S63.5
S63.5 — Other and unspecified sprain of wrist
Non-billable headerICD-10-CMunspecified
S63.5 is a non-billable header ICD-10-CM code for other and unspecified sprain of wrist. 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
S63.5 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 S63.5
4 child codes. Green means billable.
Related codes at this level
Codes that share S63. If S63.5 is not quite right, the correct code is usually one of these.
- 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)
- S63.6Other 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 S63.5
- Is S63.5 a billable ICD-10-CM code?
- No. S63.5 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does S63.5 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).