Is S62.91XD a billable ICD-10-CM code?

Yes. S62.91XD is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does S62.91XD 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).

What cannot be coded together with S62.91XD?

S62.91XD carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above S62.91XD (S62) and apply to it just the same.

S62.91XD

S62.91XD — Unspecified fracture of right hand, subsequent encounter for fracture with routine healing

Billable / specific codeICD-10-CMPOA exemptright

S62.91XD is a billable, specific ICD-10-CM code for unspecified fracture of right hand, subsequent encounter for fracture with routine healing. It is valid for submission on a claim.

7th character "D" — subsequent encounter for fracture with routine healing

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 S62.91XD

These are not written on S62.91XD, but they bind it: a note on a category applies to every code beneath it. Billing S62.91XD with anything listed here is a denial.

Written on S62 — Fracture at wrist and hand level

traumatic amputation of wrist and hand (S68.-)

Excludes2 inherited from the categories above S62.91XD

Also inherited, and the opposite of Excludes1: these conditions are not part of S62.91XD, but a patient can have both, so you may code both.

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 S62.91XD

These codes carry an Excludes1 note pointing at S62.91XD. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading S62.91XD alone.

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

Risk adjustment

S62.91XD 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

S62.91XD 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

Code history

What changed, and when. Derived by diffing consecutive CMS release files — which matters when you are defending a code assigned under an earlier edition.

revisedFY2024-FY2026
Unspecified fracture of right wrist and hand, subsequent encounter for fracture with routine healing → Unspecified fracture of right hand, subsequent encounter for fracture with routine healing

Related codes at this level

Codes that share S62.91. If S62.91XD is not quite right, the correct code is usually one of these.

Questions about S62.91XD

Is S62.91XD a billable ICD-10-CM code?: Yes. S62.91XD is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does S62.91XD 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).
What cannot be coded together with S62.91XD?: S62.91XD carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above S62.91XD (S62) and apply to it just the same.