S62.1
S62.1 — Fracture of other and unspecified carpal bone(s)
Non-billable headerICD-10-CM
S62.1 is a non-billable header ICD-10-CM code for fracture of other and unspecified carpal bone(s). It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.
This code requires a 7th character
The appropriate 7th character is to be added to each code from category S62
- A
- initial encounter for closed fracture
- B
- initial encounter for open fracture
- D
- subsequent encounter for fracture with routine healing
- G
- subsequent encounter for fracture with delayed healing
- K
- subsequent encounter for fracture with nonunion
- P
- subsequent encounter for fracture with malunion
- S
- sequela
Excludes2 — not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
- fracture of scaphoid of wrist (S62.0-)
Risk adjustment
S62.1 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead S62.1
9 child codes. Green means billable.
- S62.10Fracture of unspecified carpal bone
- S62.11Fracture of triquetrum [cuneiform] bone of wrist
- S62.12Fracture of lunate [semilunar]
- S62.13Fracture of capitate [os magnum] bone
- S62.14Fracture of body of hamate [unciform] bone
- S62.15Fracture of hook process of hamate [unciform] bone
- S62.16Fracture of pisiform
- S62.17Fracture of trapezium [larger multangular]
- S62.18Fracture of trapezoid [smaller multangular]
Related codes at this level
Codes that share S62. If S62.1 is not quite right, the correct code is usually one of these.
Questions about S62.1
- Is S62.1 a billable ICD-10-CM code?
- No. S62.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does S62.1 sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the wrist, hand and fingers (S60-S69).