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S62.514A vs S62.514S

S62.514A (Nondisplaced fracture of proximal phalanx of right thumb, initial encounter for closed fracture) compared with S62.514S (Nondisplaced fracture of proximal phalanx of right thumb, sequela), from the official CMS tabular data. S62.514A and S62.514S code the same injury at a different phase of treatment.

Can these codes be reported together?

Same injury, other encounter phase. S62.514A and S62.514S 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

S62.514ANondisplaced fracture of proximal phalanx of right thumb, initial encounter for closed fractureS62.514SNondisplaced fracture of proximal phalanx of right thumb, sequela
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)
DefinitionNondisplaced fracture of proximal phalanx of right thumb, initial encounter for closed fracture is a billable ICD-10-CM diagnosis code (S62.514A).Nondisplaced fracture of proximal phalanx of right thumb, sequela is a billable ICD-10-CM diagnosis code (S62.514S).
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