S65.291A — Other specified injury of superficial palmar arch of right hand, initial encounter
Is S65.291A billable?
Yes, but S65.291A is an unspecified code. S65.291A is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, S65.291A 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 S65.291A — the more specific alternatives are listed below.
More specific alternatives
S65.291A at a glance
| Code | S65.291A |
|---|---|
| Description | Other specified injury of superficial palmar arch of right hand, initial encounter |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
| 7th character "A" | initial encounter |
What does the 7th character "A" mean in S65.291A?
In S65.291A, the 7th character A means initial encounter. The 7th character is required for S65.291A to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
Which MS-DRGs does S65.291A group to?
S65.291A sits in MDC 21 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.
- 913Traumatic Injury with MCCmedical
- 914Traumatic Injury without MCCmedical
As a secondary diagnosis, S65.291A is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.
How is S65.291A listed in the Alphabetic Index?
The Alphabetic Index lists these routes under S65.29, the nearest indexed parent of S65.291A. Use them to find the family, then select the specific code.
- Injury › blood vessel NEC › palmar arch › specified type NEC
Use additional code — inherited from Chapter 19
Report an additional code alongside S65.291A to fully describe the condition. S65.291A 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 S65.291A, but a patient may have both at the same time. When documentation supports it, S65.291A and the excluded code may both be reported.
Excludes2 — not included here — inherited from S60-S69
The conditions below are not part of S65.291A, but a patient may have both at the same time. When documentation supports it, S65.291A and the excluded code may both be reported.
Code also — inherited from S65
Two codes may be needed to describe the condition fully. Whether S65.291A is sequenced first depends on the reason for the encounter.
- any associated open wound (S61.-)
How long has S65.291A existed?
S65.291A 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.