S63.43 ICD-10-CM Code: Traumatic rupture of volar plate of finger at metacarpophalangeal and interphalangeal joint
Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.
Coding at a Glance
- 7th character
- Required — see the character table on this page
- Tabular directives
- 7 inclusion terms · 4 Excludes2 · 1 code-also instruction
Coding instructions
Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for S63.43 in the official ICD-10-CM tabular list, quoted as published.
Notes without a marker are published on S63.43 itself; “inherited from” names the category or block whose note applies here.
Includes
Conditions the official ICD-10-CM tabular list includes under this code.
- 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
- traumatic rupture of joint or ligament at wrist and hand level
- traumatic subluxation of joint or ligament at wrist and hand level
- traumatic tear of joint or ligament at wrist and hand level
Source: inherited from S63
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- strain of muscle, fascia and tendon of wrist and hand (S66.-) inherited from S63Compare S63.43 vs S66 →
- burns and corrosions (T20-T32) inherited from S60-S69Compare S63.43 vs T20 →
- frostbite (T33-T34) inherited from S60-S69Compare S63.43 vs T33 →
- insect bite or sting, venomous (T63.4) inherited from S60-S69Compare S63.43 vs T63.4 →
Code Also
Additional codes that may be required to fully describe the encounter.
- any associated open wound
Source: inherited from S63
7th Character Guide
"The appropriate 7th character is to be added to each code from category S63"
- A — initial encounter
- D — subsequent encounter
- S — sequela
How the encounter character is assigned. “Initial encounter” means the patient is receiving active treatment for the condition — it is not limited to the first visit, and a different or new provider giving active treatment still assigns it. “Subsequent encounter” covers care during the healing or recovery phase after active treatment. “Sequela” is for complications or conditions that arise as a direct result of the original condition.
ICD-10-CM Official Guidelines for Coding and Reporting, Section I.C.19.a (paraphrased by MedCoder).
Variant codes in this family
S63.430A, S63.430D, S63.430S, S63.431A, S63.431D, S63.431S, S63.432A, S63.432D
Character meanings are CMS's official 7th-character extensions for this family, as carried in each variant code's official description; variant codes are registry rows. The explanation of how the encounter character is assigned is MedCoder editorial, distinct from the official content above it.
Code Overview
MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.
Decision Points
The directives on this code's own record, as a pre-claim checklist.
- A 7th character applies in this family. Confirm the documented encounter matches the character assigned. See the official 7th-character definitions and this code’s variants
- 1 Code Also note — a second code may apply; the guidelines leave its sequencing to the circumstances of the encounter. See the Code Also notes
- 4 Excludes2 entries — those conditions are not part of this code and may be reported additionally when documented. See the Excludes2 notes
Checklist rows are derived from this code's own official directives; the wording of each check is MedCoder editorial. The official notes themselves are in the sections each row links to.
Verify Before Coding
- Not billable as written — a more specific code is required: S63.430A, S63.430D, S63.430S, S63.431A, S63.431D.
- Requires a 7th character. "The appropriate 7th character is to be added to each code from category S63" Options: S63.430A, S63.430D, S63.430S, S63.431A, S63.431D, S63.431S
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 S63.43 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 1 Excludes1 note: S63.6 — Other and unspecified sprain of finger(s) (via S63.4.-).
These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.
Referenced by 12 Excludes2 notes: S50 — Superficial injury of elbow and forearm (via S63.-), S50-S59 — Injuries to the elbow and forearm (S50-S59) (via S63.-), S51 — Open wound of elbow and forearm (via S63.-), S52 — Fracture of forearm (via S63.-), S53 — Dislocation and sprain of joints and ligaments of elbow (via S63.-), S54 — Injury of nerves at forearm level (via S63.-), S55 — Injury of blood vessels at forearm level (via S63.-), S56 — Injury of muscle, fascia and tendon at forearm level (via S63.-), S57 — Crushing injury of elbow and forearm (via S63.-), S58 — Traumatic amputation of elbow and forearm (via S63.-), S59 — Other and unspecified injuries of elbow and forearm (via S63.-), S66 — Injury of muscle, fascia and tendon at wrist and hand level (via S63.-).
These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.
Related Codes
Same Index main term, other category
The ICD-10-CM Index to Diseases and Injuries files this code under the main term “Rupture, ruptured”; these codes share that main term but sit in a different category of the Tabular List.
S23.0 — Traumatic rupture of thoracic intervertebral disc (traumatic, intervertebral disc, thoracic), S33.0 — Traumatic rupture of lumbar intervertebral disc (traumatic, intervertebral disc, lumbar), S33.4 — Traumatic rupture of symphysis pubis (traumatic, symphysis pubis), S36.09 — Other injury of spleen (spleen), S36.116 — Major laceration of liver (liver), S36.128 — Other injury of gallbladder (gallbladder, traumatic), S36.299 — Other injury of unspecified part of pancreas (traumatic, pancreas), S36.39 — Other injury of stomach (stomach, traumatic), S36.593 — Other injury of sigmoid colon (traumatic, sigmoid), S36.598 — Other injury of other part of colon (cecum, traumatic), S36.69 — Other injury of rectum (rectum, traumatic), S37.06 — Major laceration of kidney (kidney), S37.19 — Other injury of ureter (ureter), S37.29 — Other injury of bladder (bladder, traumatic), S37.39 — Other injury of urethra (urethra, traumatic), S37.69 — Other injury of uterus (uterus), S37.828 — Other injury of prostate (prostate), S53.2 — Traumatic rupture of radial collateral ligament (traumatic, ligament, radial collateral), S53.3 — Traumatic rupture of ulnar collateral ligament (traumatic, ligament, ulnar collateral), S83.3 — Tear of articular cartilage of knee, current (cartilage, knee), +138 more
Contextual Map
Every relationship of S63.43 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.
