S62.397K — Other fracture of fifth metacarpal bone, left hand, subsequent encounter for fracture with nonunion
S62.397K is a billable, specific ICD-10-CM code for other fracture of fifth metacarpal bone, left hand, subsequent encounter for fracture with nonunion. It is valid for submission on a claim.
7th character "K" — subsequent encounter for fracture with nonunion
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
S62.397K 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
S62.397K is named in 2 Medicare coverage policies — 2 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53058Billing and Coding: Home Health Physical Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
Related codes at this level
Codes that share S62.397. If S62.397K is not quite right, the correct code is usually one of these.
- S62.397AOther fracture of fifth metacarpal bone, left hand, initial encounter for closed fracture
- S62.397BOther fracture of fifth metacarpal bone, left hand, initial encounter for open fracture
- S62.397DOther fracture of fifth metacarpal bone, left hand, subsequent encounter for fracture with routine healing
- S62.397GOther fracture of fifth metacarpal bone, left hand, subsequent encounter for fracture with delayed healing
- S62.397POther fracture of fifth metacarpal bone, left hand, subsequent encounter for fracture with malunion
- S62.397SOther fracture of fifth metacarpal bone, left hand, sequela
Questions about S62.397K
- Is S62.397K a billable ICD-10-CM code?
- Yes. S62.397K is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S62.397K 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).