Version 2024

2024 ICD-10-CM Diagnosis Code S63

Dislocation and sprain of joints and ligaments at wrist and hand level

ICD-10-CM Code:
S63
ICD-10 Code for:
Dislocation and sprain of joints and ligaments at wrs/hnd lv
Is Billable?
Not Valid for Submission
Code Navigator:

Code Classification

  • Injury, poisoning and certain other consequences of external causes
    (S00–T88)
    • Injuries to the wrist, hand and fingers
      (S60-S69)
      • Dislocation and sprain of joints and ligaments at wrist and hand level
        (S63)

S63 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of dislocation and sprain of joints and ligaments at wrist and hand level. The code is not specific and is NOT valid for the year 2024 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

Specific Coding Applicable to Dislocation and sprain of joints and ligaments at wrs/hnd lv

Non-specific codes like S63 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10-CM codes with a higher level of specificity when coding for dislocation and sprain of joints and ligaments at wrs/hnd lv:

  • S63.0 for Subluxation and dislocation of wrist and hand joints - NON-BILLABLE CODE

  • S63.00 for Unspecified subluxation and dislocation of wrist and hand - NON-BILLABLE CODE

  • S63.01 for Subluxation and dislocation of distal radioulnar joint - NON-BILLABLE CODE

  • S63.02 for Subluxation and dislocation of radiocarpal joint - NON-BILLABLE CODE

  • S63.03 for Subluxation and dislocation of midcarpal joint - NON-BILLABLE CODE

  • S63.04 for Subluxation and dislocation of carpometacarpal joint of thumb - NON-BILLABLE CODE

  • S63.05 for Subluxation and dislocation of other carpometacarpal joint - NON-BILLABLE CODE

  • S63.06 for Subluxation and dislocation of metacarpal (bone), proximal end - NON-BILLABLE CODE

  • S63.07 for Subluxation and dislocation of distal end of ulna - NON-BILLABLE CODE

  • S63.09 for Other subluxation and dislocation of wrist and hand - NON-BILLABLE CODE

  • S63.1 for Subluxation and dislocation of thumb - NON-BILLABLE CODE

  • S63.10 for Unspecified subluxation and dislocation of thumb - NON-BILLABLE CODE

  • S63.11 for Subluxation and dislocation of metacarpophalangeal joint of thumb - NON-BILLABLE CODE

  • S63.12 for Subluxation and dislocation of interphalangeal joint of thumb - NON-BILLABLE CODE

  • S63.2 for Subluxation and dislocation of other finger(s) - NON-BILLABLE CODE

  • S63.20 for Unspecified subluxation of other finger - NON-BILLABLE CODE

  • S63.21 for Subluxation of metacarpophalangeal joint of finger - NON-BILLABLE CODE

  • S63.22 for Subluxation of unspecified interphalangeal joint of finger - NON-BILLABLE CODE

  • S63.23 for Subluxation of proximal interphalangeal joint of finger - NON-BILLABLE CODE

  • S63.24 for Subluxation of distal interphalangeal joint of finger - NON-BILLABLE CODE

  • S63.25 for Unspecified dislocation of other finger - NON-BILLABLE CODE

  • S63.26 for Dislocation of metacarpophalangeal joint of finger - NON-BILLABLE CODE

  • S63.27 for Dislocation of unspecified interphalangeal joint of finger - NON-BILLABLE CODE

  • S63.28 for Dislocation of proximal interphalangeal joint of finger - NON-BILLABLE CODE

  • S63.29 for Dislocation of distal interphalangeal joint of finger - NON-BILLABLE CODE

  • S63.3 for Traumatic rupture of ligament of wrist - NON-BILLABLE CODE

  • S63.30 for Traumatic rupture of unspecified ligament of wrist - NON-BILLABLE CODE

  • S63.31 for Traumatic rupture of collateral ligament of wrist - NON-BILLABLE CODE

  • S63.32 for Traumatic rupture of radiocarpal ligament - NON-BILLABLE CODE

  • S63.33 for Traumatic rupture of ulnocarpal (palmar) ligament - NON-BILLABLE CODE

