2027 ICD-10-CM Diagnosis Code S63.126SDislocation of interphalangeal joint of unspecified thumb, sequela
S63.126S is a billable ICD-10-CM diagnosis code for dislocation of interphalangeal joint of unspecified thumb, 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 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 562 through 563. The code is exempt from POA reporting. Coders also document this condition as closed dislocation of interphalangeal joint of thumb. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Injury, sequela.
Code Identity
Code Classification
Present on Admission (POA)Billing
S63.126S 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 dislocation of interphalangeal joint of thumb
- Closed fracture dislocation of interphalangeal joint of thumb
- Fracture dislocation of thumb
- Open fracture dislocation of digit of hand
- Open fracture dislocation of interphalangeal joint of thumb
- Open traumatic dislocation, interphalangeal joint,thumb
- Traumatic dislocation of interphalangeal joint of thumb
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 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 S63.126S: its own notes plus those printed at S63, block S60-S69, and Chapter 19. A note printed at a category, block or chapter applies to every code under it.
Includes
Further defines, or gives examples of, the content of the category.
- avulsion of joint or ligament at wrist and hand level
- laceration of cartilage, joint or ligament at wrist and hand level
- sprain of cartilage, joint or ligament at wrist and hand level
- traumatic hemarthrosis of joint or ligament at wrist and hand level
- traumatic rupture of joint or ligament at wrist and hand level
- traumatic subluxation of joint or ligament at wrist and hand level
- traumatic tear of joint or ligament at wrist and hand level
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.
- strain of muscle, fascia and tendon of wrist and hand (S66.-)
Use Additional Code
Add a second code, after this one, to fully describe the condition.
- code to identify any retained foreign body, if applicable (Z18.-)
Code Also
A second code may be needed to fully describe the condition; the note gives no sequencing direction.
- any associated open wound
Notes
General instructions on how these codes are used.
- 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.
- The appropriate 7th character is to be added to each code from category S63
- Ainitial encounter
- Dsubsequent encounter
- Ssequela this code
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name S63.126S, its category, or a range that includes it.
Excludes2 3
These codes carry an Excludes2 note naming S63.126S: its condition is not part of those codes, and both may be reported when the patient has both.
- S63.04 Subluxation and dislocation of carpometacarpal joint of thumbinterphalangeal subluxation and dislocation of thumb (S63.1-) names S63.1-, which includes this code
- S63.2 Subluxation and dislocation of other finger(s)subluxation and dislocation of thumb (S63.1-) names S63.1-, which includes this code
- S66 Injury of muscle, fascia and tendon at wrist and hand levelsprain of joints and ligaments of wrist and hand (S63.-) names S63.-, which includes this code
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 S63.126S to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About S63.126SOverview
What is the ICD-10 code for dislocation of interphalangeal joint of unspecified thumb, sequela?
The ICD-10-CM code for dislocation of interphalangeal joint of unspecified thumb, sequela is S63.126S (sometimes written as S63126S). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is S63.126S (Dislocation of interphalangeal joint of unspecified thumb) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report dislocation of interphalangeal joint of unspecified thumb, sequela on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What does the 7th character S in S63.126S mean?
The final character S makes this a sequela code: it reports a lingering problem that remains after the dislocation of interphalangeal joint of unspecified thumb itself has resolved, not the original event.
What MS-DRG does S63.126S group to?
When dislocation of interphalangeal joint of unspecified thumb, sequela is the principal diagnosis on an inpatient stay, it groups to MS-DRG 563, 562, with relative weights from 0.8982 to 1.3981 depending on complications. Higher weights mean higher Medicare reimbursement.
Is S63.126S 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 dislocation of interphalangeal joint of unspecified thumb, sequela on inpatient claims. The code appears in the Injuries to the wrist, hand and fingers (S60-S69) range of the CMS exempt list.