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S62.604G ICD-10-CM Code: Fracture of unspecified phalanx of right ring finger, subsequent encounter for fracture with delayed healing

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FY 2026 Apr update / Injury, poisoning and certain other consequences of external causes (S00-T88) / Injuries to the wrist, hand and fingers (S60-S69)

S62.604G

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Fracture of unspecified phalanx of right ring finger, subsequent encounter for fracture with delayed healing

Fracture of unspecified phalanx of right ring finger, subsequent encounter for fracture with delayed healing

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
S62.60Fracture of unspecified phalanx of finger
S62.604Fracture of unspecified phalanx of right ring finger
S62.604GFracture of unspecified phalanx of right ring finger, subsequent encounter for fracture with delayed healing

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for S62.604G in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for S62.604G in this effective period.

Related Child Codes

Official
S62.604AFracture of unspecified phalanx of right ring finger, initial encounter for closed fracture
S62.604BFracture of unspecified phalanx of right ring finger, initial encounter for open fracture
S62.604DFracture of unspecified phalanx of right ring finger, subsequent encounter for fracture with routine healing
S62.604KFracture of unspecified phalanx of right ring finger, subsequent encounter for fracture with nonunion
S62.604PFracture of unspecified phalanx of right ring finger, subsequent encounter for fracture with malunion

Includes

Official

ICD-10-CM does not list Includes notes for S62.604G in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for S62.604G in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for S62.604G in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for S62.604G in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for S62.604G in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Is S62.604G an HCC code?

No. S62.604G is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

S62.604G is the ICD-10-CM diagnosis code for fracture of unspecified phalanx of right ring finger, subsequent encounter for fracture with delayed healing. S62.604G sits in the ICD-10-CM chapter for injury, poisoning and certain other consequences of external causes (s00-t88), within the section covering injuries to the wrist, hand and fingers (s60-s69).

S62.604G is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.

S62.604G is a billable ICD-10-CM code that can be reported on claims but does not currently contribute to a Medicare Advantage member's RAF score under any CMS risk adjustment model (V28, V24, ESRD, or RxHCC). Coders reviewing S62.604G should check whether additional documentation would support a more specific child code in the same hierarchy that does map to a payment HCC, capturing the correct specificity is the highest-impact RAF improvement available within accurate coding.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for S62.604G sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Child Codes

Code Hierarchy

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