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S62.512B vs S62.513B

S62.512B (Displaced fracture of proximal phalanx of left thumb, initial encounter for open fracture) compared with S62.513B (Displaced fracture of proximal phalanx of unspecified thumb, initial encounter for open fracture), from the official CMS tabular data. S62.512B and S62.513B code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S62.512B
Left
Displaced fracture of proximal phalanx of left thumb, initial encounter for open fracture
↔
S62.513B
Unspecified
Displaced fracture of proximal phalanx of unspecified thumb, initial encounter for open fracture

Same condition; these differ only in which side is documented.

These codes share a category and title and differ only in the side affected. The documentation decides which applies, and a bilateral code is reported only where the code set provides one.

Source: ICD-10-CM tabular list (laterality variant derived from the code title)

Can these codes be reported together?

Same condition, opposite side. S62.512B and S62.513B name the same condition on opposite sides of the body.

Same category and title, differing only in which side is affected — the documentation decides which one applies, and a bilateral code is reported only where the code set provides one.

Side by side

S62.512BDisplaced fracture of proximal phalanx of left thumb, initial encounter for open fractureS62.513BDisplaced fracture of proximal phalanx of unspecified thumb, initial encounter for open fracture
Billing statusBillableBillable
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)
DefinitionDisplaced fracture of proximal phalanx of left thumb, initial encounter for open fracture is a billable ICD-10-CM diagnosis code (S62.512B).Displaced fracture of proximal phalanx of unspecified thumb, initial encounter for open fracture is a billable ICD-10-CM diagnosis code (S62.513B).
7th characterThe appropriate 7th character is to be added to each code from category S62The appropriate 7th character is to be added to each code from category S62
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Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources