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    OpenPayerBilling CodesInjuries to the wrist, hand and fingersICD-10-CM s65-injury-of-blood-vessels-wrist-hand
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    ICD-10-CM Code For Injury Of Blood Vessels At Wrist And Hand Level: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group S65 includes traumatic injuries to arterial and venous structures at the wrist and hand level, covering lacerations, punctures, and other acute vascular traumas. These ICD-10-CM diagnosis codes are used to document clinical scenarios involving vascular injury to the distal upper extremity, capturing the extent of vessel involvement and any associated open wounds or tissue damage. Accurate coding within the ICD-10-CM S65 group supports proper claim adjudication, complete clinical documentation, and appropriate reimbursement.

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    ICD-10-CM S65: Injury Of Blood Vessels At Wrist And Hand Level Overview

    The ICD-10-CM S65 group represents traumatic injuries specifically involving blood vessels at the level of the wrist and hand, including lacerations, punctures, and crush injuries to arteries and veins. These diagnoses target the vascular structures of the distal upper extremity and are important for documenting the presence and severity of vascular compromise. Accurate coding matters for clinical communication, appropriate procedure selection, and correct claim processing for services related to vascular repair and wound management.

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    When to Use

    Use codes from this group when clinical documentation indicates a traumatic vascular injury to the wrist or hand, such as an arterial laceration, venous injury, or penetrating wound involving blood vessels. Select the code that reflects the specific vessel injured, the type of wound, and any associated complications noted in the medical record.

    ICD-10-CM Codes

    279 rows

    ICD-10-CM CodeDescription
    S65.001AUnspecified injury of ulnar artery at wrist and hand level of right arm, initial encounter
    S65.001DUnspecified injury of ulnar artery at wrist and hand level of right arm, subsequent encounter
    S65.001SUnspecified injury of ulnar artery at wrist and hand level of right arm, sequela
    S65.002AUnspecified injury of ulnar artery at wrist and hand level of left arm, initial encounter
    S65.002DUnspecified injury of ulnar artery at wrist and hand level of left arm, subsequent encounter
    S65.002SUnspecified injury of ulnar artery at wrist and hand level of left arm, sequela
    S65.009AUnspecified injury of ulnar artery at wrist and hand level of unspecified arm, initial encounter
    S65.009DUnspecified injury of ulnar artery at wrist and hand level of unspecified arm, subsequent encounter
    S65.009SUnspecified injury of ulnar artery at wrist and hand level of unspecified arm, sequela
    S65.011ALaceration of ulnar artery at wrist and hand level of right arm, initial encounter
    S65.011DLaceration of ulnar artery at wrist and hand level of right arm, subsequent encounter
    S65.011SLaceration of ulnar artery at wrist and hand level of right arm, sequela
    S65.012ALaceration of ulnar artery at wrist and hand level of left arm, initial encounter
    S65.012DLaceration of ulnar artery at wrist and hand level of left arm, subsequent encounter
    S65.012SLaceration of ulnar artery at wrist and hand level of left arm, sequela
    S65.019ALaceration of ulnar artery at wrist and hand level of unspecified arm, initial encounter
    S65.019DLaceration of ulnar artery at wrist and hand level of unspecified arm, subsequent encounter
    S65.019SLaceration of ulnar artery at wrist and hand level of unspecified arm, sequela
    S65.091AOther specified injury of ulnar artery at wrist and hand level of right arm, initial encounter
    S65.091DOther specified injury of ulnar artery at wrist and hand level of right arm, subsequent encounter

    Showing 1–20 of 279

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    DRG Codes

    10 rows

    DRG CodeDescription
    299Peripheral Vascular Disorders with MCC
    300Peripheral Vascular Disorders with CC
    301Peripheral Vascular Disorders without CC/MCC
    913Traumatic Injury with MCC
    914Traumatic Injury without MCC
    949Aftercare with CC/MCC
    950Aftercare without CC/MCC
    963Other Multiple Significant Trauma with MCC
    964Other Multiple Significant Trauma with CC
    965Other Multiple Significant Trauma without CC/MCC

    Typical Clinical Scenarios

    • An adult construction worker presents to the emergency department after a deep laceration from a saw to the volar aspect of the wrist with brisk arterial bleeding and diminished distal pulses. Examination and bedside vascular studies suggest transection of radial artery branches at the wrist requiring emergent surgical exploration and repair; an initial active injury code from this group is assigned for acute vascular injury on first encounter. Typical codes: S65.011A, S65.012A
    • An elderly patient with a history of peripheral vascular disease and prior wrist trauma develops delayed ischemic pain and coldness of the hand weeks after a nonoperative wrist laceration; evaluation shows a partially healed injury with compromised vessel integrity and persistent hand ischemia being managed in follow-up. A subsequent encounter code from this group is assigned for ongoing care of the residual vascular injury at the wrist/hand level. Typical codes: S65.011D, S65.012D
    • A patient arrives for postoperative clinic visit two weeks after surgical repair of multiple lacerations to the palmar hand and fingers complicated by thrombosis of repaired digital vessels causing impaired perfusion; the visit documents treatment for complications of the original vascular injury. A sequela or sequelae-related code from this group is used to capture the post-procedural complication of the wrist/hand vessel injury. Typical codes: S65.011S, S65.012S

    Related Codes

    S60-SUPERFICIAL-INJURY-OF-WRIST-HAND-FINGERS

    ICD-10-CM Code For Superficial Injury Of Wrist Hand And Fingers: Group Overview

    S61-OPEN-WOUND-OF-WRIST-HAND-FINGERS

    ICD-10-CM Code For Open Wound Of Wrist Hand And Fingers: Group Overview

    S62-FRACTURE-AT-WRIST-AND-HAND-LEVEL

    ICD-10-CM Code For Fracture At Wrist And Hand Level: Group Overview

    S63-DISLOCATION-AND-SPRAIN-WRIST-HAND

    ICD-10-CM Code For Dislocation And Sprain Of Joints And Ligaments At Wrist And Hand Level: Group Overview

    S64-INJURY-OF-NERVES-AT-WRIST-AND-HAND-LEVEL

    ICD-10-CM Code For Injury Of Nerves At Wrist And Hand Level: Group Overview

    S66-INJURY-OF-MUSCLE-FASCIA-AND-TENDON

    ICD-10-CM Code For Injury Of Muscle Fascia And Tendon At Wrist And Hand Level: Group Overview

    S67-CRUSHING-INJURY-OF-WRIST-HAND-FINGERS

    ICD-10-CM Code For Crushing Injury Of Wrist Hand And Fingers: Group Overview

    S68-TRAUMATIC-AMPUTATION-WRIST-HAND-FINGERS

    ICD-10-CM Code For Traumatic Amputation Of Wrist Hand And Fingers: Group Overview

    S69-OTHER-AND-UNSPECIFIED-WRIST-HAND-INJURIES

    ICD-10-CM Code For Other And Unspecified Injuries Of Wrist Hand And Finger(S): Group Overview

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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