S63.64 — Sprain of metacarpophalangeal joint of thumb
Is S63.64 billable?
No — S63.64 is a non-billable header code. S63.64 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 9 billable codes beneath S63.64.
Billable codes under this header
- S63.641ASprain of metacarpophalangeal joint of right thumb, initial encounter
- S63.641DSprain of metacarpophalangeal joint of right thumb, subsequent encounter
- S63.641SSprain of metacarpophalangeal joint of right thumb, sequela
- S63.642ASprain of metacarpophalangeal joint of left thumb, initial encounter
- S63.642DSprain of metacarpophalangeal joint of left thumb, subsequent encounter
- S63.642SSprain of metacarpophalangeal joint of left thumb, sequela
- S63.649ASprain of metacarpophalangeal joint of unspecified thumb, initial encounter
- S63.649DSprain of metacarpophalangeal joint of unspecified thumb, subsequent encounter
- S63.649SSprain of metacarpophalangeal joint of unspecified thumb, sequela
S63.64 at a glance
| Code | S63.64 |
|---|---|
| Description | Sprain of metacarpophalangeal joint of thumb |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is S63.64 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to S63.64. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Sprain › thumb › metacarpophalangeal (joint) (ligament)
Excludes1 — never code together — inherited from S63.6
The conditions below can never be reported together with S63.64 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 rupture of ligament of finger at metacarpophalangeal and interphalangeal joint(s) (S63.4-)
Use additional code — inherited from Chapter 19
Report an additional code alongside S63.64 to fully describe the condition. S63.64 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 S63.64, but a patient may have both at the same time. When documentation supports it, S63.64 and the excluded code may both be reported.
Excludes2 — not included here — inherited from S60-S69
The conditions below are not part of S63.64, but a patient may have both at the same time. When documentation supports it, S63.64 and the excluded code may both be reported.
Excludes2 — not included here — inherited from S63
The conditions below are not part of S63.64, but a patient may have both at the same time. When documentation supports it, S63.64 and the excluded code may both be reported.
- strain of muscle, fascia and tendon of wrist and hand (S66.-)
Code also — inherited from S63
Two codes may be needed to describe the condition fully. Whether S63.64 is sequenced first depends on the reason for the encounter.
- any associated open wound
What codes fall under S63.64? (3)
How long has S63.64 existed?
S63.64 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.
What other codes are in the S63.6 family? (7)
- S63.60Unspecified sprain of thumbnot billable
- S63.61Unspecified sprain of other and unspecified finger(s)not billable
- S63.62Sprain of interphalangeal joint of thumbnot billable
- S63.63Sprain of interphalangeal joint of other and unspecified finger(s)not billable
- S63.65Sprain of metacarpophalangeal joint of other and unspecified finger(s)not billable
- S63.68Other sprain of thumbnot billable
- S63.69Other sprain of other and unspecified finger(s)not billable