What S67 covers · when clinicians use it
ICD-10 code S67 identifies Crushing injury of wrist, hand and fingers in the U.S. ICD-10-CM clinical and billing record set. It sits within the Injury, Poisoning & External Causes chapter (S00–T88), the section that groups related diagnoses so providers, payers, and public-health agencies report them consistently. Clinicians and medical coders apply S67 when an encounter's findings match the Crushing injury of wrist, hand and fingers description, attaching it to the patient record so downstream insurance claims, payer audits, quality reporting, and epidemiological surveillance all reference the same standardized diagnosis. The ICD-10-CM is maintained by the Centers for Medicare & Medicaid Services and the CDC's National Center for Health Statistics, with an updated official code set released each U.S. fiscal year — always verify S67 against the current CMS/CDC release and your payer's documentation guidance before final use. This page summarizes documentation context for S67 and is a coding reference, not clinical, diagnostic, or billing advice.
ICD10 code S67 refers to Crushing injury of wrist, hand and fingers, commonly resulting from trauma, falls, or accidents affecting the wrist, hand, or fingers, critical for immediate assessment and follow-up care.
Symptoms
- Bruising or abrasions on the wrist, hand, or fingers – S60
- Open cuts exposing soft tissues – S61
- Fractures of carpal, metacarpal, or phalangeal bones – S62
- Joint dislocations or ligament sprains – S63
- Nerve injuries causing numbness or loss of function – S64
- Arterial or venous damage in the hand region – S65
- Muscle, tendon, or fascia tears – S66
- Severe crush injuries – S67
- Traumatic amputations of fingers or parts of the hand – S68
- Other complex injuries at hand level – S69
Diagnosis
Assessment involves clinical examination, X-rays, CT scans, and sometimes MRI to evaluate bone, soft tissue, nerve, and vascular damage comprehensively.
ICD10 Code Usage
S67 is widely used in emergency medicine, orthopedic surgery, physical therapy documentation, workers' compensation claims, and legal medical reports.
Related Codes
- S60 – Superficial injury of wrist, hand and fingers
- S61 – Open wound of wrist, hand and fingers
- S62 – Fracture at wrist and hand level
- S63 – Dislocation and sprain of joints and ligaments at wrist and hand level
- S64 – Injury of nerves at wrist and hand level
- S65 – Injury of blood vessels at wrist and hand level
- S66 – Injury of muscle, fascia and tendon at wrist and hand level
- S68 – Traumatic amputation of wrist, hand and fingers
- S69 – Other and unspecified injuries of wrist, hand and finger(s)
FAQs
Q1: What injuries fall under ICD10 code S67?
A: It captures trauma affecting the wrist, hand, and fingers, including fractures, sprains, and lacerations.
Q2: How are hand fractures diagnosed?
A: Typically using X-rays, though CT scans are used for complex fracture patterns.
Q3: How serious is a crush injury to the fingers?
A: It can range from mild soft tissue damage to severe cases requiring surgical reconstruction or amputation.
Q4: What is the recovery time for nerve injuries in the hand?
A: Recovery varies by severity; minor injuries may heal in weeks, while major injuries may need surgery and rehabilitation.
Q5: When is surgical intervention required for hand injuries?
A: Open fractures, severe dislocations, significant tendon or nerve injuries often require urgent surgical repair.
Conclusion
Accurate documentation with ICD10 code S67 ensures optimal management, proper billing, and comprehensive reporting for injuries involving the wrist, hand, and fingers.