.-, S22.-, S32.-, S42.-, S52.-, S62.-, S72.-, S82.-, S92.-)
S52 Excludes2: fracture at wrist and hand level (S62.-)
S61 Excludes1: open fracture of wrist, hand and finger (S62.- with 7th character B)
S67 Use Additional Code: fracture of wrist and hand (S62.-)

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

Fractures

A fracture is a break in a bone. Fractures are usually caused by injuries. Since they can sometimes be serious, it's important to get medical care right away if you think you have a fracture.

Hand Injuries and Disorders

No matter how old you are or what you do for a living, you are always using your hands. When there is something wrong with them, you may not be able to do your regular activities.

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.