Is S63.216 a billable ICD-10-CM code?

No. S63.216 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does S63.216 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).

S63.216

S63.216 — Subluxation of metacarpophalangeal joint of right little finger

Non-billable headerICD-10-CMright

S63.216 is a non-billable header ICD-10-CM code for subluxation of metacarpophalangeal joint of right little finger. 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

Risk adjustment

S63.216 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 S63.216

3 child codes. Green means billable.

Related codes at this level

Codes that share S63.21. If S63.216 is not quite right, the correct code is usually one of these.

Questions about S63.216

Is S63.216 a billable ICD-10-CM code?: No. S63.216 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does S63.216 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).