Chapter XIX
Injury, poisoning and certain other consequences of external causes
(S00-T98)

Injuries to the wrist and hand
(S60-S69)

Excl.:
bilateral involvement of wrist and hand ( T00-T07)
burns and corrosions ( T20-T32)
frostbite ( T33-T35)
injuries of arm, level unspecified ( T10-T11)
insect bite or sting, venomous ( T63.4)

S60 Superficial injury of wrist and hand

S60.0 Contusion of finger(s) without damage to nail
Incl.:
Contusion of finger(s) NOS
Excl.:
contusion involving nail (matrix) ( S60.1)
S60.1 Contusion of finger(s) with damage to nail
S60.2 Contusion of other parts of wrist and hand
S60.7 Multiple superficial injuries of wrist and hand
S60.8 Other superficial injuries of wrist and hand
S60.9 Superficial injury of wrist and hand, unspecified

S61 Open wound of wrist and hand

Excl.:
traumatic amputation of wrist and hand ( S68.-)
S61.0 Open wound of finger(s) without damage to nail
Incl.:
Open wound of finger(s) NOS
Excl.:
open wound involving nail (matrix) ( S61.1)
S61.1 Open wound of finger(s) with damage to nail
S61.7 Multiple open wounds of wrist and hand
S61.8 Open wound of other parts of wrist and hand
S61.9 Open wound of wrist and hand, part unspecified

S62 Fracture at wrist and hand level

Excl.:
fracture of distal parts of ulna and radius ( S52.-)
Modifiers

The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding to identify fracture and open wound; a fracture not indicated as closed or open should be classified as closed.

Code Title
0
closed
1
open
S62.0 Fracture of navicular [scaphoid] bone of hand
S62.1 Fracture of other carpal bone(s)
Incl.:
Capitate [os magnum]
Hamate [unciform]
Lunate [semilunar]
Pisiform
Trapezium [greater multangular]
Trapezoid [lesser multangular]
Triquetrum [cuneiform of carpus]
S62.2 Fracture of first metacarpal bone
Incl.:
Bennett fracture
S62.3 Fracture of other metacarpal bone
S62.4 Multiple fractures of metacarpal bones
S62.5 Fracture of thumb
S62.6 Fracture of other finger
S62.7 Multiple fractures of fingers
S62.8 Fracture of other and unspecified parts of wrist and hand

S63 Dislocation, sprain and strain of joints and ligaments at wrist and hand level

S63.0 Dislocation of wrist
Incl.:
Carpal (bone)
Carpometacarpal (joint)
Metacarpal (bone), proximal end
Midcarpal (joint)
Radiocarpal (joint)
Radioulnar (joint), distal
Radius, distal end
Ulna, distal end
S63.1 Dislocation of finger
Incl.:
Interphalangeal (joint), hand
Metacarpal (bone), distal end
Metacarpophalangeal (joint)
Phalanx, hand
Thumb
S63.2 Multiple dislocations of fingers
S63.3 Traumatic rupture of ligament of wrist and carpus
Incl.:
Collateral, wrist
Radiocarpal (ligament)
Ulnocarpal (palmar)
S63.4 Traumatic rupture of ligament of finger at metacarpophalangeal and interphalangeal joint(s)
Incl.:
Collateral
Palmar
Volar plate
S63.5 Sprain and strain of wrist
Incl.:
Carpal (joint)
Radiocarpal (joint) (ligament)
S63.6 Sprain and strain of finger(s)
Incl.:
Interphalangeal (joint), hand
Metacarpophalangeal (joint)
Phalanx, hand
Thumb
S63.7 Sprain and strain of other and unspecified parts of hand

S64 Injury of nerves at wrist and hand level

S64.0 Injury of ulnar nerve at wrist and hand level
S64.1 Injury of median nerve at wrist and hand level
S64.2 Injury of radial nerve at wrist and hand level
S64.3 Injury of digital nerve of thumb
S64.4 Injury of digital nerve of other finger
S64.7 Injury of multiple nerves at wrist and hand level
S64.8 Injury of other nerves at wrist and hand level
S64.9 Injury of unspecified nerve at wrist and hand level

S65 Injury of blood vessels at wrist and hand level

S65.0 Injury of ulnar artery at wrist and hand level
S65.1 Injury of radial artery at wrist and hand level
S65.2 Injury of superficial palmar arch
S65.3 Injury of deep palmar arch
S65.4 Injury of blood vessel(s) of thumb
S65.5 Injury of blood vessel(s) of other finger
S65.7 Injury of multiple blood vessels at wrist and hand level
S65.8 Injury of other blood vessels at wrist and hand level
S65.9 Injury of unspecified blood vessel at wrist and hand level

S66 Injury of muscle and tendon at wrist and hand level

S66.0 Injury of long flexor muscle and tendon of thumb at wrist and hand level
S66.1 Injury of flexor muscle and tendon of other finger at wrist and hand level
S66.2 Injury of extensor muscle and tendon of thumb at wrist and hand level
S66.3 Injury of extensor muscle and tendon of other finger at wrist and hand level
S66.4 Injury of intrinsic muscle and tendon of thumb at wrist and hand level
S66.5 Injury of intrinsic muscle and tendon of other finger at wrist and hand level
S66.6 Injury of multiple flexor muscles and tendons at wrist and hand level
S66.7 Injury of multiple extensor muscles and tendons at wrist and hand level
S66.8 Injury of other muscles and tendons at wrist and hand level
S66.9 Injury of unspecified muscle and tendon at wrist and hand level

S67 Crushing injury of wrist and hand

S67.0 Crushing injury of thumb and other finger(s)
S67.8 Crushing injury of other and unspecified parts of wrist and hand

S68 Traumatic amputation of wrist and hand

S68.0 Traumatic amputation of thumb (complete)(partial)
S68.1 Traumatic amputation of other single finger (complete)(partial)
S68.2 Traumatic amputation of two or more fingers alone (complete)(partial)
S68.3 Combined traumatic amputation of (part of) finger(s) with other parts of wrist and hand
S68.4 Traumatic amputation of hand at wrist level
S68.8 Traumatic amputation of other parts of wrist and hand
S68.9 Traumatic amputation of wrist and hand, level unspecified

S69 Other and unspecified injuries of wrist and hand

S69.7 Multiple injuries of wrist and hand
Incl.:
Injuries classifiable to more than one of the categories S60-S68
S69.8 Other specified injuries of wrist and hand
S69.9 Unspecified injury of wrist and hand