2026 ICD-10-CM Diagnosis Code S65Injury of blood vessels at wrist and hand level
S65 is a non-billable ICD-10-CM category code for injury of blood vessels at wrist and hand level, so it cannot be submitted on claims. Use a more specific code from this category instead, such as S65.001A, S65.001D, S65.001S, and S65.002A.
Code Identity
Code Classification
Specific Coding for Injury of blood vessels at wrist and hand levelOverview
Non-specific codes like S65 require more characters. Use one of these billable codes instead:
S65.0 for Injury of ulnar artery at wrist and hand level
S65.00 for Unspecified injury of ulnar artery at wrist and hand level
S65.01 for Laceration of ulnar artery at wrist and hand level
S65.09 for Other specified injury of ulnar artery at wrist and hand level
S65.1 for Injury of radial artery at wrist and hand level
S65.10 for Unspecified injury of radial artery at wrist and hand level
S65.11 for Laceration of radial artery at wrist and hand level
S65.19 for Other specified injury of radial artery at wrist and hand level
S65.2 for Injury of superficial palmar arch
S65.20 for Unspecified injury of superficial palmar arch
S65.21 for Laceration of superficial palmar arch
S65.29 for Other specified injury of superficial palmar arch
S65.3 for Injury of deep palmar arch
S65.30 for Unspecified injury of deep palmar arch
S65.31 for Laceration of deep palmar arch
S65.39 for Other specified injury of deep palmar arch
S65.4 for Injury of blood vessel of thumb
S65.40 for Unspecified injury of blood vessel of thumb
S65.41 for Laceration of blood vessel of thumb
S65.49 for Other specified injury of blood vessel of thumb
S65.5 for Injury of blood vessel of other and unspecified finger
S65.50 for Unspecified injury of blood vessel of other and unspecified finger
S65.51 for Laceration of blood vessel of other and unspecified finger
S65.59 for Other specified injury of blood vessel of other and unspecified finger
S65.8 for Injury of other blood vessels at wrist and hand level
S65.80 for Unspecified injury of other blood vessels at wrist and hand level
S65.81 for Laceration of other blood vessels at wrist and hand level
S65.89 for Other specified injury of other blood vessels at wrist and hand level
S65.9 for Injury of unspecified blood vessel at wrist and hand level
S65.90 for Unspecified injury of unspecified blood vessel at wrist and hand level
S65.91 for Laceration of unspecified blood vessel at wrist and hand level
S65.99 for Other specified injury of unspecified blood vessel at wrist and hand level
Coding GuidelinesGuidance
The appropriate 7th character is to be added to each code from block Injury of blood vessels at wrist and hand level (S65). 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 2026, published by CMS and the National Center for Health Statistics.
Tabular List NotesGuidance
Coding notes and annotation back-references applicable to this code.
Code Also
- any associated open wound S61
7th Character Note
- The appropriate 7th character is to be added to each code from category S65
7th Character
- A - initial encounter
- D - subsequent encounter
- S - sequela
A "code also" note instructs that two codes may be required to fully describe a condition, but this note does not provide sequencing direction.
Certain ICD-10-CM categories have applicable 7th characters. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.
Indicates that a seventh character is to be assigned to codes in a subcategory.
Patient EducationClinical
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.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Code HistoryHistory
Questions About S65Overview
Is S65 (Injury of blood vessels at wrist and hand level) a billable code?
No. This is a category header that groups the codes for injury of blood vessels at wrist and hand level, and headers cannot be submitted on claims. Claims for injury of blood vessels at wrist and hand level need a more specific code from this category, such as S65.001A, S65.001D, and S65.001S.
