2027 ICD-10-CM Diagnosis Code S65.819SLaceration of other blood vessels at wrist and hand level of unspecified arm, sequela
S65.819S is a billable ICD-10-CM diagnosis code for laceration of other blood vessels at wrist and hand level of unspecified arm, sequela. The 7th character S marks it as a sequela code, which reports a problem that remains after the original condition has resolved. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 299 through 301. The code is exempt from POA reporting. Coders also document this condition as injury of digital artery of hand. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Injury, sequela.
Code Identity
Code Classification
Present on Admission (POA)Billing
S65.819S is exempt from POA reporting on inpatient claims to general acute care hospitals. Review the other POA exempt codes in Injuries to the wrist, hand and fingers (S60-S69).
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Injury of digital artery of hand
- Laceration of digital artery of hand
- Open injury of digital artery of hand
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 2027, published by CMS and the National Center for Health Statistics.
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to S65.819S: its own notes plus those printed at S65, block S60-S69, and Chapter 19. A note printed at a category, block or chapter applies to every code under it.
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
Use Additional Code
Add a second code, after this one, to fully describe the condition.
- code to identify any retained foreign body, if applicable (Z18.-)
Code Also
A second code may be needed to fully describe the condition; the note gives no sequencing direction.
Notes
General instructions on how these codes are used.
- Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
- The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.
7th Character
Every code in the category takes a 7th character from the listed values, with the placeholder X filling any empty positions before it.
- The appropriate 7th character is to be added to each code from category S65
- Ainitial encounter
- Dsubsequent encounter
- Ssequela this code
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name S65.819S, its category, or a range that includes it.
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
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 S65.819S to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About S65.819SOverview
Is S65.819S a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report laceration of other blood vessels at wrist and hand level of unspecified arm, sequela on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What does the 7th character S in S65.819S mean?
The final character S makes this a sequela code: it reports a lingering problem that remains after the laceration of other blood vessels at wrist and hand level of unspecified arm itself has resolved, not the original event.
What MS-DRG does S65.819S group to?
When laceration of other blood vessels at wrist and hand level of unspecified arm, sequela is the principal diagnosis on an inpatient stay, it groups to MS-DRG 301, 300, 299, with relative weights from 0.7132 to 1.5840 depending on complications. Higher weights mean higher Medicare reimbursement.
Is S65.819S exempt from POA reporting?
Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for laceration of other blood vessels at wrist and hand level of unspecified arm, sequela on inpatient claims. The code appears in the Injuries to the wrist, hand and fingers (S60-S69) range of the CMS exempt list.
What is the ICD-9 equivalent of S65.819S?
Under the General Equivalence Mappings, laceration of other blood vessels at wrist and hand level of unspecified arm, sequela converts to ICD-9-CM 908.3 (late eff inj periph vess). The mapping is approximate, so confirm the match fits the documentation.
