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S63.616 ICD-10-CM Code: Unspecified sprain of right little finger

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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)

S63.616

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Unspecified sprain of right little finger

Unspecified sprain of right little finger

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
S63.6Other and unspecified sprain of finger(s)
S63.61Unspecified sprain of other and unspecified finger(s)
S63.616Unspecified sprain of right little finger

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for S63.616 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for S63.616 in this effective period.

Related Child Codes

Official
S63.616AUnspecified sprain of right little finger, initial encounter
S63.616DUnspecified sprain of right little finger, subsequent encounter
S63.616SUnspecified sprain of right little finger, sequela

Includes

Official

ICD-10-CM does not list Includes notes for S63.616 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for S63.616 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for S63.616 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for S63.616 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for S63.616 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.

What This Code Means

S63.616 is the ICD-10-CM diagnosis code for unspecified sprain of right little finger. S63.616 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).

Header codes like S63.616 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at S63.616's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for S63.616 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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