S63.490A vs S63.490D
S63.490A (Traumatic rupture of other ligament of right index finger at metacarpophalangeal and interphalangeal joint, initial encounter) compared with S63.490D (Traumatic rupture of other ligament of right index finger at metacarpophalangeal and interphalangeal joint, subsequent encounter), from the official CMS tabular data. S63.490A and S63.490D code the same injury at a different phase of treatment.
Can these codes be reported together?
Same injury, other encounter phase. S63.490A and S63.490D 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
| S63.490ATraumatic rupture of other ligament of right index finger at metacarpophalangeal and interphalangeal joint, initial encounter | S63.490DTraumatic rupture of other ligament of right index finger at metacarpophalangeal and interphalangeal joint, subsequent encounter | |
|---|---|---|
| Billing status | Billable | 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 right index finger at metacarpophalangeal and interphalangeal joint, initial encounter is a billable ICD-10-CM diagnosis code (S63.490A). | Traumatic rupture of other ligament of right index finger at metacarpophalangeal and interphalangeal joint, subsequent encounter is a billable ICD-10-CM diagnosis code (S63.490D). |
| 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