2021 ICD-10-CM Code S64.11XS
Injury of median nerve at wrist and hand level of right arm, sequela
Valid for Submission
S64.11XS is a billable diagnosis code used to specify a medical diagnosis of injury of median nerve at wrist and hand level of right arm, sequela. The code S64.11XS is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.
S64.11XS is a sequela code, includes a 7th character and should be used for complications that arise as a direct result of a condition like injury of median nerve at wrist and hand level of right arm. According to ICD-10-CM Guidelines a "sequela" code should be used for chronic or residual conditions that are complications of an initial acute disease, illness or injury. The most common sequela is pain. Usually, two diagnosis codes are needed when reporting sequela. The first code describes the nature of the sequela while the second code describes the sequela or late effect.
ICD-10: | S64.11XS |
Short Description: | Injury of median nerve at wrs/hnd lv of right arm, sequela |
Long Description: | Injury of median nerve at wrist and hand level of right arm, sequela |
Code Classification
Present on Admission (POA)
S64.11XS 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 Code | POA Reason for Code | CMS will pay the CC/MCC DRG? |
---|---|---|
Y | Diagnosis was present at time of inpatient admission. | YES |
N | Diagnosis was not present at time of inpatient admission. | NO |
U | Documentation insufficient to determine if the condition was present at the time of inpatient admission. | NO |
W | Clinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission. | YES |
1 | Unreported/Not used - Exempt from POA reporting. | NO |
Convert S64.11XS to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code S64.11XS its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
- 907.4 - Lt eff nerv inj shld/arm (Approximate Flag)
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]
Code History
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)