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S62.512D vs S62.513D

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

Relationship

Review

Laterality relationship

S62.512D
Left
Displaced fracture of proximal phalanx of left thumb, subsequent encounter for fracture with routine healing
S62.513D
Unspecified
Displaced fracture of proximal phalanx of unspecified thumb, subsequent encounter for fracture with routine healing

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. S62.512D and S62.513D 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

S62.512DDisplaced fracture of proximal phalanx of left thumb, subsequent encounter for fracture with routine healingS62.513DDisplaced fracture of proximal phalanx of unspecified thumb, subsequent encounter for fracture with routine healing
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, subsequent encounter for fracture with routine healing is a billable ICD-10-CM diagnosis code (S62.512D).Displaced fracture of proximal phalanx of unspecified thumb, subsequent encounter for fracture with routine healing is a billable ICD-10-CM diagnosis code (S62.513D).
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

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