S60-S69 — Injuries to the wrist, hand and fingers
ICD-10-CM codes S60-S69 cover injuries to the wrist, hand and fingers, within injury, poisoning and certain other consequences of external causes. The block holds 6,768 codes across 10 categories, of which 5,118 are billable and 1,650 are header codes that cannot be submitted on a claim. 6,768 of them (100%) require a 7th character.
The 7th character in S60-S69
A code in this block is not complete without its 7th character, and a missing one is a rejected claim rather than a denied one: the clearinghouse never passes it on. 6,768 of the 6,768 codes here take one.
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment in S60-S69
0 codes in this block map to a CMS-HCC, which means the diagnosis carries a risk-adjustment payment when it is documented and coded. Under-coding here is money left on the table; over-coding here is what audits are for.
- HCC 405 Traumatic Amputations and Complications
What else to watch in S60-S69
- 4,776 codes are laterality-specific. They come in left and right pairs, and the pair is mutually exclusive on a single site: coding both without a bilateral code is a contradiction a scrubber should catch before the payer does.
- 3,965 codes are named in Medicare coverage policies. An LCD or NCD lists them as supporting medical necessity, or explicitly as not supporting it. Which applies depends on the MAC for your state.
Categories in S60-S69
- S60Superficial injury of wrist, hand and fingers
- S61Open wound of wrist, hand and fingers
- S62Fracture at wrist and hand level
- S63Dislocation and sprain of joints and ligaments at wrist and hand level
- S64Injury of nerves at wrist and hand level
- S65Injury of blood vessels at wrist and hand level
- S66Injury of muscle, fascia and tendon at wrist and hand level
- S67Crushing injury of wrist, hand and fingers
- S68Traumatic amputation of wrist, hand and fingers
- S69Other and unspecified injuries of wrist, hand and finger(s)