S63 — Dislocation and sprain of joints and ligaments at wrist and hand level
S63 is a non-billable header ICD-10-CM code for dislocation and sprain of joints and ligaments at wrist and hand level. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.
This code requires a 7th character
The appropriate 7th character is to be added to each code from category S63
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Excludes2 — not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
- strain of muscle, fascia and tendon of wrist and hand (S66.-)
Code also
Both codes may be needed to describe the encounter fully. Sequencing depends on the reason for the visit.
- any associated open wound
Includes
Conditions this code covers.
- avulsion of joint or ligament at wrist and hand level
- laceration of cartilage, joint or ligament at wrist and hand level
- sprain of cartilage, joint or ligament at wrist and hand level
- traumatic hemarthrosis of joint or ligament at wrist and hand level
- traumatic rupture of joint or ligament at wrist and hand level
- traumatic subluxation of joint or ligament at wrist and hand level
- traumatic tear of joint or ligament at wrist and hand level
Other codes that can never be billed with S63
These codes carry an Excludes1 note pointing at S63. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading S63 alone.
Risk adjustment
S63 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.
Code to one of these instead S63
9 child codes. Green means billable.
- S63.0Subluxation and dislocation of wrist and hand joints
- S63.1Subluxation and dislocation of thumb
- S63.2Subluxation and dislocation of other finger(s)
- S63.3Traumatic rupture of ligament of wrist
- S63.4Traumatic rupture of ligament of finger at metacarpophalangeal and interphalangeal joint(s)
- S63.5Other and unspecified sprain of wrist
- S63.6Other and unspecified sprain of finger(s)
- S63.8Sprain of other part of wrist and hand
- S63.9Sprain of unspecified part of wrist and hand
Questions about S63
- Is S63 a billable ICD-10-CM code?
- No. S63 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does S63 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).