2026 ICD-10-CM Diagnosis Code S63.003SUnspecified subluxation of unspecified wrist and hand, sequela
S63.003S is a billable ICD-10-CM diagnosis code for unspecified subluxation of unspecified wrist and hand, sequela. The 7th character S marks it as a sequela code, which reports a problem that remains after the original condition has resolved. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 562 through 563. The code is exempt from POA reporting. Coders also document this condition as closed fracture subluxation of wrist. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Injury, sequela.
Code Identity
Code Classification
Present on Admission (POA)Billing
S63.003S is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Closed fracture subluxation of wrist
- Closed traumatic subluxation of wrist
- Fracture subluxation of joint of hand
- Fracture subluxation of wrist
- Open fracture subluxation of wrist
- Open traumatic subluxation of wrist
- Subluxation of tendon, wrist or hand
- Subluxation of wrist
- Subluxation of wrist joint
Coding GuidelinesGuidance
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 applicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
Source: ICD-10-CM Official Guidelines for Coding and Reporting, FY 2026, published by CMS and the National Center for Health Statistics.
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Dislocations
Dislocations are joint injuries that force the ends of your bones out of position. The cause is often a fall or a blow, sometimes from playing a contact sport. You can dislocate your ankles, knees, shoulders, hips, elbows and jaw. You can also dislocate your finger and toe joints.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert S63.003S to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About S63.003SOverview
Is S63.003S (Unspecified subluxation of unspecified wrist and hand) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report unspecified subluxation of unspecified wrist and hand, sequela on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character S in S63.003S mean?
The final character S makes this a sequela code: it reports a lingering problem that remains after the unspecified subluxation of unspecified wrist and hand itself has resolved, not the original event.
What MS-DRG does S63.003S group to?
When unspecified subluxation of unspecified wrist and hand, sequela is the principal diagnosis on an inpatient stay, it groups to MS-DRG 562, 563, with relative weights from 0.8955 to 1.4248 depending on complications. Higher weights mean higher Medicare reimbursement.
Is S63.003S 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 unspecified subluxation of unspecified wrist and hand, sequela on inpatient claims.
What is the ICD-9 equivalent of S63.003S?
Under the General Equivalence Mappings, unspecified subluxation of unspecified wrist and hand, sequela converts to ICD-9-CM 905.6 (late effect dislocation). The mapping is approximate, so confirm the match fits the documentation.
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.
