Is S63.428 a billable ICD-10-CM code?

No. S63.428 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does S63.428 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).

S63.428

S63.428 — Traumatic rupture of palmar ligament of other finger at metacarpophalangeal and interphalangeal joint

Non-billable headerICD-10-CM

S63.428 is a non-billable header ICD-10-CM code for traumatic rupture of palmar ligament of other finger at metacarpophalangeal and interphalangeal joint. 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

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Traumatic rupture of palmar ligament of specified finger with unspecified laterality at metacarpophalangeal and interphalangeal joint

Risk adjustment

S63.428 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 S63.428

3 child codes. Green means billable.

Related codes at this level

Codes that share S63.42. If S63.428 is not quite right, the correct code is usually one of these.

Questions about S63.428

Is S63.428 a billable ICD-10-CM code?: No. S63.428 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does S63.428 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).