S62.501B — Fracture of unspecified phalanx of right thumb, initial encounter for open fracture
Is S62.501B billable?
Yes, but S62.501B is an unspecified code. S62.501B is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, S62.501B is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting S62.501B — the more specific alternatives are listed below.
S62.501B at a glance
| Code | S62.501B |
|---|---|
| Description | Fracture of unspecified phalanx of right thumb, initial encounter for open fracture |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
| 7th character "B" | initial encounter for open fracture |
What does the 7th character "B" mean in S62.501B?
In S62.501B, the 7th character B means initial encounter for open fracture. The 7th character is required for S62.501B to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
- Ainitial encounter for closed fractureS62.501A
- Binitial encounter for open fractureS62.501B
- Dsubsequent encounter for fracture with routine healingS62.501D
- Gsubsequent encounter for fracture with delayed healingS62.501G
- Ksubsequent encounter for fracture with nonunionS62.501K
- Psubsequent encounter for fracture with malunionS62.501P
- SsequelaS62.501S
Which MS-DRGs does S62.501B group to?
S62.501B sits in MDC 08 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 562Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh with MCCmedical
- 563Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without MCCmedical
As a secondary diagnosis, S62.501B is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG. It also carries Hospital-Acquired Condition category 05.
How is S62.501B listed in the Alphabetic Index?
The Alphabetic Index lists these routes under S62.50, the nearest indexed parent of S62.501B. Use them to find the family, then select the specific code.
- Fracture, traumatic › thumb (abduction) (adduction) (separation)
Excludes1 — never code together — inherited from S62
The conditions below can never be reported together with S62.501B 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 S62.501B to fully describe the condition. S62.501B 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 S62.501B, but a patient may have both at the same time. When documentation supports it, S62.501B and the excluded code may both be reported.
Excludes2 — not included here — inherited from S60-S69
The conditions below are not part of S62.501B, but a patient may have both at the same time. When documentation supports it, S62.501B and the excluded code may both be reported.
Excludes2 — not included here — inherited from S62
The conditions below are not part of S62.501B, but a patient may have both at the same time. When documentation supports it, S62.501B and the excluded code may both be reported.
- fracture of distal parts of ulna and radius (S52.-)
How long has S62.501B existed?
S62.501B 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.