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S63.92XD ICD-10-CM Code: Sprain of unspecified part of left wrist and hand, subsequent encounter

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

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

Inpatient Payment Groups (MS-DRG)

Potential MS-DRG participation — not a DRG assignment.

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

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.

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for S63.92XD in the official ICD-10-CM tabular list, quoted as published.

Notes without a marker are published on S63.92XD 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 (this page’s code)
  • 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

S63.92XA, S63.92XD, S63.92XS

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

Sprain of unspecified part of left wrist and hand, subsequent encounter is a billable ICD-10-CM diagnosis code (S63.92XD).

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.

  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. Laterality is coded in this family. Confirm the documented side matches the code — the opposite-side siblings are in the relationships section. See the opposite-side sibling codes
  3. 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. 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

  • 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 S63.92XD 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 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.

MS-DRG Grouper Relationships (FY2026)

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

Potential MS-DRG participation — not a DRG assignment.

Named in the grouper logic of 2 MS-DRGs: DRG 949 (MDC 23), DRG 950 (MDC 23).

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

Clinical classification (AHRQ CCSR):INJ061 — Sprains and strains, 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.

S63.90XD — Sprain of unspecified part of unspecified wrist and hand, subsequent encounter (unspecified)Compare S63.92XD vs S63.90XD →, S63.91XD — Sprain of unspecified part of right wrist and hand, subsequent encounter (right)Compare S63.92XD vs S63.91XD →

Same injury, other encounter phase

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

S63.92XA — Sprain of unspecified part of left wrist and hand, initial encounterCompare S63.92XD vs S63.92XA →, S63.92XS — Sprain of unspecified part of left wrist and hand, sequela

Same clinical category (CCSR)

AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Sprains and strains, subsequent encounter).

+488 more

Same Index main term, other category

The ICD-10-CM Index to Diseases and Injuries files this code under the main term “Sprain”; these codes share that main term but sit in a different category of the Tabular List.

S43.5 — Sprain of acromioclavicular joint (acromioclavicular joint or ligament), S43.6 — Sprain of sternoclavicular joint (sternoclavicular joint), S43.8 — Sprain of other specified parts of shoulder girdle (coracoclavicular), S43.9 — Sprain of unspecified parts of shoulder girdle (shoulder joint, girdle), S53.40 — Unspecified sprain of elbow (elbow), S53.41 — Radiohumeral (joint) sprain (elbow, radiohumeral), S53.42 — Ulnohumeral (joint) sprain (elbow, ulnohumeral), S53.43 — Radial collateral ligament sprain (elbow, radial collateral ligament), S53.44 — Ulnar collateral ligament sprain (elbow, ulnar collateral ligament), S53.49 — Other sprain of elbow (elbow, specified type NEC), S73.10 — Unspecified sprain of hip (hip), S73.11 — Iliofemoral ligament sprain of hip (hip, iliofemoral ligament), S73.12 — Ischiocapsular (ligament) sprain of hip (hip, ischiocapsular), S73.19 — Other sprain of hip (hip, specified NEC), S76.11 — Strain of quadriceps muscle, fascia and tendon (patellar ligament), S83.40 — Sprain of unspecified collateral ligament of knee (knee, collateral ligament), S83.41 — Sprain of medial collateral ligament of knee (knee, medialcollateral ligament), S83.42 — Sprain of lateral collateral ligament of knee (knee, lateralcollateral ligament), S83.50 — Sprain of unspecified cruciate ligament of knee (knee, cruciate ligament), S83.51 — Sprain of anterior cruciate ligament of knee (knee, cruciate ligament, anterior), +39 more

Contextual Map

Every relationship of S63.92XD 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 S63.92XD with these 8 related codes in Claim Check

Hierarchy

Referenced by Excludes2 notes (12)

Clinical classification (CCSR)

MS-DRG Grouper

MDC crossing

  • MDC 23 — Factors Influencing Health Status and Other Contacts with Health Services[MDC crossing]: “Factors Influencing Health Status and Other Contacts with Health Services — 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. 1,235 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2026

Nearest codes (40)

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

Does S63.92XD 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
Inpatient payment groups Official source data
CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v43 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, 2015
    In the code set at ICD-10-CM adoption
    Sprain of unspecified part of left wrist and hand, subsequent encounter

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 S63.92XD in its code family, with their registry titles.

View all codes in the S63 family