2027 ICD-10-CM Diagnosis Code S69.81XDOther specified injuries of right wrist, hand and finger(s), subsequent encounter
S69.81XD is a billable ICD-10-CM diagnosis code for other specified injuries of right wrist, hand and finger(s), subsequent encounter. The 7th character D marks it as a subsequent encounter code, used during routine care in the healing or recovery phase. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 949 through 950. The code is exempt from POA reporting. Coders also document this condition as traumatic amputation of fingertip. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Other specified injury, subsequent encounter.
Code Identity
Code Classification
Present on Admission (POA)Billing
S69.81XD is exempt from POA reporting on inpatient claims to general acute care hospitals. Review the other POA exempt codes in Injuries to the wrist, hand and fingers (S60-S69).
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Traumatic amputation of fingertip
- Traumatic amputation of fingertip of right hand
Coding GuidelinesGuidance
The appropriate 7th character is to be added to each code from block Other and unspecified injuries of wrist, hand and finger(s) (S69). 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 S69.81XD: its own notes plus those printed at S69, 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.
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 S69
- Ainitial encounter
- Dsubsequent encounter this code
- 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 S69.81XD, its category, or a range that includes it.
Excludes2 1
These codes carry an Excludes2 note naming S69.81XD: its condition is not part of those codes, and both may be reported when the patient has both.
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Finger Injuries and Disorders
You use your fingers and thumbs to do everything from grasping objects to playing musical instruments to typing. When there is something wrong with them, it can make life difficult. Common problems include:
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert S69.81XD to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About S69.81XDOverview
Is S69.81XD (Other specified injuries of right wrist, hand and finger(s)) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report other specified injuries of right wrist, hand and finger(s), subsequent encounter on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What does the 7th character D in S69.81XD mean?
The final character D marks a subsequent encounter: use it for routine care while the other specified injuries of right wrist, hand and finger(s) is healing, after active treatment has ended.
What MS-DRG does S69.81XD group to?
When other specified injuries of right wrist, hand and finger(s), subsequent encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 950, 949, with relative weights from 0.7661 to 1.1231 depending on complications. Higher weights mean higher Medicare reimbursement.
Is S69.81XD 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 other specified injuries of right wrist, hand and finger(s), subsequent encounter on inpatient claims. The code appears in the Injuries to the wrist, hand and fingers (S60-S69) range of the CMS exempt list.
What is the ICD-9 equivalent of S69.81XD?
Under the General Equivalence Mappings, other specified injuries of right wrist, hand and finger(s), subsequent encounter converts to ICD-9-CM V58.89 (other specfied aftercare). The mapping is approximate, so confirm the match fits the documentation.
