S62.397A vs S62.397K
S62.397A (Other fracture of fifth metacarpal bone, left hand, initial encounter for closed fracture) compared with S62.397K (Other fracture of fifth metacarpal bone, left hand, subsequent encounter for fracture with nonunion), from the official CMS tabular data. S62.397A and S62.397K code the same injury at a different phase of treatment.
Can these codes be reported together?
Same injury, other encounter phase. S62.397A and S62.397K 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
| S62.397AOther fracture of fifth metacarpal bone, left hand, initial encounter for closed fracture | S62.397KOther fracture of fifth metacarpal bone, left hand, subsequent encounter for fracture with nonunion | |
|---|---|---|
| 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 | Other fracture of fifth metacarpal bone, left hand, initial encounter for closed fracture is a billable ICD-10-CM diagnosis code (S62.397A). | Other fracture of fifth metacarpal bone, left hand, subsequent encounter for fracture with nonunion is a billable ICD-10-CM diagnosis code (S62.397K). |
| 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