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S63.681D vs S63.689D

S63.681D (Other sprain of right thumb, subsequent encounter) compared with S63.689D (Other sprain of unspecified thumb, subsequent encounter), from the official CMS tabular data. S63.681D and S63.689D code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

S63.681D
Right
Other sprain of right thumb, subsequent encounter
S63.689D
Unspecified
Other sprain of unspecified thumb, subsequent encounter

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. S63.681D and S63.689D 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

S63.681DOther sprain of right thumb, subsequent encounterS63.689DOther sprain of unspecified thumb, subsequent encounter
Billing statusBillableBillable
ClassificationS00-T88 — Injury, poisoning and certain other consequences of external causesS00-T88 — Injury, poisoning and certain other consequences of external causes
DefinitionOther sprain of right thumb, subsequent encounter is a billable ICD-10-CM diagnosis code (S63.681D).Other sprain of unspecified thumb, subsequent encounter is a billable ICD-10-CM diagnosis code (S63.689D).
7th characterThe appropriate 7th character is to be added to each code from category S63The 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