Is ICD-10-CM code S63 billable?

No, S63 (Dislocation and sprain of joints and ligaments 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 S63 belong to?

S63 belongs to Chapter 19 of the ICD-10-CM tabular list: S00–T88 (Injury, Poisoning and Certain Other Consequences of External Causes).

S63Not billable, use a more specific code below

Dislocation and sprain of joints and ligaments 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

921 billable codes under S63: none are a CC or MCC; none map to an HCC.

Instructional notes

Includes: conditions that are coded here

avulsion of joint or ligament at wrist and hand level
laceration of cartilage, joint or ligament at wrist and hand level
sprain of cartilage, joint or ligament at wrist and hand level
traumatic hemarthrosis of joint or ligament at wrist and hand level
traumatic rupture of joint or ligament at wrist and hand level
traumatic subluxation of joint or ligament at wrist and hand level
traumatic tear of joint or ligament at wrist and hand level

Excludes2: not included here, code separately if applicable

strain of muscle, fascia and tendon of wrist and hand (S66.-)

Code also: add a code for this too, order depends on the encounter

any associated open wound

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 S63.

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.

Covers 7th character use and coding of injuries, fractures, burns, drug and toxic effects, abuse and neglect, and complications of care (S00-T88).

Application of 7th Characters in Chapter 19 (page 77)
Coding of Injuries (page 78)
Coding of Traumatic Fractures (page 79)
Coding of Burns and Corrosions (page 80)
Adverse Effects, Poisoning, Underdosing and Toxic Effects (page 82)
Adult and child abuse, neglect and other maltreatment (page 85)
Complications of care (page 85)

Read Section I.C.19 (page 77)

Codes under S63

S63 can't be used on a claim. Pick a billable code below; grey headings group them.

S63 MS-DRGs

As the principal diagnosis, the billable codes under S63 group to these 7 MS-DRGs (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

DRG 562 Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh with MCC (614 of 921 codes)
DRG 563 Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without MCC (614 of 921 codes)
DRG 949 Aftercare with CC/MCC (307 of 921 codes)
DRG 950 Aftercare without CC/MCC (307 of 921 codes)
DRG 963 Other Multiple Significant Trauma with MCC (307 of 921 codes)
DRG 964 Other Multiple Significant Trauma with CC (307 of 921 codes)
DRG 965 Other Multiple Significant Trauma without CC/MCC (307 of 921 codes)

Other codes that refer to S63

Notes on these codes point to S63.

S66 Excludes2: sprain of joints and ligaments of wrist and hand (S63.-)

About the condition

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

Dislocations

Dislocations are joint injuries that force the ends of your bones out of position. The cause is often a fall or a blow, sometimes from playing a contact sport. You can dislocate your ankles, knees, shoulders, hips, elbows and jaw. You can also dislocate your finger and toe joints. Dislocated joints often are swollen, very painful and visibly out of place. You may not be able to move it.

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.