2026 ICD-10-CM Diagnosis Code S66.912SStrain of unspecified muscle, fascia and tendon at wrist and hand level, left hand, sequela
S66.912S is a billable ICD-10-CM diagnosis code for strain of unspecified muscle, fascia and tendon at wrist and hand level, left hand, 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 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 562 through 563. The code is exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Injury, sequela.
Code Identity
Code Classification
Present on Admission (POA)Billing
S66.912S is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Pain of bilateral hands
- Pain of left hand
- Pain of right hand
- Repetitive motion disorder of bilateral hands
- Repetitive motion disorder of left hand
- Repetitive motion disorder of right hand
- Strain of muscle of left hand
- Strain of muscle of left wrist
- Strain of muscle of wrist
- Strain of tendon of hand
- Strain of tendon of left hand
- Strain of tendon of left thumb
- Strain of tendon of left upper limb
- Strain of tendon of left wrist
- Strain of tendon of wrist
- Strain of thumb tendon
- Traumatic tear of tendon of hand
- Traumatic tear of tendon of left hand
- Traumatic tear of tendon of left wrist region
- Traumatic tear of tendon of wrist region
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.
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 S66.912S to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About S66.912SOverview
Is S66.912S a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report strain of unspecified muscle, fascia and tendon at wrist and hand level, left hand, sequela on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character S in S66.912S mean?
The final character S makes this a sequela code: it reports a lingering problem that remains after the strain of unspecified muscle, fascia and tendon at wrist and hand level, left hand itself has resolved, not the original event.
What MS-DRG does S66.912S group to?
When strain of unspecified muscle, fascia and tendon at wrist and hand level, left hand, sequela is the principal diagnosis on an inpatient stay, it groups to MS-DRG 562, 563, with relative weights from 0.8955 to 1.4248 depending on complications. Higher weights mean higher Medicare reimbursement.
Is S66.912S 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 strain of unspecified muscle, fascia and tendon at wrist and hand level, left hand, sequela on inpatient claims.
What is the ICD-9 equivalent of S66.912S?
Under the General Equivalence Mappings, strain of unspecified muscle, fascia and tendon at wrist and hand level, left hand, sequela converts to ICD-9-CM 905.7 (late effec sprain/strain). 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.
