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ICD-10/S67.21XD

S67.21XD ICD-10-CM Code: Crushing injury of right hand, subsequent encounter

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.

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

Crushing injury of right hand, subsequent encounter is a billable ICD-10-CM diagnosis code (S67.21D).

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for S67.21XD in the official ICD-10-CM tabular list.

Excludes2 — Not Included Here

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

Use Additional Code

Supplementary codes the tabular list directs you to add.

  • Use additional code for all associated injuries, such as:
  • fracture of wrist and hand (S62.-)
  • open wound of wrist and hand (S61.-)

Change history

No changes recorded for this code — unchanged since the FY2016 baseline of the change ledger.

Verify Before Coding

  • Billable — reportable as written.

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

Contextual Map

Every relationship of S67.21XD 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

  • S67.4 — Crushing injury of wrist and hand [Excludes1](via S67.2.-): “crushing injury of hand alone (S67.2-)” · check together

Referenced by Excludes2 notes

  • S57 — Crushing injury of elbow and forearm [Excludes2](via S67.-): “crushing injury of wrist and hand (S67.-)” · check together

Clinical classification (CCSR)

  • INJ055 — Crushing injury, subsequent encounter [CCSR]

Potential MS-DRG

  • DRG 949 — AFTERCARE WITH CC/MCC [MS-DRG]: “AFTERCARE WITH CC/MCC (MDC 23)”
  • DRG 950 — AFTERCARE WITHOUT CC/MCC [MS-DRG]: “AFTERCARE WITHOUT CC/MCC (MDC 23)”

MDC crossing · procedures (1235)

  • 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.”
  • F003GKZ — Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Audiovisual Equipment [Same-MDC procedure]: “Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Audiovisual Equipment — grouped in MDC 23, the procedure side of this code's crossing.” · check together
  • F003GMZ — Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Augmentative / Alternative Communication Equipment [Same-MDC procedure]: “Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Augmentative / Alternative Communication Equipment — grouped in MDC 23, the procedure side of this code's crossing.” · check together
  • F003GPZ — Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Computer [Same-MDC procedure]: “Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Computer — grouped in MDC 23, the procedure side of this code's crossing.” · check together
  • F003GYZ — Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Other Equipment [Same-MDC procedure]: “Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Other Equipment — grouped in MDC 23, the procedure side of this code's crossing.” · check together
  • F003GZZ — Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body [Same-MDC procedure]: “Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body — grouped in MDC 23, the procedure side of this code's crossing.” · check together
  • and 1230 more

Nearest codes (40)

  • S67 — Crushing injury of wrist, hand and fingers [Sibling]
  • S67.195S — Crushing injury of left ring finger, sequela [Sibling]
  • S67.196 — Crushing injury of right little finger [Sibling]
  • S67.196A — Crushing injury of right little finger, initial encounter [Sibling]
  • S67.196D — Crushing injury of right little finger, subsequent encounter [Sibling]
  • S67.196S — Crushing injury of right little finger, sequela [Sibling]
  • S67.197 — Crushing injury of left little finger [Sibling]
  • S67.197A — Crushing injury of left little finger, initial encounter [Sibling]
  • and 32 more

Referenced by Other Codes

Clinical classification (AHRQ CCSR):INJ055 — Crushing injury, 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.

Potential MS-DRG 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 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.

Official ICD-10-CM tabular notes on other codes that name S67.21XD or its code family.

1 Excludes1 notes: S67.4 (via S67.2.-).

1 Excludes2 notes: S57 (via S67.-).

Frequently Asked Questions (FAQ) & Clinical Guidance

Does S67.21XD require a 7th character?

Yes. The appropriate 7th character is to be added to each code from category S67.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to S67.21XD in its code family, with their registry titles.

  • S67.20XA — Crushing injury of unspecified hand, initial encounter
  • S67.20XD — Crushing injury of unspecified hand, subsequent encounter
  • S67.20XS — Crushing injury of unspecified hand, sequela
  • S67.21 — Crushing injury of right hand
  • S67.21XA — Crushing injury of right hand, initial encounter
  • S67.21XS — Crushing injury of right hand, sequela
  • S67.22 — Crushing injury of left hand
  • S67.22XA — Crushing injury of left hand, initial encounter
  • S67.22XD — Crushing injury of left hand, subsequent encounter
  • S67.22XS — Crushing injury of left hand, sequela

View all codes in the S67 family