ICD-10-CM Code S64.10XS

Injury of median nerve at wrist and hand level of unspecified arm, sequela

Version 2021 Billable Code POA Exempt

Valid for Submission

S64.10XS is a billable code used to specify a medical diagnosis of injury of median nerve at wrist and hand level of unspecified arm, sequela. The code is valid for the fiscal year 2021 for the submission of HIPAA-covered transactions. The ICD-10-CM code S64.10XS might also be used to specify conditions or terms like closed injury, median nerve, palmar sensory branch, injury of branch of median nerve, injury of branch of median nerve, injury of median nerve, injury of median nerve, injury of median nerve in hand, etc The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

ICD-10:S64.10XS
Short Description:Injury of median nerve at wrs/hnd lv of unsp arm, sequela
Long Description:Injury of median nerve at wrist and hand level of unspecified arm, sequela

Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Closed injury, median nerve, palmar sensory branch
  • Injury of branch of median nerve
  • Injury of branch of median nerve
  • Injury of median nerve
  • Injury of median nerve
  • Injury of median nerve in hand
  • Injury of median nerve in wrist
  • Injury of nerve at wrist level
  • Open injury, median nerve, palmar sensory branch

Present on Admission (POA)

S64.10XS is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here .

CMS POA Indicator Options and Definitions
POA Indicator CodePOA Reason for CodeCMS will pay the CC/MCC DRG?
YDiagnosis was present at time of inpatient admission.YES
NDiagnosis was not present at time of inpatient admission.NO
UDocumentation insufficient to determine if the condition was present at the time of inpatient admission.NO
WClinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.YES
1Unreported/Not used - Exempt from POA reporting. NO

Convert S64.10XS to ICD-9

  • 907.4 - Lt eff nerv inj shld/arm (Approximate Flag)

Code Classification

  • Injury, poisoning and certain other consequences of external causes (S00–T98)
    • Injuries to the wrist, hand and fingers (S60-S69)
      • Injury of nerves at wrist and hand level (S64)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021

Information for Patients


Hand Injuries and Disorders

No matter how old you are or what you do for a living, you are always using your hands. When there is something wrong with them, you may not be able to do your regular activities.

Hand problems include

  • Carpal tunnel syndrome - compression of a nerve as it goes through the wrist, often making your fingers feel numb
  • Injuries that result in fractures, ruptured ligaments and dislocations
  • Osteoarthritis - wear-and-tear arthritis, which can also cause deformity
  • Tendinitis - irritation of the tendons
  • Disorders and injuries of your fingers and thumb
  • Brachial plexopathy (Medical Encyclopedia)
  • Claw hand (Medical Encyclopedia)
  • Dupuytrens contracture (Medical Encyclopedia)
  • Hand fracture - aftercare (Medical Encyclopedia)
  • Hand or foot spasms (Medical Encyclopedia)
  • Hand x-ray (Medical Encyclopedia)
  • Radial nerve dysfunction (Medical Encyclopedia)
  • Ulnar nerve dysfunction (Medical Encyclopedia)

[Learn More]

Peripheral Nerve Disorders

Also called: Neuritis, Peripheral neuritis, Peripheral neuropathy

Your peripheral nerves are the ones outside your brain and spinal cord. Like static on a telephone line, peripheral nerve disorders distort or interrupt the messages between the brain and the rest of the body.

There are more than 100 kinds of peripheral nerve disorders. They can affect one nerve or many nerves. Some are the result of other diseases, like diabetic nerve problems. Others, like Guillain-Barre syndrome, happen after a virus infection. Still others are from nerve compression, like carpal tunnel syndrome or thoracic outlet syndrome. In some cases, like complex regional pain syndrome and brachial plexus injuries, the problem begins after an injury. Some people are born with peripheral nerve disorders.

Symptoms often start gradually, and then get worse. They include

  • Numbness
  • Pain
  • Burning or tingling
  • Muscle weakness
  • Sensitivity to touch

Treatment aims to treat any underlying problem, reduce pain and control symptoms.

NIH: National Institute of Neurological Disorders and Stroke

  • Axillary nerve dysfunction (Medical Encyclopedia)
  • Chronic inflammatory polyneuropathy (Medical Encyclopedia)
  • Common peroneal nerve dysfunction (Medical Encyclopedia)
  • Distal median nerve dysfunction (Medical Encyclopedia)
  • Femoral nerve dysfunction (Medical Encyclopedia)
  • Glossopharyngeal neuralgia (Medical Encyclopedia)
  • Metabolic neuropathies (Medical Encyclopedia)
  • Mononeuritis multiplex (Medical Encyclopedia)
  • Neuralgia (Medical Encyclopedia)
  • Neuropathy secondary to drugs (Medical Encyclopedia)
  • Peripheral neuropathy (Medical Encyclopedia)
  • Radial nerve dysfunction (Medical Encyclopedia)
  • Sensorimotor polyneuropathy (Medical Encyclopedia)
  • Tibial nerve dysfunction (Medical Encyclopedia)
  • Ulnar nerve dysfunction (Medical Encyclopedia)

[Learn More]

Wrist Injuries and Disorders

Your wrist is made up of eight small bones known as carpals. They support a tube that runs through your wrist. That tube, called the carpal tunnel, has tendons and a nerve inside. It is covered by a ligament, which holds it in place.

Wrist pain is common. Repetitive motion can damage your wrist. Everyday activities like typing, racquet sports or sewing can cause pain, or even carpal tunnel syndrome. Wrist pain with bruising and swelling can be a sign of injury. The signs of a possible fracture include misshapen joints and inability to move your wrist. Some wrist fractures are a result of osteoporosis.

Other common causes of pain are

  • Sprains and strains
  • Tendinitis
  • Arthritis
  • Gout and pseudogout
  • Colles wrist fracture - aftercare (Medical Encyclopedia)
  • De Quervain tendinitis (Medical Encyclopedia)
  • Wrist arthroscopy (Medical Encyclopedia)
  • Wrist pain (Medical Encyclopedia)
  • Wrist sprain - aftercare (Medical Encyclopedia)

[Learn More]