2024 ICD-10-CM Diagnosis Code S63.65

Sprain of metacarpophalangeal joint of other and unspecified finger(s)

ICD-10-CM Code:
S63.65
ICD-10 Code for:
Sprain of metacarpophalangeal joint of and unsp finger(s)
Is Billable?
Not Valid for Submission
Code Navigator:

Code Classification

  • Injury, poisoning and certain other consequences of external causes
    (S00–T88)
    • Injuries to the wrist, hand and fingers
      (S60-S69)
      • Dislocation and sprain of joints and ligaments at wrist and hand level
        (S63)

S63.65 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of sprain of metacarpophalangeal joint of other and unspecified finger(s). The code is not specific and is NOT valid for the year 2024 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

Unspecified diagnosis codes like S63.65 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.

Specific Coding Applicable to Sprain of metacarpophalangeal joint of and unsp finger(s)

Non-specific codes like S63.65 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10-CM codes with a higher level of specificity when coding for sprain of metacarpophalangeal joint of and unsp finger(s):

  • S63.650 for Sprain of metacarpophalangeal joint of right index finger - NON-BILLABLE CODE

  • Use S63.650A for initial encounter - BILLABLE CODE

  • Use S63.650D for subsequent encounter - BILLABLE CODE

  • Use S63.650S for sequela - BILLABLE CODE

  • S63.651 for Sprain of metacarpophalangeal joint of left index finger - NON-BILLABLE CODE

  • Use S63.651A for initial encounter - BILLABLE CODE

  • Use S63.651D for subsequent encounter - BILLABLE CODE

  • Use S63.651S for sequela - BILLABLE CODE

  • S63.652 for Sprain of metacarpophalangeal joint of right middle finger - NON-BILLABLE CODE

  • Use S63.652A for initial encounter - BILLABLE CODE

  • Use S63.652D for subsequent encounter - BILLABLE CODE

  • Use S63.652S for sequela - BILLABLE CODE

  • S63.653 for Sprain of metacarpophalangeal joint of left middle finger - NON-BILLABLE CODE

  • Use S63.653A for initial encounter - BILLABLE CODE

  • Use S63.653D for subsequent encounter - BILLABLE CODE

  • Use S63.653S for sequela - BILLABLE CODE

  • S63.654 for Sprain of metacarpophalangeal joint of right ring finger - NON-BILLABLE CODE

  • Use S63.654A for initial encounter - BILLABLE CODE

  • Use S63.654D for subsequent encounter - BILLABLE CODE

  • Use S63.654S for sequela - BILLABLE CODE

  • S63.655 for Sprain of metacarpophalangeal joint of left ring finger - NON-BILLABLE CODE

  • Use S63.655A for initial encounter - BILLABLE CODE

  • Use S63.655D for subsequent encounter - BILLABLE CODE

  • Use S63.655S for sequela - BILLABLE CODE

  • S63.656 for Sprain of metacarpophalangeal joint of right little finger - NON-BILLABLE CODE

  • Use S63.656A for initial encounter - BILLABLE CODE

  • Use S63.656D for subsequent encounter - BILLABLE CODE

  • Use S63.656S for sequela - BILLABLE CODE

  • S63.657 for Sprain of metacarpophalangeal joint of left little finger - NON-BILLABLE CODE

  • Use S63.657A for initial encounter - BILLABLE CODE

  • Use S63.657D for subsequent encounter - BILLABLE CODE

  • Use S63.657S for sequela - BILLABLE CODE

  • S63.658 for Sprain of metacarpophalangeal joint of other finger - NON-BILLABLE CODE

  • Use S63.658A for initial encounter - BILLABLE CODE

  • Use S63.658D for subsequent encounter - BILLABLE CODE

  • Use S63.658S for sequela - BILLABLE CODE

  • S63.659 for Sprain of metacarpophalangeal joint of unspecified finger - NON-BILLABLE CODE

  • Use S63.659A for initial encounter - BILLABLE CODE

  • Use S63.659D for subsequent encounter - BILLABLE CODE

  • Use S63.659S for sequela - BILLABLE CODE

Coding Guidelines

The appropriate 7th character is to be added to each code from block Dislocation and sprain of joints and ligaments at wrist and hand level (S63). Use the following options for the aplicable episode of care:

  • A - initial encounter
  • D - subsequent encounter
  • S - sequela

Index to Diseases and Injuries References

The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).

Patient Education


Finger Injuries and Disorders

You use your fingers and thumbs to do everything from grasping objects to playing musical instruments to typing. When there is something wrong with them, it can make life difficult. Common problems include:

  • Injuries that result in fractures (broken bones), ruptured ligaments and dislocations
  • Osteoarthritis - wear-and-tear arthritis. It can also cause deformity.
  • Tendinitis - irritation of the tendons
  • Dupuytren's contracture - a hereditary thickening of the tough tissue that lies just below the skin of your palm. It causes the fingers to stiffen and bend.
  • Trigger finger - an irritation of the sheath that surrounds the flexor tendons. It can cause the tendon to catch and release like a trigger.

[Learn More in MedlinePlus]

Sprains and Strains

A sprain is a stretched or torn ligament. Ligaments are tissues that connect bones at a joint. Falling, twisting, or getting hit can all cause a sprain. Ankle and wrist sprains are common. Symptoms include pain, swelling, bruising, and being unable to move your joint. You might feel a pop or tear when the injury happens.

A strain is a stretched or torn muscle or tendon. Tendons are tissues that connect muscle to bone. Twisting or pulling these tissues can cause a strain. Strains can happen suddenly or develop over time. Back and hamstring muscle strains are common. Many people get strains playing sports. Symptoms include pain, muscle spasms, swelling, and trouble moving the muscle.

At first, treatment of both sprains and strains usually involves resting the injured area, icing it, wearing a bandage or device that compresses the area, and medicines. Later treatment might include exercise and physical therapy.

NIH: National Institute of Arthritis and Musculoskeletal and Skin Diseases


[Learn More in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.