Description revised ยท FY2026
Billable: use this code on claims.
- Description changed effective October 1, 2025. Before that it read: Unspecified fracture of right wrist and hand, subsequent encounter for fracture with malunion.
Code breakdown
S62.91XP
- S62CategoryFracture at wrist and hand level
- 9Character 4Unspecified fracture of hand
- 1Character 5Unspecified fracture of right hand
- XPlaceholderX fills the empty positions so the 7th character stays in position 7
- P7th charactersubsequent encounter for fracture with malunion
Coding notes
Excludes1 (from S62)
- traumatic amputation of wrist and hand (S68.-)
Excludes2 (from S62)
- fracture of distal parts of ulna and radius (S52.-)
Notes (from S62)
- A fracture not indicated as displaced or nondisplaced should be coded to displaced
- A fracture not indicated as open or closed should be coded to closed
7th character (from S62)
- The appropriate 7th character is to be added to each code from category S62
7th characters (category S62)
- A initial encounter for closed fracture
- B initial encounter for open fracture
- D subsequent encounter for fracture with routine healing
- G subsequent encounter for fracture with delayed healing
- K subsequent encounter for fracture with nonunion
- P subsequent encounter for fracture with malunion
- S sequela
Medicare coverage
S62.91XP is listed as a covered diagnosis in 2 Medicare billing and coding articles:
- A53058 Billing and Coding: Home Health Physical Therapy
- A53065 Billing and Coding: Outpatient Physical Therapy
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ICD-10-CM codes and descriptions are from the CMS and NCHS code files. Coverage is from the CMS Medicare Coverage Database billing and coding articles.