S63.6
S63.6 — Other and unspecified sprain of finger(s)
Non-billable headerICD-10-CM
S63.6 is a non-billable header ICD-10-CM code for other and unspecified sprain of finger(s). 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
Excludes1 — never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- traumatic rupture of ligament of finger at metacarpophalangeal and interphalangeal joint(s) (S63.4-)
Risk adjustment
S63.6 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 S63.6
8 child codes. Green means billable.
- S63.60Unspecified sprain of thumb
- S63.61Unspecified sprain of other and unspecified finger(s)
- S63.62Sprain of interphalangeal joint of thumb
- S63.63Sprain of interphalangeal joint of other and unspecified finger(s)
- S63.64Sprain of metacarpophalangeal joint of thumb
- S63.65Sprain of metacarpophalangeal joint of other and unspecified finger(s)
- S63.68Other sprain of thumb
- S63.69Other sprain of other and unspecified finger(s)
Related codes at this level
Codes that share S63. If S63.6 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)
- S63.5Other and unspecified sprain of wrist
- S63.8Sprain of other part of wrist and hand
- S63.9Sprain of unspecified part of wrist and hand
Questions about S63.6
- Is S63.6 a billable ICD-10-CM code?
- No. S63.6 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does S63.6 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).
- What cannot be coded together with S63.6?
- S63.6 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.