S63.428S

S63.428S: Traumatic rupture of palmar ligament of other finger at metacarpophalangeal and interphalangeal joint, sequela

Billable / specific codeICD-10-CMPOA exempt

S63.428S is a billable, specific ICD-10-CM code for traumatic rupture of palmar ligament of other finger at metacarpophalangeal and interphalangeal joint, sequela. It is valid for submission on a claim.

Check S63.428S with the rest of the claim: free scrubber

7th character "S": sequela

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

Excludes2 inherited from the categories above S63.428S

Not part of this code, but both may be coded when both are present.

Written on S63: Dislocation and sprain of joints and ligaments at wrist and hand level

strain of muscle, fascia and tendon of wrist and hand (S66.-)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

S63.428S is named in 2 Medicare coverage policies: 2 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A53064Billing and Coding: Outpatient Occupational Therapy
A56787Billing and Coding: Nonvascular Extremity Ultrasound

Code history

Unchanged in every release from FY2024 to FY2027.