S62.172B — Displaced fracture of trapezium [larger multangular], left wrist, initial encounter for open fracture
S62.172B is a billable, specific ICD-10-CM code for displaced fracture of trapezium [larger multangular], left wrist, initial encounter for open fracture. It is valid for submission on a claim.
7th character "B" — initial encounter for open fracture
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
Risk adjustment
S62.172B 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.
Medicare coverage
S62.172B is named in 5 Medicare coverage policies — 5 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A54767Billing and Coding: Medicare Preventive Coverage for Certain Vaccines
- A56900Billing and Coding: Immunizations
- A57311Billing and Coding: Physical Therapy - Home Health
- A58872Billing and Coding: Tetanus Immunization
Related codes at this level
Codes that share S62.172. If S62.172B is not quite right, the correct code is usually one of these.
- S62.172ADisplaced fracture of trapezium [larger multangular], left wrist, initial encounter for closed fracture
- S62.172DDisplaced fracture of trapezium [larger multangular], left wrist, subsequent encounter for fracture with routine healing
- S62.172GDisplaced fracture of trapezium [larger multangular], left wrist, subsequent encounter for fracture with delayed healing
- S62.172KDisplaced fracture of trapezium [larger multangular], left wrist, subsequent encounter for fracture with nonunion
- S62.172PDisplaced fracture of trapezium [larger multangular], left wrist, subsequent encounter for fracture with malunion
- S62.172SDisplaced fracture of trapezium [larger multangular], left wrist, sequela
Questions about S62.172B
- Is S62.172B a billable ICD-10-CM code?
- Yes. S62.172B is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S62.172B 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).