S62.364A vs S62.364G
S62.364A (Nondisplaced fracture of neck of fourth metacarpal bone, right hand, initial encounter for closed fracture) compared with S62.364G (Nondisplaced fracture of neck of fourth metacarpal bone, right hand, subsequent encounter for fracture with delayed healing), from the official CMS tabular data. S62.364A and S62.364G code the same injury at a different phase of treatment.
Can these codes be reported together?
Same injury, other encounter phase. S62.364A and S62.364G code the same injury at a different phase of treatment, set by the 7th character.
The 7th character records the type of care given at the encounter being coded (ICD-10-CM Official Guidelines, Section I.C.19.a), so one encounter takes one of these, not both.
Side by side
| S62.364ANondisplaced fracture of neck of fourth metacarpal bone, right hand, initial encounter for closed fracture | S62.364GNondisplaced fracture of neck of fourth metacarpal bone, right hand, subsequent encounter for fracture with delayed healing | |
|---|---|---|
| Billing status | Billable | Billable |
| Classification | S00-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) |
| Definition | Nondisplaced fracture of neck of fourth metacarpal bone, right hand, initial encounter for closed fracture is a billable ICD-10-CM diagnosis code (S62.364A). | Nondisplaced fracture of neck of fourth metacarpal bone, right hand, subsequent encounter for fracture with delayed healing is a billable ICD-10-CM diagnosis code (S62.364G). |
| 7th character | The appropriate 7th character is to be added to each code from category S62 | The appropriate 7th character is to be added to each code from category S62 |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources