S63.498A — Traumatic rupture of other ligament of other finger at metacarpophalangeal and interphalangeal joint, initial encounter
S63.498A is a billable, specific ICD-10-CM code for traumatic rupture of other ligament of other finger at metacarpophalangeal and interphalangeal joint, initial encounter. It is valid for submission on a claim.
7th character "A" — initial encounter
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 ligament of specified finger with unspecified laterality at metacarpophalangeal and interphalangeal joint
Risk adjustment
S63.498A 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
S63.498A is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56787Billing and Coding: Nonvascular Extremity Ultrasound
Related codes at this level
Codes that share S63.498. If S63.498A is not quite right, the correct code is usually one of these.
Questions about S63.498A
- Is S63.498A a billable ICD-10-CM code?
- Yes. S63.498A is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S63.498A 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).