ICD-10-CM Code S65.919D

Laceration of unspecified blood vessel at wrist and hand level of unspecified arm, subsequent encounter

Version 2021 Billable Code POA Exempt

Valid for Submission

S65.919D is a billable code used to specify a medical diagnosis of laceration of unspecified blood vessel at wrist and hand level of unspecified arm, subsequent encounter. The code is valid for the fiscal year 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.

ICD-10:S65.919D
Short Description:Lacerat unsp blood vessel at wrs/hnd lv of unsp arm, subs
Long Description:Laceration of unspecified blood vessel at wrist and hand level of unspecified arm, subsequent encounter

Diagnostic Related Groups

The ICD-10 code S65.919D 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.

  • 949 - AFTERCARE WITH CC/MCC
  • 950 - AFTERCARE WITHOUT CC/MCC

Present on Admission (POA)

S65.919D 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 S65.919D to ICD-9

  • V58.89 - Other specfied aftercare (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 blood vessels at wrist and hand level (S65)

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]

Vascular Diseases

What are vascular diseases?

Your vascular system is your body's network of blood vessels. It includes your

  • Arteries, which carry oxygen-rich blood from your heart to your tissues and organs
  • Veins, which carry the blood and waste products back to your heart
  • Capillaries, which are tiny blood vessels that connect your small arteries to your small veins. The walls of the capillaries are thin and leaky, to allow for an exchange of materials between your tissues and blood.

Vascular diseases are conditions which affect your vascular system. They are common and can be serious. Some types include

  • Aneurysm - a bulge or "ballooning" in the wall of an artery
  • Atherosclerosis - a disease in which plaque builds up inside your arteries. Plaque is made up of fat, cholesterol, calcium, and other substances found in the blood.
  • Blood clots, including deep vein thrombosis and pulmonary embolism
  • Coronary artery disease and carotid artery disease, diseases that involve the narrowing or blockage of an artery. The cause is usually a buildup of plaque.
  • Raynaud's disease - a disorder that causes the blood vessels to narrow when you are cold or feeling stressed
  • Stroke - a serious condition that happens when blood flow to your brain stops.
  • Varicose veins - swollen, twisted veins that you can see just under the skin
  • Vasculitis - inflammation of the blood vessels

What causes vascular diseases?

The causes of vascular diseases depend on the specific disease. These causes include

  • Genetics
  • Heart diseases such as high cholesterol and high blood pressure
  • Infection
  • Injury
  • Medicines, including hormones

Sometimes the cause is unknown.

Who is at risk for vascular diseases?

The risk factors for vascular diseases can vary, depending on the specific disease. But some of the more common risk factors include

  • Age - your risk of some diseases goes up as you get older
  • Conditions that can affect the heart and blood vessels, such as diabetes or high cholesterol
  • Family history of vascular or heart diseases
  • Infection or injury that damages your veins
  • Lack of exercise
  • Obesity
  • Pregnancy
  • Sitting or standing still for long periods of time
  • Smoking

What are the symptoms of vascular diseases?

The symptoms for each disease are different.

How are vascular diseases diagnosed?

To make a diagnosis, your health care provider will do a physical exam and ask about your symptoms and medical history. You may have imaging tests and/or blood tests.

How are vascular diseases treated?

Which treatment you get depends on which vascular disease you have and how severe it is. Types of treatments for vascular diseases include

  • Lifestyle changes, such as eating a heart-healthy diet and getting more exercise
  • Medicines, such as blood pressure medicines, blood thinners, cholesterol medicines, and clot-dissolving drugs. In some cases, providers use a catheter to send medicine directly to a blood vessel.
  • Non-surgical procedures, such as angioplasty, stenting, and vein ablation
  • Surgery

Can vascular diseases be prevented?

There are steps you can take to help prevent vascular diseases:

  • Make healthy lifestyle changes, such as eating a heart-healthy diet and getting more exercise
  • Don't smoke. If you are already a smoker, talk to your health care provider for help in finding the best way for you to quit.
  • Keep your blood pressure and cholesterol in check
  • If you have diabetes, control your blood sugar
  • Try not to sit or stand for up long periods of time. If you do need to sit all day, get up and move around every hour or so. If you traveling on a long trip, you can also wear compression stockings and regularly stretch your legs.
  • Aortic arch syndrome (Medical Encyclopedia)
  • Arterial embolism (Medical Encyclopedia)
  • Arteriogram (Medical Encyclopedia)
  • Cerebral angiography (Medical Encyclopedia)
  • Duplex ultrasound (Medical Encyclopedia)
  • Venous insufficiency (Medical Encyclopedia)
  • Venous ulcers -- self-care (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]