S62.201B — Unspecified fracture of first metacarpal bone, right hand, initial encounter for open fracture
S62.201B is a billable, specific ICD-10-CM code for unspecified fracture of first metacarpal bone, right hand, 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
S62.201B 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
S62.201B is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
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Related codes at this level
Codes that share S62.201. If S62.201B is not quite right, the correct code is usually one of these.
- S62.201AUnspecified fracture of first metacarpal bone, right hand, initial encounter for closed fracture
- S62.201DUnspecified fracture of first metacarpal bone, right hand, subsequent encounter for fracture with routine healing
- S62.201GUnspecified fracture of first metacarpal bone, right hand, subsequent encounter for fracture with delayed healing
- S62.201KUnspecified fracture of first metacarpal bone, right hand, subsequent encounter for fracture with nonunion
- S62.201PUnspecified fracture of first metacarpal bone, right hand, subsequent encounter for fracture with malunion
- S62.201SUnspecified fracture of first metacarpal bone, right hand, sequela
Questions about S62.201B
- Is S62.201B a billable ICD-10-CM code?
- Yes. S62.201B is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S62.201B 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).