2027 ICD-10-CM Diagnosis Code S62.665BNondisplaced fracture of distal phalanx of left ring finger, initial encounter for open fracture

ICD-10-CM Codes›S00–T88›S60-S69›S62

ICD-10-CM S62.665B
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

S62.665B is a billable ICD-10-CM diagnosis code for nondisplaced fracture of distal phalanx of left ring finger, initial encounter for open fracture. The 7th character B means initial encounter for open fracture. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 562 through 563, 963 through 965. 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 175 closely related codes. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Fracture of the upper limb, initial encounter.

Code Identity

ICD-10-CM Code
S62.665B
Billable Status
Yes — Valid for Submission
Code Describes
Nondisplaced fracture of distal phalanx of left ring finger, initial encounter for open fracture
Short Description
Nondisp fx of distal phalanx of l rng fngr, init for opn fx
Parent Code
S62.665
Nondisplaced fracture of distal phalanx of left ring finger

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 CodeS62.665BNondisplaced fracture of distal phalanx of left ring finger, initial encounter for open fracture

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 S62.665B: its own notes plus those printed at S62.6, 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 S62.6 Fracture of other and unspecified finger(s) applies to 490 codes
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 this code
  • Dsubsequent encounter for fracture with routine healing
  • Gsubsequent encounter for fracture with delayed healing
  • Ksubsequent encounter for fracture with nonunion
  • 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 S62.665B, its category, or a range that includes it.

Excludes1 3

These codes carry an Excludes1 note naming S62.665B: 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 1

These codes carry an Excludes2 note naming S62.665B: 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

Use Additional Code 1

These codes say to use an additional code from the note, and S62.665B 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 INJ004
Fracture of the upper limb, initial encounter
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

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:

Read the full article at MedlinePlus

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

Convert S62.665B to ICD-9-CMHistory

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

ICD-9-CM
816.12 Fx distal phal, hand-opn
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 S62.665BOverview

Is S62.665B (Nondisplaced fracture of distal phalanx of left ring finger) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report nondisplaced fracture of distal phalanx of left ring finger, initial encounter for open fracture on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What does the 7th character B in S62.665B mean?

The final character B means initial encounter for open fracture, in this case for the nondisplaced fracture of distal phalanx of left ring finger. It comes from the 7th character list in the CMS Tabular List for this category.

What MS-DRG does S62.665B group to?

When nondisplaced fracture of distal phalanx of left ring finger, initial encounter for open fracture is the principal diagnosis on an inpatient stay, it groups to MS-DRG 563, 964, 965, 562, 963, with relative weights from 0.8982 to 2.6361 depending on complications. Higher weights mean higher Medicare reimbursement.

Is S62.665B a CC or MCC?

CMS lists S62.665B 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 175 closely related codes in its exclusion list.

Can S62.665B be reported with a code from S68?

Not as a rule. The Excludes1 note at S62, which applies to S62.665B, lists "traumatic amputation of wrist and hand (S68.-)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).