S62.395B
S62.395B: Other fracture of fourth metacarpal bone, left hand, initial encounter for open fracture
Billable / specific codeICD-10-CMleft
S62.395B is a billable, specific ICD-10-CM code for other fracture of fourth metacarpal bone, left hand, initial encounter for open fracture. It is valid for submission on a claim.
Check S62.395B with the rest of the claim: free scrubber7th 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 S62.395B
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S62.395B
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with S62.395B
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
S62.395B is named in 4 Medicare coverage policies: 4 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
- A58872Billing and Coding: Tetanus Immunization
- A58873Billing and Coding: Tetanus Immunization
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under S62.395
- S62.395AOther fracture of fourth metacarpal bone, left hand, initial encounter for closed fracture
- S62.395DOther fracture of fourth metacarpal bone, left hand, subsequent encounter for fracture with routine healing
- S62.395GOther fracture of fourth metacarpal bone, left hand, subsequent encounter for fracture with delayed healing
- S62.395KOther fracture of fourth metacarpal bone, left hand, subsequent encounter for fracture with nonunion
- S62.395POther fracture of fourth metacarpal bone, left hand, subsequent encounter for fracture with malunion
- S62.395SOther fracture of fourth metacarpal bone, left hand, sequela