S63.4 vs S63.6
S63.4 (Traumatic rupture of ligament of finger at metacarpophalangeal and interphalangeal joint(s)) compared with S63.6 (Other and unspecified sprain of finger(s)), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Can these codes be reported together?
No — do not report together. S63.6 carries an Excludes1 note covering S63.4: “traumatic rupture of ligament of finger at metacarpophalangeal and interphalangeal joint(s) (S63.4-)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Side by side
| S63.4Traumatic rupture of ligament of finger at metacarpophalangeal and interphalangeal joint(s) | S63.6Other and unspecified sprain of finger(s) | |
|---|---|---|
| Billing status | Non-billable header Report instead: S63.400A, S63.400D, S63.400S, S63.401A, S63.401D | Non-billable header Report instead: S63.601A, S63.601D, S63.601S, S63.602A, S63.602D |
| 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 | Traumatic rupture of ligament of finger at metacarpophalangeal and interphalangeal joint(s) is a non-billable ICD-10-CM category code (S63.4). | Other and unspecified sprain of finger(s) is a non-billable ICD-10-CM category code (S63.6). |
| 7th character | The appropriate 7th character is to be added to each code from category S63 | The appropriate 7th character is to be added to each code from category S63 |
| Includes | avulsion of joint or ligament at wrist and hand level laceration of cartilage, joint or ligament at wrist and hand level sprain of cartilage, joint or ligament at wrist and hand level traumatic hemarthrosis of joint or ligament at wrist and hand level | avulsion of joint or ligament at wrist and hand level laceration of cartilage, joint or ligament at wrist and hand level sprain of cartilage, joint or ligament at wrist and hand level traumatic hemarthrosis of joint or ligament at wrist and hand level |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources