S69.80XA ICD-10-CM Code: Other specified injuries of unspecified wrist, hand and finger(s), initial 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.
- MS-DRG 913 — TRAUMATIC INJURY WITH MCC (MDC 21)
- MS-DRG 914 — TRAUMATIC INJURY WITHOUT MCC (MDC 21)
- 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
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for S69.80XA 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.
- burns and corrosions (T20-T32) Compare S69.80XA vs T20 →
- frostbite (T33-T34) Compare S69.80XA vs T33 →
- insect bite or sting, venomous (T63.4) Compare S69.80XA vs T63.4 →
Frequently Compared Codes
The official Excludes notes on S69.80XA name these codes. Each comparison page covers when the two can — or must not — be reported together.
Change history
No changes recorded for this code — unchanged since the FY2016 baseline of the change ledger.
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.
Contextual Map
Every relationship of S69.80XA 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 Excludes2 notes
- S59 — Other and unspecified injuries of elbow and forearm [Excludes2](via S69.-): “other and unspecified injuries of wrist and hand (S69.-)” · check together
Clinical classification (CCSR)
- INJ026 — Other specified injury [CCSR]
Potential MS-DRG
- DRG 913 — TRAUMATIC INJURY WITH MCC [MS-DRG]: “TRAUMATIC INJURY WITH MCC (MDC 21)”
- DRG 914 — TRAUMATIC INJURY WITHOUT MCC [MS-DRG]: “TRAUMATIC INJURY WITHOUT MCC (MDC 21)”
- 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 (54986)
- MDC 21 — Injuries, Poisonings and Toxic Effects of Drugs [MDC crossing]: “Injuries, Poisonings and Toxic Effects of Drugs — 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.”
- 0016070 — Bypass Cerebral Ventricle to Nasopharynx with Autologous Tissue Substitute, Open Approach [Same-MDC procedure]: “Bypass Cerebral Ventricle to Nasopharynx with Autologous Tissue Substitute, Open Approach — grouped in MDC 21, the procedure side of this code's crossing.” · check together
- 0016071 — Bypass Cerebral Ventricle to Mastoid Sinus with Autologous Tissue Substitute, Open Approach [Same-MDC procedure]: “Bypass Cerebral Ventricle to Mastoid Sinus with Autologous Tissue Substitute, Open Approach — grouped in MDC 21, the procedure side of this code's crossing.” · check together
- 0016072 — Bypass Cerebral Ventricle to Atrium with Autologous Tissue Substitute, Open Approach [Same-MDC procedure]: “Bypass Cerebral Ventricle to Atrium with Autologous Tissue Substitute, Open Approach — grouped in MDC 21, the procedure side of this code's crossing.” · check together
- 0016073 — Bypass Cerebral Ventricle to Blood Vessel with Autologous Tissue Substitute, Open Approach [Same-MDC procedure]: “Bypass Cerebral Ventricle to Blood Vessel with Autologous Tissue Substitute, Open Approach — grouped in MDC 21, the procedure side of this code's crossing.” · check together
- 0016074 — Bypass Cerebral Ventricle to Pleural Cavity with Autologous Tissue Substitute, Open Approach [Same-MDC procedure]: “Bypass Cerebral Ventricle to Pleural Cavity with Autologous Tissue Substitute, Open Approach — grouped in MDC 21, the procedure side of this code's crossing.” · check together
- and 54981 more
Nearest codes (26)
- S69 — Other and unspecified injuries of wrist, hand and finger(s) [Sibling]
- S69.8 — Other specified injuries of wrist, hand and finger(s) [Sibling]
- S69.80 — Other specified injuries of unspecified wrist, hand and finger(s) [Sibling]
- S69.80XD — Other specified injuries of unspecified wrist, hand and finger(s), subsequent encounter [Sibling]
- S69.80XS — Other specified injuries of unspecified wrist, hand and finger(s), sequela [Sibling]
- S69.81 — Other specified injuries of right wrist, hand and finger(s) [Sibling]
- S69.81XA — Other specified injuries of right wrist, hand and finger(s), initial encounter [Sibling]
- S69.81XD — Other specified injuries of right wrist, hand and finger(s), subsequent encounter [Sibling]
- and 18 more
Referenced by Other Codes
Clinical classification (AHRQ CCSR):INJ026 — Other specified injury (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 5 MS-DRGs: DRG 913 (MDC 21), DRG 914 (MDC 21), 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.
Official ICD-10-CM tabular notes on other codes that name S69.80XA or its code family.
1 Excludes2 notes: S59 (via S69.-).
Frequently Asked Questions (FAQ) & Clinical Guidance
Does S69.80XA require a 7th character?
Yes. The appropriate 7th character is to be added to each code from category S69.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to S69.80XA in its code family, with their registry titles.
- S69 — Other and unspecified injuries of wrist, hand and finger(s)
- S69.8 — Other specified injuries of wrist, hand and finger(s)
- S69.80 — Other specified injuries of unspecified wrist, hand and finger(s)
- S69.80XD — Other specified injuries of unspecified wrist, hand and finger(s), subsequent encounter
- S69.80XS — Other specified injuries of unspecified wrist, hand and finger(s), sequela
- S69.81 — Other specified injuries of right wrist, hand and finger(s)
- S69.81XA — Other specified injuries of right wrist, hand and finger(s), initial encounter
- S69.81XD — Other specified injuries of right wrist, hand and finger(s), subsequent encounter
- S69.81XS — Other specified injuries of right wrist, hand and finger(s), sequela
- S69.82 — Other specified injuries of left wrist, hand and finger(s)