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ICD-10-CM 2027 diagnosis code

S66.393DOther injury of extensor muscle, fascia and tendon of left middle finger at wrist and hand level, subsequent encounter

✓ Billable / specificPOA exemptRequires 7th character

S66.393D is a valid, billable ICD-10-CM code for other injury of extensor muscle, fascia and tendon of left middle finger at wrist and hand level, subsequent encounter. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.Short description: Inj extensor musc/fasc/tend l mid finger at wrs/hnd lv, subs

Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About S66.393D

S66.393D is the ICD-10-CM diagnosis code for other injury of extensor muscle, fascia and tendon of left middle finger at wrist and hand level, subsequent encounter. It belongs to category S66 (injury of muscle, fascia and tendon at wrist and hand level), block S60-S69 (injuries to the wrist, hand and fingers) and chapter 19 (injury, poisoning and certain other consequences of external causes). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

The 7th character "D" means subsequent encounter: use it for encounters after active treatment, while the patient is healing or recovering.

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 949 (Aftercare with CC/MCC, relative weight 1.123) and DRG 950 (Aftercare without CC/MCC, relative weight 0.7664), in MDC 23 (Factors Influencing Health Status and Other Contacts with Health Services), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It is exempt from present-on-admission (POA) reporting, so no POA indicator is required.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Before ICD-10, this condition was coded in ICD-9-CM as V58.89 (other specified aftercare).

7th character

Dsubsequent encounter

Other encounter types for S66.393:

Notes that apply from higher levels

Instructions written at a parent level also apply to S66.393D.

› From S66.3 Injury of extensor muscle, fascia and tendon of other and unspecified finger at wrist and hand level
Excludes2
  • Injury of extensor muscle, fascia and tendon of thumb at wrist and hand level (S66.2-)
› From S66 Injury of muscle, fascia and tendon at wrist and hand level
Excludes2
  • sprain of joints and ligaments of wrist and hand (S63.-)
Code also
  • any associated open wound (S61.-)

Broader instructions also apply from S60-S69 Injuries to the wrist, hand and fingers and Chapter 19: Injury, poisoning and certain other consequences of external causes.

MS-DRG v44.0 grouping

All DRGs →

Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.

MDC 23 · Factors Influencing Health Status and Other Contacts with Health Services

ICD-9-CM equivalent

Converter →
  • V58.89Other specified aftercareapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about S66.393D

Is S66.393D billable?

Yes. S66.393D is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

What does the "D" at the end of S66.393D mean?

It is the 7th character for subsequent encounter. Per the official guidelines, use it for encounters after active treatment, while the patient is healing or recovering.

Can S66.393D be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict S66.393D as a principal diagnosis.

Is S66.393D a CC or MCC?

No. S66.393D is neither a CC nor an MCC under MS-DRG v44.0.

What DRG does S66.393D group to?

S66.393D is used in the MS-DRG v44.0 logic for MS-DRG 949 (Aftercare with CC/MCC) and MS-DRG 950 (Aftercare without CC/MCC). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.

What is the ICD-9 code for S66.393D?

The CMS General Equivalence Mappings map S66.393D to ICD-9-CM V58.89.