  • S63.39 for Traumatic rupture of other ligament of wrist - NON-BILLABLE CODE

  • S63.4 for Traumatic rupture of ligament of finger at metacarpophalangeal and interphalangeal joint(s) - NON-BILLABLE CODE

  • S63.40 for Traumatic rupture of unspecified ligament of finger at metacarpophalangeal and interphalangeal joint - NON-BILLABLE CODE

  • S63.41 for Traumatic rupture of collateral ligament of finger at metacarpophalangeal and interphalangeal joint - NON-BILLABLE CODE

  • S63.42 for Traumatic rupture of palmar ligament of finger at metacarpophalangeal and interphalangeal joint - NON-BILLABLE CODE

  • S63.43 for Traumatic rupture of volar plate of finger at metacarpophalangeal and interphalangeal joint - NON-BILLABLE CODE

  • S63.49 for Traumatic rupture of other ligament of finger at metacarpophalangeal and interphalangeal joint - NON-BILLABLE CODE

  • S63.5 for Other and unspecified sprain of wrist - NON-BILLABLE CODE

  • S63.50 for Unspecified sprain of wrist - NON-BILLABLE CODE

  • S63.51 for Sprain of carpal (joint) - NON-BILLABLE CODE

  • S63.52 for Sprain of radiocarpal joint - NON-BILLABLE CODE

  • S63.59 for Other specified sprain of wrist - NON-BILLABLE CODE

  • S63.6 for Other and unspecified sprain of finger(s) - NON-BILLABLE CODE

  • S63.60 for Unspecified sprain of thumb - NON-BILLABLE CODE

  • S63.61 for Unspecified sprain of other and unspecified finger(s) - NON-BILLABLE CODE

  • S63.62 for Sprain of interphalangeal joint of thumb - NON-BILLABLE CODE

  • S63.63 for Sprain of interphalangeal joint of other and unspecified finger(s) - NON-BILLABLE CODE

  • S63.64 for Sprain of metacarpophalangeal joint of thumb - NON-BILLABLE CODE

  • S63.65 for Sprain of metacarpophalangeal joint of other and unspecified finger(s) - NON-BILLABLE CODE

  • S63.68 for Other sprain of thumb - NON-BILLABLE CODE

  • S63.69 for Other sprain of other and unspecified finger(s) - NON-BILLABLE CODE

  • S63.8 for Sprain of other part of wrist and hand - NON-BILLABLE CODE

  • S63.8X for Sprain of other part of wrist and hand - NON-BILLABLE CODE

  • S63.9 for Sprain of unspecified part of wrist and hand - NON-BILLABLE CODE

  • S63.90 for Sprain of unspecified part of unspecified wrist and hand - NON-BILLABLE CODE

  • S63.91 for Sprain of unspecified part of right wrist and hand - NON-BILLABLE CODE

  • S63.92 for Sprain of unspecified part of left wrist and hand - NON-BILLABLE CODE

Coding Guidelines

The appropriate 7th character is to be added to each code from block Dislocation and sprain of joints and ligaments at wrist and hand level (S63). Use the following options for the aplicable episode of care:

  • A - initial encounter
  • D - subsequent encounter
  • S - sequela

Tabular List of Diseases and Injuries

The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.


Includes

Includes
This note appears immediately under a three character code title to further define, or give examples of, the content of the category.
  • avulsion of joint or ligament at wrist and hand level
  • laceration of cartilage, joint or ligament at wrist and hand level
  • sprain of cartilage, joint or ligament at wrist and hand level
  • traumatic hemarthrosis of joint or ligament at wrist and hand level
  • traumatic rupture of joint or ligament at wrist and hand level
  • traumatic subluxation of joint or ligament at wrist and hand level
  • traumatic tear of joint or ligament at wrist and hand level

Code Also

Code Also
A "code also" note instructs that two codes may be required to fully describe a condition, but this note does not provide sequencing direction.
  • any associated open wound

Type 2 Excludes

Type 2 Excludes
A type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
  • strain of muscle, fascia and tendon of wrist and hand S66

7th Character Note

7th Character Note
Certain ICD-10-CM categories have applicable 7th characters. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.
  • The appropriate 7th character is to be added to each code from category S63

7th Character

7th Character
Indicates that a seventh character is to be assigned to codes in a subcategory.
  • A - initial encounter
  • D - subsequent encounter
  • S - sequela

Patient Education


Dislocations

Dislocations are joint injuries that force the ends of your bones out of position. The cause is often a fall or a blow, sometimes from playing a contact sport. You can dislocate your ankles, knees, shoulders, hips, elbows and jaw. You can also dislocate your finger and toe joints. Dislocated joints often are swollen, very painful and visibly out of place. You may not be able to move it.

