S62.225B

S62.225B: Nondisplaced Rolando's fracture, left hand, initial encounter for open fracture

Billable / specific codeICD-10-CMleft

S62.225B is a billable, specific ICD-10-CM code for nondisplaced rolando's fracture, left hand, initial encounter for open fracture. It is valid for submission on a claim.

Check S62.225B with the rest of the claim: free scrubber

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

Excludes1 inherited from the categories above S62.225B

A category’s note binds every code beneath it.

Written on S62: Fracture at wrist and hand level

traumatic amputation of wrist and hand (S68.-)

Excludes2 inherited from the categories above S62.225B

Not part of this code, but both may be coded when both are present.

Written on S62: Fracture at wrist and hand level

fracture of distal parts of ulna and radius (S52.-)

Other codes that can never be billed with S62.225B

Their own Excludes1 notes name this code, so the conflict is not listed above.

M84.3Stress fracture
M84.4Pathological fracture, not elsewhere classified
S61Open wound of wrist, hand and fingers

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

S62.225B is named in 5 Medicare coverage policies: 5 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

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

Code history

Unchanged in every release from FY2024 to FY2027.