2026 ICD-10-CM Diagnosis Code S65.209AUnspecified injury of superficial palmar arch of unspecified hand, initial encounter

ICD-10-CM Codes›S00–T88›S60-S69›S65

ICD-10-CM S65.209A
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

S65.209A is a billable ICD-10-CM diagnosis code for unspecified injury of superficial palmar arch of unspecified hand, initial encounter. The 7th character A marks it as an initial encounter code, used while the patient is receiving active treatment. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 913 through 914, 963 through 965. The code is flagged as an unspecified code, since codes identifying laterality exist in the same family. Coders also document this condition as closed injury, palmar artery. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Injury to blood vessels, initial encounter.

Code Identity

ICD-10-CM Code
S65.209A
Billable Status
Yes — Valid for Submission
Code Describes
Unspecified injury of superficial palmar arch of unspecified hand, initial encounter
Short Description
Unsp injury of superficial palmar arch of unsp hand, init
Parent Code
S65.209
Unspecified injury of superficial palmar arch of unspecified hand

Code Classification

ChapterS00–T88Injury, poisoning and certain other consequences of external causes
SectionS60-S69Injuries to the wrist, hand and fingers
CategoryS65Injury of blood vessels at wrist and hand level
This CodeS65.209AUnspecified injury of superficial palmar arch of unspecified hand, initial encounter

Code EditsBilling

Medicare Code Editor checks that affect claim validity for S65.209A.

Unspecified codes
Unspecified codes exist in the ICD-10-CM classification for circumstances when documentation in the medical record does not provide the level of detail needed to support reporting a more specific code. However, in the inpatient setting, there should generally be very limited and rare circumstances for which the laterality (right, left, bilateral) of a condition is unable to be documented and reported. The following pages contain the list of unspecified ICD-10-CM diagnosis codes for which there is a more specific code to identify laterality (right, left, bilateral) within that code family.

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Closed injury, palmar artery
  • Injury of palmar artery
  • Injury of superficial palmar arch
  • Open injury, palmar artery

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.

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR INJ016
Injury to blood vessels, initial encounter
Default principal diagnosis: inpatient Yes · outpatient Yes

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.

Convert S65.209A to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
903.4 Injury palmar artery
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About S65.209AOverview

Is S65.209A a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report unspecified injury of superficial palmar arch of unspecified hand, initial encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What does the 7th character A in S65.209A mean?

The final character A marks the initial encounter: use it while the patient is receiving active treatment for unspecified injury of superficial palmar arch of unspecified hand, such as an emergency visit or first evaluation.

What MS-DRG does S65.209A group to?

When unspecified injury of superficial palmar arch of unspecified hand, initial encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 913, 914, 963, 964, 965, with relative weights from 0.8855 to 2.7338 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of S65.209A?

Under the General Equivalence Mappings, unspecified injury of superficial palmar arch of unspecified hand, initial encounter converts to ICD-9-CM 903.4 (injury palmar artery). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.