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S62.91XG ICD-10-CM Code: Unspecified fracture of right hand, subsequent encounter for fracture with delayed healing

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Inpatient Payment Groups (MS-DRG)

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0, Appendix B.

  • MS-DRG 559 — AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC (MDC 08)
  • MS-DRG 560 — AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC (MDC 08)
  • MS-DRG 561 — AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC (MDC 08)

A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.

Code Overview

Unspecified fracture of right hand, subsequent encounter for fracture with delayed healing is a billable ICD-10-CM diagnosis code (S62.91G).

Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for S62.91XG in the official ICD-10-CM tabular list.

Excludes1 — Not Coded Here

Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

Official Coding Guidelines

Verbatim excerpts from the ICD-10-CM Official Guidelines for Coding and Reporting (CMS/NCHS) that mention this code.

Chapter 19: Injury, poisoning, and certain other consequences of external causes (S00-T88)

c. Coding of Traumatic Fractures The principles of multiple coding of injuries should be followed in coding fractures. Fractures of specified sites are coded individually by site in accordance with both the provisions within categories S02, S12, S22, S32, S42, S49, S52, S59, S62, S72, S79, S82, S89, S92 and the level of detail furnished by medical record content.

Frequently Compared Codes

The official Excludes notes on S62.91XG name these codes. Each comparison page covers when the two can — or must not — be reported together.

Change history

  • FY2026 — 2025-10-01
    Description revised
    Unspecified fracture of right wrist and hand, subsequent encounter for fracture with delayed healing → Unspecified fracture of right hand, subsequent encounter for fracture with delayed healing
    FY2026 changes
  • FY2026 — 2025-10-01
    Short description revised
    Unsp fracture of right wrs/hnd, subs for fx w delay heal → Unspecified fracture of right hand, 7thG
    FY2026 changes
  • FY2016 — 2015-10-01
    In the code set at ICD-10-CM adoption
    Unspecified fracture of right wrist and hand, subsequent encounter for fracture with delayed healing

Verify Before Coding

  • No Medicare Code Editor or MS-DRG Definitions Manual restrictions apply to this code.

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.

Relationships & Classification

Other codes that name S62.91XG or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.

Referenced by 3 Excludes1 notes across 2 chapters: M84.3 — Stress fracture (via S62.-), M84.4 — Pathological fracture, not elsewhere classified (via S62.-), S61 — Open wound of wrist, hand and fingers (via S62.-).

These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.

Referenced by 1 Excludes2 note: S52 — Fracture of forearm (via S62.-).

These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.

Referenced by 1 Use Additional Code instruction: S67 — Crushing injury of wrist, hand and fingers (via S62.-).

These codes instruct coders to additionally report this code when it applies.

MS-DRG Grouper Relationships (FY2026)

Not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity.

Named in the grouper logic of 3 MS-DRGs: DRG 559 (MDC 08), DRG 560 (MDC 08), DRG 561 (MDC 08).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Clinical classification (AHRQ CCSR):INJ041 — Fracture of the upper limb, subsequent encounter (default).

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Related Codes

Same condition, opposite side

Same category and title, differing only in which side of the body is affected.

S62.90XG — Unspecified fracture of unspecified hand, subsequent encounter for fracture with delayed healing (unspecified)Compare S62.91XG vs S62.90XG →, S62.92XG — Unspecified fracture of left hand, subsequent encounter for fracture with delayed healing (left)Compare S62.91XG vs S62.92XG →

Same injury, other encounter phase

Same injury, coded at a different phase of treatment via the 7th character.

S62.91XA — Unspecified fracture of right hand, initial encounter for closed fracture Compare S62.91XG vs S62.91XA →, S62.91XB — Unspecified fracture of right hand, initial encounter for open fracture, S62.91XD — Unspecified fracture of right hand, subsequent encounter for fracture with routine healing, S62.91XK — Unspecified fracture of right hand, subsequent encounter for fracture with nonunion, S62.91XP — Unspecified fracture of right hand, subsequent encounter for fracture with malunion, S62.91XS — Unspecified fracture of right hand, sequela

Same clinical category (CCSR)

AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Fracture of the upper limb, subsequent encounter).

