S63.49 vs S63.490A
S63.49 (Traumatic rupture of other ligament of finger at metacarpophalangeal and interphalangeal joint) compared with S63.490A (Traumatic rupture of other ligament of right index finger at metacarpophalangeal and interphalangeal joint, initial encounter), from the official CMS tabular data. No Excludes1/Excludes2 relationship exists between these codes in the official tabular list. MedCoder-derived
Can these codes be reported together?
Not as a pair — S63.49 is not reportable. S63.49 is the non-billable category that contains S63.490A.
A header stands for the whole family of codes beneath it and is not reported on a claim, so the choice is S63.490A or a sibling that matches the documentation. No Excludes1/Excludes2 relationship exists between these codes in the official tabular list.
Side by side
| S63.49Traumatic rupture of other ligament of finger at metacarpophalangeal and interphalangeal joint | S63.490ATraumatic rupture of other ligament of right index finger at metacarpophalangeal and interphalangeal joint, initial encounter | |
|---|---|---|
| Billing status | Non-billable header Report instead: S63.490A, S63.490D, S63.490S, S63.491A, S63.491D | Billable |
| 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 other ligament of finger at metacarpophalangeal and interphalangeal joint is a non-billable ICD-10-CM category code (S63.49). | Traumatic rupture of other ligament of right index finger at metacarpophalangeal and interphalangeal joint, initial encounter is a billable ICD-10-CM diagnosis code (S63.490A). |
| 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 |
| Excludes2 | strain of muscle, fascia and tendon of wrist and hand (S66.-) burns and corrosions (T20-T32) frostbite (T33-T34) insect bite or sting, venomous (T63.4) | strain of muscle, fascia and tendon of wrist and hand (S66.-) burns and corrosions (T20-T32) frostbite (T33-T34) insect bite or sting, venomous (T63.4) |
| Code also | any associated open wound | any associated open wound |
Notes are the code’s own tabular entry, quoted as published. A note that names the other code is the one the verdict above rests on.
Derived from the official CMS ICD-10-CM tabular data (FY2026). A coding-rule comparison, not billing advice: payer-specific edits and medical-necessity policy are outside its scope. All data sources