Is S62.91XD a billable ICD-10-CM code?

Yes. S62.91XD is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does S62.91XD sit in the tabular list?

Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the wrist, hand and fingers (S60-S69).

S62.91XD

S62.91XD — Unspecified fracture of right hand, subsequent encounter for fracture with routine healing

Billable / specific codeICD-10-CMPOA exemptright

S62.91XD is a billable, specific ICD-10-CM code for unspecified fracture of right hand, subsequent encounter for fracture with routine healing. It is valid for submission on a claim.

7th character "D" — subsequent encounter for fracture with routine healing

The appropriate 7th character is to be added to each code from 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

Risk adjustment

S62.91XD does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Medicare coverage

S62.91XD is named in 2 Medicare coverage policies — 2 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A53058Billing and Coding: Home Health Physical Therapy
A53065Billing and Coding: Outpatient Physical Therapy

Code history

What changed, and when. Derived by diffing consecutive CMS release files — which matters when you are defending a code assigned under an earlier edition.

revisedFY2024-FY2026
Unspecified fracture of right wrist and hand, subsequent encounter for fracture with routine healing → Unspecified fracture of right hand, subsequent encounter for fracture with routine healing

Related codes at this level

Codes that share S62.91. If S62.91XD is not quite right, the correct code is usually one of these.

Questions about S62.91XD

Is S62.91XD a billable ICD-10-CM code?: Yes. S62.91XD is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does S62.91XD sit in the tabular list?: Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the wrist, hand and fingers (S60-S69).