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S62.515G vs S62.516G

S62.515G (Nondisplaced fracture of proximal phalanx of left thumb, subsequent encounter for fracture with delayed healing) compared with S62.516G (Nondisplaced fracture of proximal phalanx of unspecified thumb, subsequent encounter for fracture with delayed healing), from the official CMS tabular data. S62.515G and S62.516G code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S62.515G
Left
Nondisplaced fracture of proximal phalanx of left thumb, subsequent encounter for fracture with delayed healing
S62.516G
Unspecified
Nondisplaced fracture of proximal phalanx of unspecified thumb, subsequent encounter for fracture with delayed 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. S62.515G and S62.516G 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

S62.515GNondisplaced fracture of proximal phalanx of left thumb, subsequent encounter for fracture with delayed healingS62.516GNondisplaced fracture of proximal phalanx of unspecified thumb, subsequent encounter for fracture with delayed 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)
DefinitionNondisplaced fracture of proximal phalanx of left thumb, subsequent encounter for fracture with delayed healing is a billable ICD-10-CM diagnosis code (S62.515G).Nondisplaced fracture of proximal phalanx of unspecified thumb, subsequent encounter for fracture with delayed healing is a billable ICD-10-CM diagnosis code (S62.516G).
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