2027 ICD-10-CM Diagnosis Code S67.193ACrushing injury of left middle finger, initial encounter
S67.193A is a billable ICD-10-CM diagnosis code for crushing injury of left middle finger, 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 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 913 through 914, 963 through 965. Coders also document this condition as crush injury of finger of left hand. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Crushing injury, initial encounter.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Crush injury of finger of left hand
- Crush injury of left middle finger
Coding GuidelinesGuidance
The appropriate 7th character is to be added to each code from block Crushing injury of wrist, hand and fingers (S67). 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 S67.193A: its own notes plus those printed at S67.1, S67, 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.
- crushing injury of thumb (S67.0-)
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.-)
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 S67
- Ainitial encounter this code
- Dsubsequent encounter
- Ssequela
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name S67.193A, its category, or a range that includes it.
Excludes2 3
These codes carry an Excludes2 note naming S67.193A: its condition is not part of those codes, and both may be reported when the patient has both.
- S57 Crushing injury of elbow and forearmcrushing injury of wrist and hand (S67.-) names S67.-, which includes this code
- S67.2 Crushing injury of handcrushing injury of fingers (S67.1-) names S67.1-, which includes this code
- S67.4 Crushing injury of wrist and handcrushing injury of fingers (S67.1-) names S67.1-, which includes this code
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Wounds and Injuries
An injury is damage to your body. It is a general term that refers to harm caused by accidents, falls, hits, weapons, and more. In the U.S., millions of people injure themselves every year. These injuries range from minor to life-threatening.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert S67.193A to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About S67.193AOverview
What is the ICD-10 code for crushing injury of left middle finger, initial encounter?
The ICD-10-CM code for crushing injury of left middle finger, initial encounter is S67.193A (sometimes written as S67193A). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is S67.193A (Crushing injury of left middle finger) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report crushing injury of left middle finger, initial encounter on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What does the 7th character A in S67.193A mean?
The final character A marks the initial encounter: use it while the patient is receiving active treatment for crushing injury of left middle finger, such as an emergency visit or first evaluation.
What MS-DRG does S67.193A group to?
When crushing injury of left middle finger, initial encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 964, 965, 914, 913, 963, with relative weights from 0.9281 to 2.6361 depending on complications. Higher weights mean higher Medicare reimbursement.
Does S67.193A need an additional code?
When the condition applies, yes. The Use Additional Code note at S67, which applies to S67.193A, reads: code for all associated injuries, such as: fracture of wrist and hand (S62.-); open wound of wrist and hand (S61.-). The additional code is reported after S67.193A.
