ICD-10-CM Code S66.119S

Strain of flexor muscle, fascia and tendon of unspecified finger at wrist and hand level, sequela

Version 2021 Billable Code POA Exempt

Valid for Submission

S66.119S is a billable code used to specify a medical diagnosis of strain of flexor muscle, fascia and tendon of unspecified finger at wrist and hand level, sequela. The code is valid for the fiscal year 2021 for the submission of HIPAA-covered transactions. The ICD-10-CM code S66.119S might also be used to specify conditions or terms like hand and wrist flexor tendon rupture, rupture flexor digitorum profundus tendon, rupture flexor digitorum superficialis tendon, rupture of flexor tendon of finger, rupture of flexor tendon of finger, rupture of flexor tendons of hand and/or wrist, etc The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

ICD-10:S66.119S
Short Description:Strain flexor musc/fasc/tend unsp finger at wrs/hnd lv, sqla
Long Description:Strain of flexor muscle, fascia and tendon of unspecified finger at wrist and hand level, sequela

Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Hand and wrist flexor tendon rupture
  • Rupture flexor digitorum profundus tendon
  • Rupture flexor digitorum superficialis tendon
  • Rupture of flexor tendon of finger
  • Rupture of flexor tendon of finger
  • Rupture of flexor tendons of hand AND/OR wrist
  • Rupture of tendon of wrist and hand
  • Rupture wrist flexors

Diagnostic Related Groups

The ICD-10 code S66.119S 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.

  • 562 - FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC
  • 563 - FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC

Present on Admission (POA)

S66.119S 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 S66.119S to ICD-9

  • 905.7 - Late effec sprain/strain (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 muscle, fascia and tendon at wrist and hand level (S66)

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]

Sprains and Strains

A sprain is a stretched or torn ligament. Ligaments are tissues that connect bones at a joint. Falling, twisting, or getting hit can all cause a sprain. Ankle and wrist sprains are common. Symptoms include pain, swelling, bruising, and being unable to move your joint. You might feel a pop or tear when the injury happens.

A strain is a stretched or torn muscle or tendon. Tendons are tissues that connect muscle to bone. Twisting or pulling these tissues can cause a strain. Strains can happen suddenly or develop over time. Back and hamstring muscle strains are common. Many people get strains playing sports. Symptoms include pain, muscle spasms, swelling, and trouble moving the muscle.

At first, treatment of both sprains and strains usually involves resting the injured area, icing it, wearing a bandage or device that compresses the area, and medicines. Later treatment might include exercise and physical therapy.

NIH: National Institute of Arthritis and Musculoskeletal and Skin Diseases

  • Ankle sprain - aftercare (Medical Encyclopedia)
  • Elbow sprain -- aftercare (Medical Encyclopedia)
  • Foot sprain - aftercare (Medical Encyclopedia)
  • Hamstring strain - aftercare (Medical Encyclopedia)
  • Hip flexor strain -- aftercare (Medical Encyclopedia)
  • Sprains (Medical Encyclopedia)
  • Strains (Medical Encyclopedia)
  • Tendon repair (Medical Encyclopedia)
  • Wrist sprain - aftercare (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]