S62.209K — Unspecified fracture of first metacarpal bone, unspecified hand, subsequent encounter for fracture with nonunion
Is S62.209K billable?
Yes, but S62.209K will trip a Medicare edit. S62.209K is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, CMS lists S62.209K under Medicare Code Editor edit 20, “Unspecified code” — meaning a code specifying laterality (right, left or bilateral) exists in the same family. On an inpatient claim this triggers the edit, because CMS holds that there are very limited circumstances in which laterality cannot be documented.
More specific alternatives
- S62.211KBennett's fracture, right hand, subsequent encounter for fracture with nonunion
- S62.221KDisplaced Rolando's fracture, right hand, subsequent encounter for fracture with nonunion
- S62.231KOther displaced fracture of base of first metacarpal bone, right hand, subsequent encounter for fracture with nonunion
- S62.241KDisplaced fracture of shaft of first metacarpal bone, right hand, subsequent encounter for fracture with nonunion
- S62.251KDisplaced fracture of neck of first metacarpal bone, right hand, subsequent encounter for fracture with nonunion
- S62.291KOther fracture of first metacarpal bone, right hand, subsequent encounter for fracture with nonunion
S62.209K at a glance
| Code | S62.209K |
|---|---|
| Description | Unspecified fracture of first metacarpal bone, unspecified hand, subsequent encounter for fracture with nonunion |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
| 7th character "K" | subsequent encounter for fracture with nonunion |
What does the 7th character "K" mean in S62.209K?
In S62.209K, the 7th character K means subsequent encounter for fracture with nonunion. The 7th character is required for S62.209K to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
- Ainitial encounter for closed fractureS62.209A
- Binitial encounter for open fractureS62.209B
- Dsubsequent encounter for fracture with routine healingS62.209D
- Gsubsequent encounter for fracture with delayed healingS62.209G
- Ksubsequent encounter for fracture with nonunionS62.209K
- Psubsequent encounter for fracture with malunionS62.209P
- SsequelaS62.209S
What Medicare edits apply to S62.209K?
The Medicare Code Editor screens inpatient claims before they are grouped. These edits name S62.209K directly.
A code specifying laterality (right, left or bilateral) exists in the same family. CMS holds that there are very limited circumstances in which laterality cannot be documented.
Which MS-DRGs does S62.209K group to?
S62.209K sits in MDC 08 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 564Other Musculoskeletal System and Connective Tissue Diagnoses with MCCmedical
- 565Other Musculoskeletal System and Connective Tissue Diagnoses with CCmedical
- 566Other Musculoskeletal System and Connective Tissue Diagnoses without CC/MCCmedical
As a secondary diagnosis, S62.209K is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.
How is S62.209K listed in the Alphabetic Index?
The Alphabetic Index lists these routes under S62.20, the nearest indexed parent of S62.209K. Use them to find the family, then select the specific code.
- Fracture, traumatic › metacarpal › first (abduction) (adduction) (separation)
Excludes1 — never code together — inherited from S62
The conditions below can never be reported together with S62.209K on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- traumatic amputation of wrist and hand (S68.-)
Use additional code — inherited from Chapter 19
Report an additional code alongside S62.209K to fully describe the condition. S62.209K is sequenced first.
- code to identify any retained foreign body, if applicable (Z18.-)
Excludes2 — not included here — inherited from Chapter 19
The conditions below are not part of S62.209K, but a patient may have both at the same time. When documentation supports it, S62.209K and the excluded code may both be reported.
Excludes2 — not included here — inherited from S60-S69
The conditions below are not part of S62.209K, but a patient may have both at the same time. When documentation supports it, S62.209K and the excluded code may both be reported.
Excludes2 — not included here — inherited from S62
The conditions below are not part of S62.209K, but a patient may have both at the same time. When documentation supports it, S62.209K and the excluded code may both be reported.
- fracture of distal parts of ulna and radius (S52.-)
How long has S62.209K existed?
S62.209K has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.