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S65.39 ICD-10-CM Code: Other specified injury of deep palmar arch

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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)

S65.39

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

Other specified injury of deep palmar arch

Other specified injury of deep palmar arch

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
S65Injury of blood vessels at wrist and hand level
S65.3Injury of deep palmar arch
S65.39Other specified injury of deep palmar arch

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for S65.39 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for S65.39 in this effective period.

Related Child Codes

Official
S65.391Other specified injury of deep palmar arch of right hand
S65.392Other specified injury of deep palmar arch of left hand
S65.399Other specified injury of deep palmar arch of unspecified hand

Includes

Official

ICD-10-CM does not list Includes notes for S65.39 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for S65.39 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for S65.39 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for S65.39 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for S65.39 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

S65.39 is the ICD-10-CM diagnosis code for other specified injury of deep palmar arch. S65.39 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 S65.39 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 S65.39'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 S65.39 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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