2027 ICD-10-CM Diagnosis Code S63.270DDislocation of unspecified interphalangeal joint of right index finger, subsequent encounter
S63.270D is a billable ICD-10-CM diagnosis code for dislocation of unspecified interphalangeal joint of right index finger, subsequent encounter. The 7th character D marks it as a subsequent encounter code, used during routine care in the healing or recovery phase. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 949 through 950. The code is exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Dislocations, subsequent encounter.
Code Identity
Code Classification
Present on Admission (POA)Billing
S63.270D 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).
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 S63.270D: its own notes plus those printed at S63.2, 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.
- subluxation and dislocation of thumb (S63.1-)
- 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 this code
- 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 S63.270D, its category, or a range that includes it.
Excludes2 1
These codes carry an Excludes2 note naming S63.270D: its condition is not part of those codes, and both may be reported when the patient has both.
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 S63.270D to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About S63.270DOverview
Is S63.270D a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report dislocation of unspecified interphalangeal joint of right index finger, subsequent encounter on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What does the 7th character D in S63.270D mean?
The final character D marks a subsequent encounter: use it for routine care while the dislocation of unspecified interphalangeal joint of right index finger is healing, after active treatment has ended.
What MS-DRG does S63.270D group to?
When dislocation of unspecified interphalangeal joint of right index finger, subsequent encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 950, 949, with relative weights from 0.7661 to 1.1231 depending on complications. Higher weights mean higher Medicare reimbursement.
Is S63.270D 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 unspecified interphalangeal joint of right index finger, subsequent encounter on inpatient claims. The code appears in the Injuries to the wrist, hand and fingers (S60-S69) range of the CMS exempt list.
What is the ICD-9 equivalent of S63.270D?
Under the General Equivalence Mappings, dislocation of unspecified interphalangeal joint of right index finger, subsequent encounter converts to ICD-9-CM V58.89 (other specfied aftercare). The mapping is approximate, so confirm the match fits the documentation.