Run S63.43 with these 9 related codes in Claim Check
Hierarchy
- S00-T88 — Chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) (S00-T88)[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
Referenced by Excludes1 notes
- S63.6 — Other and unspecified sprain of finger(s)[Excludes1](via S63.4.-): “traumatic rupture of ligament of finger at metacarpophalangeal and interphalangeal joint(s) (S63.4-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Referenced by Excludes2 notes (12)
- S50 — Superficial injury of elbow and forearm[Excludes2](via S63.-): “injuries of wrist and hand (S60-S69)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- S50-S59 — Injuries to the elbow and forearm (S50-S59)[Excludes2](via S63.-): “injuries of wrist and hand (S60-S69)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- S51 — Open wound of elbow and forearm[Excludes2](via S63.-): “injuries of wrist and hand (S60-S69)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- S52 — Fracture of forearm[Excludes2](via S63.-): “injuries of wrist and hand (S60-S69)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- S53 — Dislocation and sprain of joints and ligaments of elbow[Excludes2](via S63.-): “injuries of wrist and hand (S60-S69)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- S54 — Injury of nerves at forearm level[Excludes2](via S63.-): “injuries of wrist and hand (S60-S69)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- S55 — Injury of blood vessels at forearm level[Excludes2](via S63.-): “injuries of wrist and hand (S60-S69)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- S56 — Injury of muscle, fascia and tendon at forearm level[Excludes2](via S63.-): “injuries of wrist and hand (S60-S69)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- and 4 more
Nearest codes (40)
- S63 — Dislocation and sprain of joints and ligaments at wrist and hand level[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- S63.425 — Traumatic rupture of palmar ligament of left ring finger at metacarpophalangeal and interphalangeal joint[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- S63.425A — Traumatic rupture of palmar ligament of left ring finger at metacarpophalangeal and interphalangeal joint, initial encounter[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- S63.425D — Traumatic rupture of palmar ligament of left ring finger at metacarpophalangeal and interphalangeal joint, subsequent encounter[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- S63.425S — Traumatic rupture of palmar ligament of left ring finger at metacarpophalangeal and interphalangeal joint, sequela[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- S63.426 — Traumatic rupture of palmar ligament of right little finger at metacarpophalangeal and interphalangeal joint[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- S63.426A — Traumatic rupture of palmar ligament of right little finger at metacarpophalangeal and interphalangeal joint, initial encounter[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- S63.426D — Traumatic rupture of palmar ligament of right little finger at metacarpophalangeal and interphalangeal joint, subsequent encounter[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- and 32 more
Change history
- FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016
Common coding questions
Can S63.43 be billed directly?
No. S63.43 (Traumatic rupture of volar plate of finger at metacarpophalangeal and interphalangeal joint) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.
Does S63.43 require a 7th character?
Yes. The appropriate 7th character is to be added to each code from category S63.
Sources for this page
Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.
- Code, title, tabular notes and index terms Official source data
- CMS/CDC ICD-10-CM FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page
- Claim edits Official source data
- CMS Definitions of Medicare Code Edits — v43.1 (April 2026) Release, file and checksum · Publisher’s page
- Change history and date-of-service validity Official source data
- CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
- Comparisons, relationships and the contextual map MedCoder structured relationship
- Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
- Summary and FAQ answers MedCoder explanation
- Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.
Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates
Change history
- FY2016 — October 1, 2015In the code set at ICD-10-CM adoptionTraumatic rupture of volar plate of finger at metacarpophalangeal and interphalangeal joint
No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027 (effective October 1, 2026), and none are recorded for this code. Note changes are tracked from FY2027 only.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to S63.43 in its code family, with their registry titles.
- S63.428S — Traumatic rupture of palmar ligament of other finger at metacarpophalangeal and interphalangeal joint, sequela
- S63.429 — Traumatic rupture of palmar ligament of unspecified finger at metacarpophalangeal and interphalangeal joint
- S63.429A — Traumatic rupture of palmar ligament of unspecified finger at metacarpophalangeal and interphalangeal joint, initial encounter
- S63.429D — Traumatic rupture of palmar ligament of unspecified finger at metacarpophalangeal and interphalangeal joint, subsequent encounter
- S63.429S — Traumatic rupture of palmar ligament of unspecified finger at metacarpophalangeal and interphalangeal joint, sequela
- S63.430 — Traumatic rupture of volar plate of right index finger at metacarpophalangeal and interphalangeal joint
- S63.430A — Traumatic rupture of volar plate of right index finger at metacarpophalangeal and interphalangeal joint, initial encounter
- S63.430D — Traumatic rupture of volar plate of right index finger at metacarpophalangeal and interphalangeal joint, subsequent encounter
- S63.430S — Traumatic rupture of volar plate of right index finger at metacarpophalangeal and interphalangeal joint, sequela
- S63.431 — Traumatic rupture of volar plate of left index finger at metacarpophalangeal and interphalangeal joint