+4347 more

Contextual Map

Every relationship of S62.91XG in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Hierarchy

  • S00-T88 — Chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) (S00-T88) [Hierarchy]
  • S60-S69 — Injuries to the wrist, hand and fingers [Hierarchy]

Referenced by Excludes1 notes

  • M84.3 — Stress fracture [Excludes1](via S62.-): “traumatic fracture (S12.-, S22.-, S32.-, S42.-, S52.-, S62.-, S72.-, S82.-, S92.-)” · check together
  • M84.4 — Pathological fracture, not elsewhere classified [Excludes1](via S62.-): “traumatic fracture (S12.-, S22.-, S32.-, S42.-, S52.-, S62.-, S72.-, S82.-, S92.-)” · check together
  • S61 — Open wound of wrist, hand and fingers [Excludes1](via S62.-): “open fracture of wrist, hand and finger (S62.- with 7th character B)” · check together

Referenced by Excludes2 notes

  • S52 — Fracture of forearm [Excludes2](via S62.-): “fracture at wrist and hand level (S62.-)” · check together

Referenced by Use Additional Code instructions

  • S67 — Crushing injury of wrist, hand and fingers [Use Additional Code](via S62.-): “fracture of wrist and hand (S62.-)” · check together

Clinical classification (CCSR)

  • INJ041 — Fracture of the upper limb, subsequent encounter [CCSR]

MS-DRG Grouper

  • DRG 559 — AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC [MS-DRG]: “AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC (MDC 08)”
  • DRG 560 — AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC [MS-DRG]: “AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC (MDC 08)”
  • DRG 561 — AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC [MS-DRG]: “AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC (MDC 08)”

MDC crossing · procedures (18508)

  • MDC 08 — Diseases and Disorders of the Musculoskeletal System and Connective Tissue [MDC crossing]: “Diseases and Disorders of the Musculoskeletal System and Connective Tissue — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”
  • 005T0ZZ — Destruction of Spinal Meninges, Open Approach [Same-MDC procedure]: “Destruction of Spinal Meninges, Open Approach — grouped in MDC 08, the procedure side of this code's crossing.” · check together
  • 005T3ZZ — Destruction of Spinal Meninges, Percutaneous Approach [Same-MDC procedure]: “Destruction of Spinal Meninges, Percutaneous Approach — grouped in MDC 08, the procedure side of this code's crossing.” · check together
  • 005T4ZZ — Destruction of Spinal Meninges, Percutaneous Endoscopic Approach [Same-MDC procedure]: “Destruction of Spinal Meninges, Percutaneous Endoscopic Approach — grouped in MDC 08, the procedure side of this code's crossing.” · check together
  • 005W0Z3 — Destruction of Cervical Spinal Cord using Laser Interstitial Thermal Therapy, Open Approach [Same-MDC procedure]: “Destruction of Cervical Spinal Cord using Laser Interstitial Thermal Therapy, Open Approach — grouped in MDC 08, the procedure side of this code's crossing.” · check together
  • 005W0ZZ — Destruction of Cervical Spinal Cord, Open Approach [Same-MDC procedure]: “Destruction of Cervical Spinal Cord, Open Approach — grouped in MDC 08, the procedure side of this code's crossing.” · check together
  • and 18503 more

Nearest codes (40)

  • S62 — Fracture at wrist and hand level [Sibling]
  • S62.668 — Nondisplaced fracture of distal phalanx of other finger [Sibling]
  • S62.668A — Nondisplaced fracture of distal phalanx of other finger, initial encounter for closed fracture [Sibling]
  • S62.668B — Nondisplaced fracture of distal phalanx of other finger, initial encounter for open fracture [Sibling]
  • S62.668D — Nondisplaced fracture of distal phalanx of other finger, subsequent encounter for fracture with routine healing [Sibling]
  • S62.668G — Nondisplaced fracture of distal phalanx of other finger, subsequent encounter for fracture with delayed healing [Sibling]
  • S62.668K — Nondisplaced fracture of distal phalanx of other finger, subsequent encounter for fracture with nonunion [Sibling]
  • S62.668P — Nondisplaced fracture of distal phalanx of other finger, subsequent encounter for fracture with malunion [Sibling]
  • and 32 more

Change history (3)

  • FY2026 — Description revised [Change history]
  • and 2 more

Frequently Asked Questions (FAQ) & Clinical Guidance

Does S62.91XG require a 7th character?

Yes. The appropriate 7th character is to be added to each code from category S62.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to S62.91XG in its code family, with their registry titles.

  • S62.90XS — Unspecified fracture of unspecified hand, sequela
  • S62.91 — Unspecified fracture of right hand
  • S62.91XA — Unspecified fracture of right hand, initial encounter for closed fracture
  • S62.91XB — Unspecified fracture of right hand, initial encounter for open fracture
  • S62.91XD — Unspecified fracture of right hand, subsequent encounter for fracture with routine healing
  • S62.91XK — Unspecified fracture of right hand, subsequent encounter for fracture with nonunion
  • S62.91XP — Unspecified fracture of right hand, subsequent encounter for fracture with malunion
  • S62.91XS — Unspecified fracture of right hand, sequela
  • S62.92 — Unspecified fracture of left hand
  • S62.92XA — Unspecified fracture of left hand, initial encounter for closed fracture

View all codes in the S62 family