Version 2024

2024 ICD-10-CM Diagnosis Code S65.4

Injury of blood vessel of thumb

ICD-10-CM Code:
S65.4
ICD-10 Code for:
Injury of blood vessel of thumb
Is Billable?
Not Valid for Submission
Code Navigator:

Code Classification

  • Injury, poisoning and certain other consequences of external causes
    (S00–T88)
    • Injuries to the wrist, hand and fingers
      (S60-S69)
      • Injury of blood vessels at wrist and hand level
        (S65)

S65.4 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of injury of blood vessel of thumb. The code is not specific and is NOT valid for the year 2024 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

Specific Coding Applicable to Injury of blood vessel of thumb

Non-specific codes like S65.4 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10-CM codes with a higher level of specificity when coding for injury of blood vessel of thumb:

  • S65.40 for Unspecified injury of blood vessel of thumb - NON-BILLABLE CODE

  • S65.401 for Unspecified injury of blood vessel of right thumb - NON-BILLABLE CODE

  • Use S65.401A for initial encounter - BILLABLE CODE

  • Use S65.401D for subsequent encounter - BILLABLE CODE

  • Use S65.401S for sequela - BILLABLE CODE

  • S65.402 for Unspecified injury of blood vessel of left thumb - NON-BILLABLE CODE

  • Use S65.402A for initial encounter - BILLABLE CODE

  • Use S65.402D for subsequent encounter - BILLABLE CODE

  • Use S65.402S for sequela - BILLABLE CODE

  • S65.409 for Unspecified injury of blood vessel of unspecified thumb - NON-BILLABLE CODE

  • Use S65.409A for initial encounter - BILLABLE CODE

  • Use S65.409D for subsequent encounter - BILLABLE CODE

  • Use S65.409S for sequela - BILLABLE CODE

  • S65.41 for Laceration of blood vessel of thumb - NON-BILLABLE CODE

  • S65.411 for Laceration of blood vessel of right thumb - NON-BILLABLE CODE

  • Use S65.411A for initial encounter - BILLABLE CODE

  • Use S65.411D for subsequent encounter - BILLABLE CODE

  • Use S65.411S for sequela - BILLABLE CODE

  • S65.412 for Laceration of blood vessel of left thumb - NON-BILLABLE CODE

  • Use S65.412A for initial encounter - BILLABLE CODE

  • Use S65.412D for subsequent encounter - BILLABLE CODE

  • Use S65.412S for sequela - BILLABLE CODE

  • S65.419 for Laceration of blood vessel of unspecified thumb - NON-BILLABLE CODE

  • Use S65.419A for initial encounter - BILLABLE CODE

  • Use S65.419D for subsequent encounter - BILLABLE CODE

  • Use S65.419S for sequela - BILLABLE CODE

  • S65.49 for Other specified injury of blood vessel of thumb - NON-BILLABLE CODE

  • S65.491 for Other specified injury of blood vessel of right thumb - NON-BILLABLE CODE

  • Use S65.491A for initial encounter - BILLABLE CODE

  • Use S65.491D for subsequent encounter - BILLABLE CODE

  • Use S65.491S for sequela - BILLABLE CODE

  • S65.492 for Other specified injury of blood vessel of left thumb - NON-BILLABLE CODE

  • Use S65.492A for initial encounter - BILLABLE CODE

  • Use S65.492D for subsequent encounter - BILLABLE CODE

  • Use S65.492S for sequela - BILLABLE CODE

  • S65.499 for Other specified injury of blood vessel of unspecified thumb - NON-BILLABLE CODE

  • Use S65.499A for initial encounter - BILLABLE CODE

  • Use S65.499D for subsequent encounter - BILLABLE CODE

  • Use S65.499S for sequela - BILLABLE CODE

Coding Guidelines

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 aplicable episode of care:

  • A - initial encounter
  • D - subsequent encounter
  • S - sequela

Patient Education


Finger Injuries and Disorders

You use your fingers and thumbs to do everything from grasping objects to playing musical instruments to typing. When there is something wrong with them, it can make life difficult. Common problems include:

  • Injuries that result in fractures (broken bones), ruptured ligaments and dislocations
  • Osteoarthritis - wear-and-tear arthritis. It can also cause deformity.
  • Tendinitis - irritation of the tendons
  • Dupuytren's contracture - a hereditary thickening of the tough tissue that lies just below the skin of your palm. It causes the fingers to stiffen and bend.
  • Trigger finger - an irritation of the sheath that surrounds the flexor tendons. It can cause the tendon to catch and release like a trigger.

[Learn More in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • 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. This was the first year ICD-10-CM was implemented into the HIPAA code set.