Skip to main content

S66.421D vs S66.429D

S66.421D (Laceration of intrinsic muscle, fascia and tendon of right thumb at wrist and hand level, subsequent encounter) compared with S66.429D (Laceration of intrinsic muscle, fascia and tendon of unspecified thumb at wrist and hand level, subsequent encounter), from the official CMS tabular data. S66.421D and S66.429D code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

S66.421D
Right
Laceration of intrinsic muscle, fascia and tendon of right thumb at wrist and hand level, subsequent encounter
S66.429D
Unspecified
Laceration of intrinsic muscle, fascia and tendon of unspecified thumb at wrist and hand level, 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. S66.421D and S66.429D 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

S66.421DLaceration of intrinsic muscle, fascia and tendon of right thumb at wrist and hand level, subsequent encounterS66.429DLaceration of intrinsic muscle, fascia and tendon of unspecified thumb at wrist and hand level, subsequent encounter
Billing statusBillableBillable
ClassificationS00-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)
DefinitionLaceration of intrinsic muscle, fascia and tendon of right thumb at wrist and hand level, subsequent encounter is a billable ICD-10-CM diagnosis code (S66.421D).Laceration of intrinsic muscle, fascia and tendon of unspecified thumb at wrist and hand level, subsequent encounter is a billable ICD-10-CM diagnosis code (S66.429D).
7th characterThe appropriate 7th character is to be added to each code from category S66The appropriate 7th character is to be added to each code from category S66

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources