Is S67.42XD a billable ICD-10-CM code?

Yes. S67.42XD is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does S67.42XD 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 S67.42XD?

S67.42XD 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 S67.42XD (S67.4) and apply to it just the same.

S67.42XD

S67.42XD — Crushing injury of left wrist and hand, subsequent encounter

Billable / specific codeICD-10-CMPOA exemptleft

S67.42XD is a billable, specific ICD-10-CM code for crushing injury of left wrist and hand, subsequent encounter. It is valid for submission on a claim.

7th character "D" — subsequent 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 S67.42XD

These are not written on S67.42XD, but they bind it: a note on a category applies to every code beneath it. Billing S67.42XD 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 S67.42XD

Also inherited, and the opposite of Excludes1: these conditions are not part of S67.42XD, 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

S67.42XD 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

S67.42XD is named in 4 Medicare coverage policies — 4 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A53058Billing and Coding: Home Health Physical Therapy
A53065Billing and Coding: Outpatient Physical Therapy
A56459Billing and Coding: Debridement Services
A56766Billing and Coding: Incision and Drainage (I&D) of Abscess of Skin, Subcutaneous and Accessory Structures

Code history

S67.42XD 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 S67.42. If S67.42XD is not quite right, the correct code is usually one of these.

Questions about S67.42XD

Is S67.42XD a billable ICD-10-CM code?: Yes. S67.42XD is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does S67.42XD 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 S67.42XD?: S67.42XD 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 S67.42XD (S67.4) and apply to it just the same.