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S63.91 vs S63.92

S63.91 (Sprain of unspecified part of right wrist and hand) compared with S63.92 (Sprain of unspecified part of left wrist and hand), from the official CMS tabular data. S63.91 and S63.92 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S63.91
Right
Sprain of unspecified part of right wrist and hand
S63.92
Left
Sprain of unspecified part of left wrist and hand

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. S63.91 and S63.92 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

S63.91Sprain of unspecified part of right wrist and handS63.92Sprain of unspecified part of left wrist and hand
Billing statusNon-billable header

Report instead: S63.91XA, S63.91XD, S63.91XS

Non-billable header

Report instead: S63.92XA, S63.92XD, S63.92XS

ClassificationS00-T88 — Injury, poisoning and certain other consequences of external causesS00-T88 — Injury, poisoning and certain other consequences of external causes
DefinitionSprain of unspecified part of right wrist and hand is a non-billable ICD-10-CM category code (S63.91).Sprain of unspecified part of left wrist and hand is a non-billable ICD-10-CM category code (S63.92).
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