2026 ICD-10-CM Diagnosis Code S67.42XACrushing injury of left wrist and hand, initial encounter
S67.42XA is a billable ICD-10-CM diagnosis code for crushing injury of left 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 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 913 through 914, 963 through 965. Coders also document this condition as crush injury 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 left hand
- Crush injury of left wrist
- Crushing injury of multiple sites of upper limb
- Crushing injury of wrist
- Left wrist region and hand crushing injury
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 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
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 S67.42XA to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About S67.42XAOverview
Is S67.42XA (Crushing injury of left wrist and hand) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report crushing injury of left wrist and hand, initial encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character A in S67.42XA mean?
The final character A marks the initial encounter: use it while the patient is receiving active treatment for crushing injury of left wrist and hand, such as an emergency visit or first evaluation.
What MS-DRG does S67.42XA group to?
When crushing injury of left wrist and hand, initial encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 913, 914, 963, 964, 965, with relative weights from 0.8855 to 2.7338 depending on complications. Higher weights mean higher Medicare reimbursement.
What is the ICD-9 equivalent of S67.42XA?
Under the General Equivalence Mappings, crushing injury of left wrist and hand, initial encounter converts to ICD-9-CM 927.21 (crushing injury of wrist). 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.
