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S63.49 ICD-10-CM Code: Traumatic rupture of other ligament 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

Code Overview

Traumatic rupture of other ligament of finger at metacarpophalangeal and interphalangeal joint is a non-billable ICD-10-CM category code (S63.49). A more specific billable subcode must be selected for claims submission.

MedCoder summary 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 S63.49 in the official ICD-10-CM tabular list.

Notes without a marker are published on S63.49 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.

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

S63.490A, S63.490D, S63.490S, S63.491A, S63.491D, S63.491S, S63.492A, S63.492D

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.

Change history

  • FY2016 — October 1, 2015
    In the code set at ICD-10-CM adoption
    Traumatic rupture of other ligament 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.

Decision Points

The directives on this code's own record, as a pre-claim checklist.

  1. 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
  2. 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
  3. 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

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 S63.49 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 S63.49 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

Referenced by Excludes1 notes

Referenced by Excludes2 notes (12)

Nearest codes (40)

Change history

  • FY2016 — In the code set at ICD-10-CM adoption [Change history]

Frequently Asked Questions (FAQ) & Clinical Guidance

Can S63.49 be billed directly?

No. S63.49 (Traumatic rupture of other ligament 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 S63.49 require a 7th character?

Yes. The appropriate 7th character is to be added to each code from category S63.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to S63.49 in its code family, with their registry titles.

View all codes in the S63 family