2024 ICD-10-CM Diagnosis Code S64.11XS

Injury of median nerve at wrist and hand level of right arm, sequela

ICD-10-CM Code:
S64.11XS
ICD-10 Code for:
Injury of median nerve at wrs/hnd lv of right arm, sequela
Is Billable?
Yes - Valid for Submission
Chronic Condition Indicator: [1]
Not chronic
Code Navigator:

Code Classification

  • Injury, poisoning and certain other consequences of external causes
    (S00–T88)
    • Injuries to the wrist, hand and fingers
      (S60-S69)
      • Injury of nerves at wrist and hand level
        (S64)

S64.11XS is a billable diagnosis code used to specify a medical diagnosis of injury of median nerve at wrist and hand level of right arm, sequela. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

S64.11XS is a sequela code, includes a 7th character and should be used for complications that arise as a direct result of a condition like injury of median nerve at wrist and hand level of right arm. According to ICD-10-CM Guidelines a "sequela" code should be used for chronic or residual conditions that are complications of an initial acute disease, illness or injury. The most common sequela is pain. Usually, two diagnosis codes are needed when reporting sequela. The first code describes the nature of the sequela while the second code describes the sequela or late effect.

Clinical Classification

Coding Guidelines

The appropriate 7th character is to be added to each code from block Injury of nerves at wrist and hand level (S64). Use the following options for the aplicable episode of care:

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

Present on Admission (POA)

S64.11XS is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here.

CMS POA Indicator Options and Definitions

POA IndicatorReason for CodeCMS will pay the CC/MCC DRG?
YDiagnosis was present at time of inpatient admission.YES
NDiagnosis was not present at time of inpatient admission.NO
UDocumentation insufficient to determine if the condition was present at the time of inpatient admission.NO
WClinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.YES
1Unreported/Not used - Exempt from POA reporting. NO

Convert S64.11XS to ICD-9-CM

  • ICD-9-CM Code: 907.4 - Lt eff nerv inj shld/arm
    Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.

Patient Education


Hand Injuries and Disorders

No matter how old you are or what you do for a living, you are always using your hands. When there is something wrong with them, you may not be able to do your regular activities.

Hand problems include :

  • Carpal tunnel syndrome - compression of a nerve as it goes through the wrist, often making your fingers feel numb
  • Injuries that result in fractures (broken bones), ruptured ligaments and dislocations
  • Osteoarthritis - wear-and-tear arthritis, which can also cause deformity
  • Tendinitis - irritation of the tendons
  • Disorders and injuries of your fingers and thumb

[Learn More in MedlinePlus]

Wrist Injuries and Disorders

Your wrist connects your hand to your forearm. It is not one big joint; it has several small joints. This makes it flexible and allows you to move your hand in different ways. The wrist has two big forearm bones and eight small bones known as carpals. It also has tendons and ligaments, which are connective tissues. Tendons connect muscles to bones. Ligaments connect bones to each other.

What are the types of wrist injuries and disorders?

Some of the more common types of wrist injuries and disorders are:

  • Carpal tunnel syndrome, which happens when a nerve that runs from your forearm into your palm becomes squeezed at the wrist
  • Ganglion cysts, which are noncancerous lumps or masses
  • Gout, which is a form of arthritis caused by a buildup of uric acid in your joints
  • Fractures (broken bones)
  • Osteoarthritis, the most common type of arthritis. It is caused by wear and tear of the joints.
  • Sprains and strains, which are injuries to ligaments and injuries to muscles or tendons
  • Tendinitis, inflammation of a tendon, usually due to overuse

Who is at risk for wrist injuries and disorders?

Certain things can put you at higher risk of having a wrist problem, including:

  • Doing sports, which can put you at risk for injuries and puts stress on your wrist. For example, you may fall on your outstretched hand when you are skating or snowboarding. Your wrist could be injured while doing contact sports. And other sports such as gymnastics and basketball can strain your wrists.
  • Doing repetitive wrist motions, such as typing on a keyboard, working on an assembly line, or using power tools.
  • Having certain diseases. For example, rheumatoid arthritis can cause wrist pain.

What are the symptoms of wrist injuries and disorders?

The symptoms of a wrist problem can vary, depending on the problem. A common symptom is wrist pain. Some other possible symptoms include swelling, a decrease in wrist strength, and sudden numbness or tingling.

How are wrist injuries and disorders diagnosed?

Your health care provider may use many tools to make a diagnosis:

  • A medical history, which includes asking about your symptoms
  • A physical exam, including checking your wrist strength and range of motion
  • An x-ray or other imaging test
  • Blood tests

What are the treatments for wrist injuries and disorders?

Treatments for wrist pain depends on the type of injury or disorder. They may include:

  • Resting your wrist
  • Wearing a wrist brace or cast
  • Pain relievers
  • Cortisone shots
  • Physical therapy
  • Surgery

Can wrist injuries and disorders be prevented?

To try to prevent wrist problems, you can:

  • Use wrist guards, when doing sports that put you at risk for wrist injuries
  • In the workplace, perform stretching exercises and take frequent rest breaks. You should also pay attention to ergonomics to make sure that you are using the proper wrist position while working.
  • Make sure that you get enough calcium and vitamin D to keep your bones strong

[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.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.