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S54.8X9S vs S64

S54.8X9S (Injury of other nerves at forearm level, unspecified arm, sequela) compared with S64 (Injury of nerves at wrist and hand level), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).

Can these codes be reported together?

Yes, when both are documented. S54.8X9S carries an Excludes2 note covering S64: “injury of nerves at wrist and hand level (S64.-)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Side by side

S54.8X9SInjury of other nerves at forearm level, unspecified arm, sequelaS64Injury of nerves at wrist and hand level
Billing statusBillableNon-billable header

Report instead: S64.00XA, S64.00XD, S64.00XS, S64.01XA, S64.01XD

ClassificationS00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)
DefinitionInjury of other nerves at forearm level, unspecified arm, sequela is a billable ICD-10-CM diagnosis code (S54.8X9S).Injury of nerves at wrist and hand level is a non-billable ICD-10-CM category code (S64).
7th characterThe appropriate 7th character is to be added to each code from category S54The appropriate 7th character is to be added to each code from category S64

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources