2027 ICD-10-CM Diagnosis Code S62.251KDisplaced fracture of neck of first metacarpal bone, right hand, subsequent encounter for fracture with nonunion

ICD-10-CM Codes›S00–T88›S60-S69›S62

ICD-10-CM S62.251K
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

S62.251K is a billable ICD-10-CM diagnosis code for displaced fracture of neck of first metacarpal bone, right hand, subsequent encounter for fracture with nonunion. The 7th character K means subsequent encounter for fracture with nonunion. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 564 through 566. As a secondary diagnosis, it counts as a complication or comorbidity (CC) and moves an inpatient stay to a higher severity level within its MS-DRG family. It does not count, however, when the principal diagnosis is one of 5,561 closely related codes. The code is exempt from POA reporting. Coders also document this condition as closed fracture of first metacarpal bone of right hand. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Fracture of the upper limb, subsequent encounter.

Code Identity

ICD-10-CM Code
S62.251K
Billable Status
Yes — Valid for Submission
Code Describes
Displaced fracture of neck of first metacarpal bone, right hand, subsequent encounter for fracture with nonunion
Short Description
Disp fx of nk of 1st MC bone, r hand, subs for fx w nonunion
Parent Code
S62.251
Displaced fracture of neck of first metacarpal bone, right hand

Code Classification

ChapterS00–T88Injury, poisoning and certain other consequences of external causes
SectionS60-S69Injuries to the wrist, hand and fingers
CategoryS62Fracture at wrist and hand level
This CodeS62.251KDisplaced fracture of neck of first metacarpal bone, right hand, subsequent encounter for fracture with nonunion

Present on Admission (POA)Billing

S62.251K is exempt from POA reporting on inpatient claims to general acute care hospitals. Review the other POA exempt codes in Injuries to the wrist, hand and fingers (S60-S69).

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Closed fracture of first metacarpal bone of right hand
  • Closed fracture of neck of first metacarpal bone of right hand
  • Closed fracture of neck of metacarpal bone of right hand
  • Closed fracture thumb metacarpal neck
  • Open fracture of first metacarpal bone of right hand
  • Open fracture of neck of first metacarpal bone of right hand
  • Open fracture of neck of metacarpal bone of right hand
  • Open fracture thumb metacarpal neck

Coding GuidelinesGuidance

The principles of multiple coding of injuries should be followed in coding fractures. Fractures of specified sites are coded individually by site, to the level of detail furnished by medical record content.

A fracture not indicated as open or closed should be coded to closed. A fracture not indicated whether displaced or not displaced should be coded to displaced.

Initial vs. Subsequent Encounter for Fractures

Traumatic fractures are coded using the appropriate 7th character for initial encounter (A, B, C) while the patient is receiving active treatment for the fracture. The appropriate 7th character for initial encounter should also be assigned for a patient who delayed seeking treatment for the fracture or nonunion.

Fractures are coded using the appropriate 7th character for subsequent care for encounters after the patient has completed active treatment of the fracture and is receiving routine care for the fracture during the healing or recovery phase.

Care for complications of surgical treatment for fracture repairs during the healing or recovery phase should be coded with the appropriate complication codes.

Care of complications of fractures, such as malunion and nonunion, should be reported with the appropriate 7th character for subsequent care with nonunion (K, M, N) or subsequent care with malunion (P, Q, R).

The open fracture designations in the assignment of the 7th character for fractures of the forearm, femur and lower leg, including ankle are based on the Gustilo open fracture classification. When the Gustilo classification type is not specified for an open fracture, the 7th character for open fracture type I or II should be assigned (B, E, H, M, Q).

Source: ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027, published by CMS and the National Center for Health Statistics.

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to S62.251K: its own notes plus those printed at S62, block S60-S69, and Chapter 19. A note printed at a category, block or chapter applies to every code under it.

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

From S62 Fracture at wrist and hand level applies to 1,911 codes
  • traumatic amputation of wrist and hand (S68.-)

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From S62 Fracture at wrist and hand level applies to 1,911 codes
  • fracture of distal parts of ulna and radius (S52.-)
From Block S60-S69 Injuries to the wrist, hand and fingers applies to 5,118 codes
  • burns and corrosions (T20-T32)
  • frostbite (T33-T34)
  • insect bite or sting, venomous (T63.4)
From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes

Use Additional Code

Add a second code, after this one, to fully describe the condition.

From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes
  • code to identify any retained foreign body, if applicable (Z18.-)

Notes

General instructions on how these codes are used.

From S62 Fracture at wrist and hand level applies to 1,911 codes
  • A fracture not indicated as displaced or nondisplaced should be coded to displaced
  • A fracture not indicated as open or closed should be coded to closed
From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes
  • Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
  • The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.

7th Character

Every code in the category takes a 7th character from the listed values, with the placeholder X filling any empty positions before it.

From S62 Fracture at wrist and hand level applies to 1,911 codes
  • The appropriate 7th character is to be added to each code from category S62
Values for category S62 Open or Closed Fracture Encounter
  • Ainitial encounter for closed fracture
  • Binitial encounter for open fracture
  • Dsubsequent encounter for fracture with routine healing
  • Gsubsequent encounter for fracture with delayed healing
  • Ksubsequent encounter for fracture with nonunion this code
  • Psubsequent encounter for fracture with malunion
  • Ssequela

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name S62.251K, its category, or a range that includes it.

Excludes1 3

These codes carry an Excludes1 note naming S62.251K: they are not reported together with it, unless the two conditions are unrelated.

  • M84.3 Stress fracture
    traumatic fracture (S12.-, S22.-, S32.-, S42.-, S52.-, S62.-, S72.-, S82.-, S92.-) names S62.-, which includes this code
  • M84.4 Pathological fracture, not elsewhere classified
    traumatic fracture (S12.-, S22.-, S32.-, S42.-, S52.-, S62.-, S72.-, S82.-, S92.-) names S62.-, which includes this code
  • S61 Open wound of wrist, hand and fingers
    open fracture of wrist, hand and finger (S62.- with 7th character B) names S62.-, which includes this code

Excludes2 2

These codes carry an Excludes2 note naming S62.251K: its condition is not part of those codes, and both may be reported when the patient has both.

  • S52 Fracture of forearm
    fracture at wrist and hand level (S62.-) names S62.-, which includes this code
  • S62.3 Fracture of other and unspecified metacarpal bone
    fracture of first metacarpal bone (S62.2-) names S62.2-, which includes this code

Use Additional Code 1

These codes say to use an additional code from the note, and S62.251K is one of the codes named.

  • S67 Crushing injury of wrist, hand and fingers
    fracture of wrist and hand (S62.-) names S62.-, which includes this code

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR INJ041
Fracture of the upper limb, subsequent encounter
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Fractures

A fracture is a break in a bone. Fractures are usually caused by injuries. Since they can sometimes be serious, it's important to get medical care right away if you think you have a fracture.

The full article covers:

  • What is a fracture?
  • What are the different types of fractures?
  • What causes fractures?
  • What are the symptoms of a fracture?
  • How are fractures diagnosed?
  • What are the treatments for fractures?
  • Can fractures be prevented?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert S62.251K to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
733.82 Nonunion of fracture
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About S62.251KOverview

Is S62.251K a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report displaced fracture of neck of first metacarpal bone, right hand, subsequent encounter for fracture with nonunion on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What does the 7th character K in S62.251K mean?

The final character K reports a subsequent encounter where the displaced fracture of neck of first metacarpal bone, right hand has failed to heal, called a nonunion. In this category the CMS Tabular List defines K as "subsequent encounter for fracture with nonunion".

What MS-DRG does S62.251K group to?

When displaced fracture of neck of first metacarpal bone, right hand, subsequent encounter for fracture with nonunion is the principal diagnosis on an inpatient stay, it groups to MS-DRG 564, 566, 565, with relative weights from 0.7374 to 1.4909 depending on complications. Higher weights mean higher Medicare reimbursement.

Is S62.251K a CC or MCC?

CMS lists S62.251K as a CC (complication or comorbidity) for FY 2027. Reported as a secondary diagnosis, it moves the inpatient stay to a higher-weighted DRG within its severity family. It does not count when the principal diagnosis is one of the 5,561 closely related codes in its exclusion list.

Is S62.251K exempt from POA reporting?

Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for displaced fracture of neck of first metacarpal bone, right hand, subsequent encounter for fracture with nonunion on inpatient claims. The code appears in the Injuries to the wrist, hand and fingers (S60-S69) range of the CMS exempt list.