2021 ICD-10-CM Code S64.22XD
Injury of radial nerve at wrist and hand level of left arm, subsequent encounter
Valid for Submission
S64.22XD is a billable diagnosis code used to specify a medical diagnosis of injury of radial nerve at wrist and hand level of left arm, subsequent encounter. The code S64.22XD 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.
S64.22XD is a subsequent encounter code, includes a 7th character and should be used after the patient has completed active treatment for a condition like injury of radial nerve at wrist and hand level of left arm. According to ICD-10-CM Guidelines a "subsequent encounter" occurs when the patient is receiving routine care for the condition during the healing or recovery phase of treatment. Subsequent diagnosis codes are appropriate during the recovery phase, no matter how many times the patient has seen the provider for this condition. If the provider needs to adjust the patient's care plan due to a setback or other complication, the encounter becomes active again.
ICD-10: | S64.22XD |
Short Description: | Injury of radial nerve at wrs/hnd lv of left arm, subs |
Long Description: | Injury of radial nerve at wrist and hand level of left arm, subsequent encounter |
Code Classification
Diagnostic Related Groups - MS-DRG Mapping
The ICD-10 code S64.22XD is grouped in the following groups for version MS-DRG V38.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). applicable from 10/01/2020 through 09/30/2021.
Present on Admission (POA)
S64.22XD 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 S64.22XD to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code S64.22XD 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.
- V58.89 - Other specfied aftercare (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)