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S62.92XB ICD-10-CM Code: Unspecified fracture of left hand, initial encounter for open fracture

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 562 — FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC (MDC 08)
  • MS-DRG 563 — FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC (MDC 08)
  • MS-DRG 963 — OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC (MDC 24)
  • MS-DRG 964 — OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC (MDC 24)
  • MS-DRG 965 — OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC (MDC 24)

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.

Official Registry Overview & Definition

Unspecified fracture of left hand, initial encounter for open fracture is a billable ICD-10-CM diagnosis code (S62.92B).

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for S62.92XB 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.

Frequently Compared Codes

The official Excludes notes on S62.92XB 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 left wrist and hand, initial encounter for open fracture → Unspecified fracture of left hand, initial encounter for open fracture
    FY2026 changes
  • FY2026 — 2025-10-01
    Short description revised
    Unsp fracture of left wrist and hand, init for opn fx → Unspecified fracture of left hand, 7thB
    FY2026 changes

Verify Before Coding

  • CC as a secondary diagnosis (FY2026). Can raise the stay's MS-DRG severity tier.

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

Relationships & Classification

Other codes that name S62.92XB 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.

3 Excludes1 notes across 2 chapters: M84.3 (via S62.-), M84.4 (via S62.-), S61 (via S62.-).

1 Excludes2 notes: S52 (via S62.-).

1 Use Additional Code instructions: S67 (via S62.-).

Potential MS-DRG Relationships (FY2026)

CC — Complication or Comorbidity. Reported as a secondary diagnosis, this code raises the stay's MS-DRG severity tier — except when the principal diagnosis is one of 175 clinically related codes on its CMS exclusion list.

Named in the grouper logic of 5 MS-DRGs: DRG 562 (MDC 08), DRG 563 (MDC 08), DRG 963 (MDC 24), DRG 964 (MDC 24), DRG 965 (MDC 24).

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

Clinical classification (AHRQ CCSR):INJ004 — Fracture of the upper limb, initial 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 clinical process (MS-DRG)

Acts as CC — raises the severity of other admissions. CMS groups these diagnoses into one MS-DRG principal-diagnosis exclusion process — a CC/MCC on this list never raises severity when the principal diagnosis is also on it.

S62.662B — Nondisplaced fracture of distal phalanx of right middle finger, initial encounter for open fracture, S62.663A — Nondisplaced fracture of distal phalanx of left middle finger, initial encounter for closed fracture, S62.663B — Nondisplaced fracture of distal phalanx of left middle finger, initial encounter for open fracture, S62.664A — Nondisplaced fracture of distal phalanx of right ring finger, initial encounter for closed fracture, S62.664B — Nondisplaced fracture of distal phalanx of right ring finger, initial encounter for open fracture, S62.665A — Nondisplaced fracture of distal phalanx of left ring finger, initial encounter for closed fracture, S62.665B — Nondisplaced fracture of distal phalanx of left ring finger, initial encounter for open fracture, S62.666A — Nondisplaced fracture of distal phalanx of right little finger, initial encounter for closed fracture, S62.666B — Nondisplaced fracture of distal phalanx of right little finger, initial encounter for open fracture, S62.667A — Nondisplaced fracture of distal phalanx of left little finger, initial encounter for closed fracture, S62.667B — Nondisplaced fracture of distal phalanx of left little finger, initial encounter for open fracture, S62.668A — Nondisplaced fracture of distal phalanx of other finger, initial encounter for closed fracture, S62.668B — Nondisplaced fracture of distal phalanx of other finger, initial encounter for open fracture, S62.669A — Nondisplaced fracture of distal phalanx of unspecified finger, initial encounter for closed fracture, S62.669B — Nondisplaced fracture of distal phalanx of unspecified finger, initial encounter for open fracture, S62.90XA — Unspecified fracture of unspecified hand, initial encounter for closed fracture, S62.90XB — Unspecified fracture of unspecified hand, initial encounter for open fracture, S62.91XA — Unspecified fracture of right hand, initial encounter for closed fracture, S62.91XB — Unspecified fracture of right hand, initial encounter for open fracture, S62.92XA — Unspecified fracture of left hand, initial encounter for closed fracture, +155 more

Same condition, opposite side

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

S62.91XB — Unspecified fracture of right hand, initial encounter for open fracture (right)Compare S62.92XB vs S62.91XB →, S62.90XB — Unspecified fracture of unspecified hand, initial encounter for open fracture (unspecified)Compare S62.92XB vs S62.90XB →

Same injury, other encounter phase

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

S62.92XA — Unspecified fracture of left hand, initial encounter for closed fracture Compare S62.92XB vs S62.92XA →, S62.92XD — Unspecified fracture of left hand, subsequent encounter for fracture with routine healing, S62.92XG — Unspecified fracture of left hand, subsequent encounter for fracture with delayed healing, S62.92XK — Unspecified fracture of left hand, subsequent encounter for fracture with nonunion, S62.92XP — Unspecified fracture of left hand, subsequent encounter for fracture with malunion, S62.92XS — Unspecified fracture of left hand, sequela

Same clinical category (CCSR)

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

+1554 more

Contextual Map

Every relationship of S62.92XB 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)

  • INJ004 — Fracture of the upper limb, initial encounter [CCSR]

Potential MS-DRG

  • CC — Complication or Comorbidity [MS-DRG severity]: “As a secondary diagnosis this code can raise the stay's MS-DRG severity tier (CC).”
  • DRG 562 — FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC [MS-DRG]: “FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC (MDC 08)”
  • DRG 563 — FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC [MS-DRG]: “FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC (MDC 08)”
  • DRG 963 — OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC [MS-DRG]: “OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC (MDC 24)”
  • DRG 964 — OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC [MS-DRG]: “OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC (MDC 24)”
  • DRG 965 — OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC [MS-DRG]: “OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC (MDC 24)”

MDC crossing · procedures (41465)

  • 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.”
  • MDC 24 — Multiple Significant Trauma [MDC crossing]: “Multiple Significant Trauma — 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 41460 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 (2)

  • FY2026 — Description revised [Change history]
  • and 1 more

Frequently Asked Questions (FAQ) & Clinical Guidance

Does S62.92XB 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 S62.92XB in its code family, with their registry titles.

  • S62.91XG — Unspecified fracture of right hand, subsequent encounter for fracture with delayed 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
  • S62.92XD — Unspecified fracture of left hand, subsequent encounter for fracture with routine healing
  • S62.92XG — Unspecified fracture of left hand, subsequent encounter for fracture with delayed healing
  • S62.92XK — Unspecified fracture of left hand, subsequent encounter for fracture with nonunion
  • S62.92XP — Unspecified fracture of left hand, subsequent encounter for fracture with malunion

View all codes in the S62 family