Is S67.4 a billable ICD-10-CM code?

No. S67.4 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does S67.4 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 S67.4?

S67.4 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

S67.4

S67.4 — Crushing injury of wrist and hand

Non-billable headerICD-10-CM

S67.4 is a non-billable header ICD-10-CM code for crushing injury of wrist and hand. 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 S67

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.

crushing injury of hand alone (S67.2-)
crushing injury of wrist alone (S67.3-)

Excludes2 — not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

crushing injury of fingers (S67.1-)
crushing injury of thumb (S67.0-)

Risk adjustment

S67.4 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 S67.4

3 child codes. Green means billable.

Related codes at this level

Codes that share S67. If S67.4 is not quite right, the correct code is usually one of these.

Questions about S67.4

Is S67.4 a billable ICD-10-CM code?: No. S67.4 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does S67.4 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 S67.4?: S67.4 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.