Is S67.41XA a billable ICD-10-CM code?

Yes. S67.41XA is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does S67.41XA 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 S67.41XA?

S67.41XA carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above S67.41XA (S67.4) and apply to it just the same.

S67.41XA

S67.41XA — Crushing injury of right wrist and hand, initial encounter

Billable / specific codeICD-10-CMright

S67.41XA is a billable, specific ICD-10-CM code for crushing injury of right wrist and hand, 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 S67

A: initial encounter
D: subsequent encounter
S: sequela

Excludes1 inherited from the categories above S67.41XA

These are not written on S67.41XA, but they bind it: a note on a category applies to every code beneath it. Billing S67.41XA with anything listed here is a denial.

Written on S67.4 — Crushing injury of wrist and hand

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

Excludes2 inherited from the categories above S67.41XA

Also inherited, and the opposite of Excludes1: these conditions are not part of S67.41XA, but a patient can have both, so you may code both.

Written on S67.4 — Crushing injury of wrist and hand

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

Risk adjustment

S67.41XA 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

S67.41XA is named in 2 Medicare coverage policies — 2 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A56459Billing and Coding: Debridement Services
A56766Billing and Coding: Incision and Drainage (I&D) of Abscess of Skin, Subcutaneous and Accessory Structures

Code history

S67.41XA has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share S67.41. If S67.41XA is not quite right, the correct code is usually one of these.

Questions about S67.41XA

Is S67.41XA a billable ICD-10-CM code?: Yes. S67.41XA is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does S67.41XA 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 S67.41XA?: S67.41XA carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above S67.41XA (S67.4) and apply to it just the same.