S62.91XK — Unspecified fracture of right hand, subsequent encounter for fracture with nonunion
S62.91XK is a billable, specific ICD-10-CM code for unspecified fracture of right hand, subsequent encounter for fracture with nonunion. It is valid for submission on a claim.
7th character "K" — subsequent encounter for fracture with nonunion
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
S62.91XK 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
S62.91XK 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 nonunion → Unspecified fracture of right hand, subsequent encounter for fracture with nonunion
Related codes at this level
Codes that share S62.91. If S62.91XK is not quite right, the correct code is usually one of these.
- S62.91XAUnspecified fracture of right hand, initial encounter for closed fracture
- S62.91XBUnspecified fracture of right hand, initial encounter for open fracture
- S62.91XDUnspecified fracture of right hand, subsequent encounter for fracture with routine healing
- S62.91XGUnspecified fracture of right hand, subsequent encounter for fracture with delayed healing
- S62.91XPUnspecified fracture of right hand, subsequent encounter for fracture with malunion
- S62.91XSUnspecified fracture of right hand, sequela
Questions about S62.91XK
- Is S62.91XK a billable ICD-10-CM code?
- Yes. S62.91XK is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S62.91XK 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).