Injuries to the wrist, hand and fingers
ICD-10 Codes (0)
No codes found matching your search
Updates & Changes
FY 2026 Updates
New Codes (1)
Revised Codes (1)
Deleted Codes
No codes deleted in this range for FY 2026
Historical Changes
- •FY 2025: Routine maintenance updates with minor terminology clarifications
- •FY 2024: Enhanced specificity requirements for certain code ranges
- •FY 2023: Updated documentation guidelines for improved clarity
Upcoming Changes
- •Proposed updates pending review by Coordination and Maintenance Committee
- •Under consideration: Enhanced digital health integration codes
Implementation Guidance
- •Review all FY 2026 updates for S130-S139 codes before implementation
- •Always verify the most current codes in the ICD-10-CM manual
- •Ensure clinical documentation supports the selected diagnosis codes
- +3 more guidance items...
Range Overview
The ICD-10 code range S130-S139 pertains to injuries to the wrist, hand, and fingers. This includes a wide array of conditions, such as fractures, dislocations, sprains, and strains. These codes are used to document the specific location and type of injury, making them crucial for accurate medical record keeping, billing, and data collection.
Key Usage Points:
- •Always specify the location of the injury (e.g., right wrist, left index finger).
- •Use additional codes to identify any associated open wounds.
- •Specify the type of injury (e.g., fracture, dislocation, sprain).
- •Include details on the patient's encounter (e.g., initial, subsequent, sequela).
- •Use the appropriate seventh character extension to indicate the phase of treatment.
Coding Guidelines
When to Use:
- ✓When a patient presents with a fractured wrist.
- ✓When a patient has a sprained finger.
- ✓When a patient is being treated for a dislocated hand.
- ✓When a patient is being seen for follow-up care for a healed hand injury.
- ✓When documenting a sequela of a previous wrist injury.
When NOT to Use:
- ✗When the injury is not located on the wrist, hand, or fingers.
- ✗When the injury is a superficial wound without deeper damage.
- ✗When the patient is being seen for a condition unrelated to a wrist, hand, or finger injury.
- ✗When the patient is being seen for a chronic condition of the wrist, hand, or fingers, such as arthritis.
- ✗When the injury is a burn or corrosion.
Code Exclusions
Always verify exclusions with the most current version of the ICD-10-CM.
Documentation Requirements
Documentation for injuries to the wrist, hand, and fingers should be comprehensive, detailing the type, location, and severity of the injury, as well as the phase of treatment. It should also include any associated conditions or complications.
Clinical Information:
- •Specific location of the injury
- •Type of injury (fracture, dislocation, sprain, etc.)
- •Severity of the injury
- •Phase of treatment (initial, subsequent, sequela)
- •Any associated conditions or complications
Supporting Evidence:
- •Medical history and physical examination findings
- •Imaging studies
- •Operative reports
- •Clinical progress notes
Good Documentation Example:
Patient presents with a closed fracture of the right wrist from a fall. X-ray confirms the diagnosis.
Poor Documentation Example:
Patient has a wrist injury.
Common Documentation Errors:
- ⚠Not specifying the location of the injury
- ⚠Not indicating the type of injury
- ⚠Not including the phase of treatment
- ⚠Not documenting associated conditions or complications
Range Statistics
Coding Complexity
The coding complexity for injuries to the wrist, hand, and fingers is medium due to the need to accurately identify the specific location and type of injury, understand the phase of treatment, and apply the correct seventh character extension. Additionally, any associated conditions or complications must be identified and coded separately.
Key Factors:
- ▸Determining the specific location of the injury
- ▸Identifying the type of injury
- ▸Understanding the phase of treatment
- ▸Identifying any associated conditions or complications
- ▸Applying the correct seventh character extension
Specialty Focus
These codes are most commonly used by orthopedic surgeons, emergency medicine physicians, and primary care providers. They are also relevant for physical and occupational therapists managing the rehabilitation of these injuries.
Primary Specialties:
Clinical Scenarios:
- • A patient presents to the ER with a dislocated wrist from a sports injury.
- • A patient is being seen in the orthopedic clinic for a follow-up on a healed fractured finger.
- • A patient is being seen in primary care for pain management related to a sprained hand.
- • A patient is being seen in physical therapy for rehabilitation of a previously fractured wrist.
Resources & References
Resources for these codes include the ICD-10-CM Official Guidelines for Coding and Reporting, the American Academy of Orthopaedic Surgeons (AAOS), and the American College of Emergency Physicians (ACEP).
Official Guidelines:
- ICD-10-CM Official Guidelines for Coding and Reporting
- American Academy of Orthopaedic Surgeons (AAOS)
- American College of Emergency Physicians (ACEP)
Clinical References:
- Clinical Orthopaedics and Related Research
- Journal of Emergency Medicine
Educational Materials:
- AAOS ICD-10-CM Training
- ACEP ICD-10-CM Training
Frequently Asked Questions
How do I code for a patient with a healed fracture of the wrist who is being seen for a follow-up?
You would use the appropriate code from the S130-S139 range with a seventh character extension of 'D' for subsequent encounter.