S62.513K — Displaced fracture of proximal phalanx of unspecified thumb, subsequent encounter for fracture with nonunion
Is S62.513K billable?
Yes, but S62.513K is an unspecified code. S62.513K is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, S62.513K 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 S62.513K — the more specific alternatives are listed below.
More specific alternatives
- S62.511KDisplaced fracture of proximal phalanx of right thumb, subsequent encounter for fracture with nonunion
- S62.512KDisplaced fracture of proximal phalanx of left thumb, subsequent encounter for fracture with nonunion
- S62.514KNondisplaced fracture of proximal phalanx of right thumb, subsequent encounter for fracture with nonunion
- S62.515KNondisplaced fracture of proximal phalanx of left thumb, subsequent encounter for fracture with nonunion
S62.513K at a glance
| Code | S62.513K |
|---|---|
| Description | Displaced fracture of proximal phalanx of unspecified thumb, 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 S62.513K?
In S62.513K, the 7th character K means subsequent encounter for fracture with nonunion. The 7th character is required for S62.513K to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
- Ainitial encounter for closed fractureS62.513A
- Binitial encounter for open fractureS62.513B
- Dsubsequent encounter for fracture with routine healingS62.513D
- Gsubsequent encounter for fracture with delayed healingS62.513G
- Ksubsequent encounter for fracture with nonunionS62.513K
- Psubsequent encounter for fracture with malunionS62.513P
- SsequelaS62.513S
Which MS-DRGs does S62.513K group to?
S62.513K 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, S62.513K is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.
How is S62.513K listed in the Alphabetic Index?
The Alphabetic Index lists these routes under S62.51, the nearest indexed parent of S62.513K. Use them to find the family, then select the specific code.
- Fracture, traumatic › thumb › proximal phalanx (abduction) (adduction) (separation)
- Fracture, traumatic › thumb › proximal phalanx › nondisplaced (abduction) (adduction) (separation)
Excludes1 — never code together — inherited from S62
The conditions below can never be reported together with S62.513K 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 S62.513K to fully describe the condition. S62.513K 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 S62.513K, but a patient may have both at the same time. When documentation supports it, S62.513K and the excluded code may both be reported.
Excludes2 — not included here — inherited from S60-S69
The conditions below are not part of S62.513K, but a patient may have both at the same time. When documentation supports it, S62.513K and the excluded code may both be reported.
Excludes2 — not included here — inherited from S62
The conditions below are not part of S62.513K, but a patient may have both at the same time. When documentation supports it, S62.513K and the excluded code may both be reported.
- fracture of distal parts of ulna and radius (S52.-)
How long has S62.513K existed?
S62.513K 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.