A dislocated joint is an emergency. If you have one, seek medical attention. Treatment depends on which joint you dislocate and the severity of the injury. It might include manipulations to reposition your bones, medicine, a splint or sling, and rehabilitation. When properly repositioned, a joint will usually function and move normally again in a few weeks. Once you dislocate a shoulder or kneecap, you are more likely to dislocate it again. Wearing protective gear during sports may help prevent dislocations.


[Learn More in MedlinePlus]

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.

Hand problems include :

  • Carpal tunnel syndrome - compression of a nerve as it goes through the wrist, often making your fingers feel numb
  • Injuries that result in fractures (broken bones), ruptured ligaments and dislocations
  • Osteoarthritis - wear-and-tear arthritis, which can also cause deformity
  • Tendinitis - irritation of the tendons
  • Disorders and injuries of your fingers and thumb

[Learn More in MedlinePlus]

Wrist Injuries and Disorders

Your wrist connects your hand to your forearm. It is not one big joint; it has several small joints. This makes it flexible and allows you to move your hand in different ways. The wrist has two big forearm bones and eight small bones known as carpals. It also has tendons and ligaments, which are connective tissues. Tendons connect muscles to bones. Ligaments connect bones to each other.

What are the types of wrist injuries and disorders?

Some of the more common types of wrist injuries and disorders are:

  • Carpal tunnel syndrome, which happens when a nerve that runs from your forearm into your palm becomes squeezed at the wrist
  • Ganglion cysts, which are noncancerous lumps or masses
  • Gout, which is a form of arthritis caused by a buildup of uric acid in your joints
  • Fractures (broken bones)
  • Osteoarthritis, the most common type of arthritis. It is caused by wear and tear of the joints.
  • Sprains and strains, which are injuries to ligaments and injuries to muscles or tendons
  • Tendinitis, inflammation of a tendon, usually due to overuse

Who is at risk for wrist injuries and disorders?

Certain things can put you at higher risk of having a wrist problem, including:

  • Doing sports, which can put you at risk for injuries and puts stress on your wrist. For example, you may fall on your outstretched hand when you are skating or snowboarding. Your wrist could be injured while doing contact sports. And other sports such as gymnastics and basketball can strain your wrists.
  • Doing repetitive wrist motions, such as typing on a keyboard, working on an assembly line, or using power tools.
  • Having certain diseases. For example, rheumatoid arthritis can cause wrist pain.

What are the symptoms of wrist injuries and disorders?

The symptoms of a wrist problem can vary, depending on the problem. A common symptom is wrist pain. Some other possible symptoms include swelling, a decrease in wrist strength, and sudden numbness or tingling.

How are wrist injuries and disorders diagnosed?

Your health care provider may use many tools to make a diagnosis:

  • A medical history, which includes asking about your symptoms
  • A physical exam, including checking your wrist strength and range of motion
  • An x-ray or other imaging test
  • Blood tests

What are the treatments for wrist injuries and disorders?

Treatments for wrist pain depends on the type of injury or disorder. They may include:

  • Resting your wrist
  • Wearing a wrist brace or cast
  • Pain relievers
  • Cortisone shots
  • Physical therapy
  • Surgery

Can wrist injuries and disorders be prevented?

To try to prevent wrist problems, you can:

  • Use wrist guards, when doing sports that put you at risk for wrist injuries
  • In the workplace, perform stretching exercises and take frequent rest breaks. You should also pay attention to ergonomics to make sure that you are using the proper wrist position while working.
  • Make sure that you get enough calcium and vitamin D to keep your bones strong

[Learn More in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.