2027 ICD-10-CM Diagnosis Code S67.40XACrushing injury of unspecified wrist and hand, initial encounter

ICD-10-CM Codes›S00–T88›S60-S69›S67

ICD-10-CM S67.40XA
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

S67.40XA is a billable ICD-10-CM diagnosis code for crushing injury of unspecified wrist and hand, 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 wrist and/or hand. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Crushing injury, initial encounter.

Code Identity

ICD-10-CM Code
S67.40XA
Billable Status
Yes — Valid for Submission
Code Describes
Crushing injury of unspecified wrist and hand, initial encounter
Short Description
Crushing injury of unspecified wrist and hand, init encntr
Parent Code
S67.40
Crushing injury of unspecified wrist and hand

Code Classification

ChapterS00–T88Injury, poisoning and certain other consequences of external causes
SectionS60-S69Injuries to the wrist, hand and fingers
CategoryS67Crushing injury of wrist, hand and fingers
This CodeS67.40XACrushing injury of unspecified wrist and hand, initial encounter

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Crush injury wrist and/or hand

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 S67.40XA: its own notes plus those printed at S67.4, S67, block S60-S69, and Chapter 19. A note printed at a category, block or chapter applies to every code under it.

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

From S67.4 Crushing injury of wrist and hand applies to 9 codes
  • crushing injury of hand alone (S67.2-)
  • crushing injury of wrist alone (S67.3-)

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.

From S67.4 Crushing injury of wrist and hand applies to 9 codes
  • crushing injury of fingers (S67.1-)
  • crushing injury of thumb (S67.0-)
From Block S60-S69 Injuries to the wrist, hand and fingers applies to 5,118 codes
  • burns and corrosions (T20-T32)
  • frostbite (T33-T34)
  • insect bite or sting, venomous (T63.4)
From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes

Use Additional Code

Add a second code, after this one, to fully describe the condition.

From S67 Crushing injury of wrist, hand and fingers applies to 75 codes
  • code for all associated injuries, such as:
  • fracture of wrist and hand (S62.-)
  • open wound of wrist and hand (S61.-)
From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes
  • code to identify any retained foreign body, if applicable (Z18.-)

Notes

General instructions on how these codes are used.

From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes
  • 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.

From S67 Crushing injury of wrist, hand and fingers applies to 75 codes
  • The appropriate 7th character is to be added to each code from category S67
Values for category S67 Encounter: Initial, Subsequent, Sequela
  • 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 S67.40XA, its category, or a range that includes it.

Excludes2 1

These codes carry an Excludes2 note naming S67.40XA: its condition is not part of those codes, and both may be reported when the patient has both.

  • S57 Crushing injury of elbow and forearm
    crushing injury of wrist and hand (S67.-) names S67.-, which includes this code

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR INJ018
Crushing injury, initial encounter
Default principal diagnosis: inpatient Yes · outpatient Yes

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 S67.40XA to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
927.21 Crushing injury of wrist
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About S67.40XAOverview

What is the ICD-10 code for crushing injury of unspecified wrist and hand, initial encounter?

The ICD-10-CM code for crushing injury of unspecified wrist and hand, initial encounter is S67.40XA (sometimes written as S6740XA). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is S67.40XA (Crushing injury of unspecified wrist and hand) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report crushing injury of unspecified wrist and hand, initial encounter on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What does the 7th character A in S67.40XA mean?

The final character A marks the initial encounter: use it while the patient is receiving active treatment for crushing injury of unspecified wrist and hand, such as an emergency visit or first evaluation.

What MS-DRG does S67.40XA group to?

When crushing injury of unspecified wrist and hand, 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.

Can S67.40XA be reported with a code from S67.2?

Not as a rule. The Excludes1 note at S67.4, which applies to S67.40XA, lists "crushing injury of hand alone (S67.2-)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).