2026 ICD-10-CM Diagnosis Code S66Injury of muscle, fascia and tendon at wrist and hand level
S66 is a non-billable ICD-10-CM category code for injury of muscle, fascia and tendon at wrist and hand level, so it cannot be submitted on claims. Use a more specific code from this category instead, such as S66.001A, S66.001D, S66.001S, and S66.002A.
Code Identity
Code Classification
Specific Coding for Injury of muscle, fascia and tendon at wrist and hand levelOverview
Non-specific codes like S66 require more characters. Use one of these billable codes instead:
S66.0 for Injury of long flexor muscle, fascia and tendon of thumb at wrist and hand level
S66.00 for Unspecified injury of long flexor muscle, fascia and tendon of thumb at wrist and hand level
S66.01 for Strain of long flexor muscle, fascia and tendon of thumb at wrist and hand level
S66.02 for Laceration of long flexor muscle, fascia and tendon of thumb at wrist and hand level
S66.09 for Other specified injury of long flexor muscle, fascia and tendon of thumb at wrist and hand level
S66.1 for Injury of flexor muscle, fascia and tendon of other and unspecified finger at wrist and hand level
S66.10 for Unspecified injury of flexor muscle, fascia and tendon of other and unspecified finger at wrist and hand level
S66.11 for Strain of flexor muscle, fascia and tendon of other and unspecified finger at wrist and hand level
S66.12 for Laceration of flexor muscle, fascia and tendon of other and unspecified finger at wrist and hand level
S66.19 for Other injury of flexor muscle, fascia and tendon of other and unspecified finger at wrist and hand level
S66.2 for Injury of extensor muscle, fascia and tendon of thumb at wrist and hand level
S66.20 for Unspecified injury of extensor muscle, fascia and tendon of thumb at wrist and hand level
S66.21 for Strain of extensor muscle, fascia and tendon of thumb at wrist and hand level
S66.22 for Laceration of extensor muscle, fascia and tendon of thumb at wrist and hand level
S66.29 for Other specified injury of extensor muscle, fascia and tendon of thumb at wrist and hand level
S66.3 for Injury of extensor muscle, fascia and tendon of other and unspecified finger at wrist and hand level
S66.30 for Unspecified injury of extensor muscle, fascia and tendon of other and unspecified finger at wrist and hand level
S66.31 for Strain of extensor muscle, fascia and tendon of other and unspecified finger at wrist and hand level
S66.32 for Laceration of extensor muscle, fascia and tendon of other and unspecified finger at wrist and hand level
S66.39 for Other injury of extensor muscle, fascia and tendon of other and unspecified finger at wrist and hand level
S66.4 for Injury of intrinsic muscle, fascia and tendon of thumb at wrist and hand level
S66.40 for Unspecified injury of intrinsic muscle, fascia and tendon of thumb at wrist and hand level
S66.41 for Strain of intrinsic muscle, fascia and tendon of thumb at wrist and hand level
S66.42 for Laceration of intrinsic muscle, fascia and tendon of thumb at wrist and hand level
S66.49 for Other specified injury of intrinsic muscle, fascia and tendon of thumb at wrist and hand level
S66.5 for Injury of intrinsic muscle, fascia and tendon of other and unspecified finger at wrist and hand level
S66.50 for Unspecified injury of intrinsic muscle, fascia and tendon of other and unspecified finger at wrist and hand level
S66.51 for Strain of intrinsic muscle, fascia and tendon of other and unspecified finger at wrist and hand level
S66.52 for Laceration of intrinsic muscle, fascia and tendon of other and unspecified finger at wrist and hand level
S66.59 for Other injury of intrinsic muscle, fascia and tendon of other and unspecified finger at wrist and hand level
S66.8 for Injury of other specified muscles, fascia and tendons at wrist and hand level
S66.80 for Unspecified injury of other specified muscles, fascia and tendons at wrist and hand level
S66.81 for Strain of other specified muscles, fascia and tendons at wrist and hand level
S66.82 for Laceration of other specified muscles, fascia and tendons at wrist and hand level
S66.89 for Other injury of other specified muscles, fascia and tendons at wrist and hand level
S66.9 for Injury of unspecified muscle, fascia and tendon at wrist and hand level
S66.90 for Unspecified injury of unspecified muscle, fascia and tendon at wrist and hand level
S66.91 for Strain of unspecified muscle, fascia and tendon at wrist and hand level
S66.92 for Laceration of unspecified muscle, fascia and tendon at wrist and hand level
S66.99 for Other injury of unspecified muscle, fascia and tendon at wrist and hand level
Coding GuidelinesGuidance
The appropriate 7th character is to be added to each code from block Injury of muscle, fascia and tendon at wrist and hand level (S66). 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
Type 2 Excludes
- sprain of joints and ligaments of wrist and hand S63
7th Character Note
- The appropriate 7th character is to be added to each code from category S66
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.
A type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
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 S66Overview
Is S66 (Injury of muscle, fascia and tendon at wrist and hand level) a billable code?
No. This is a category header that groups the codes for injury of muscle, fascia and tendon at wrist and hand level, and headers cannot be submitted on claims. Claims for injury of muscle, fascia and tendon at wrist and hand level need a more specific code from this category, such as S66.001A, S66.001D, and S66.001S.
