DxCodebookFY2027 · Oct 1, 2026 – Sep 30, 2027

Category · FY2027

S65 Injury of blood vessels at wrist and hand level

  • Header · not billable
  • Codes take a 7th character

S65 is not billable. The category heads 279 billable codes in FY2027, grouped under 8 subdivisions. Its codes take a 7th character, so none is complete with fewer than 7 characters.

Index → code

  • Injuryblood vessel NECthumb → S65.40-
  • Injuryblood vessel NECfinger → S65.50-
  • Injuryblood vessel NEChand (level) → S65.90-
Billable codes
279
Subdivisions
8
CC / MCC codes
93 / 0
HCC V28 codes
0
New FY2027
0
Index entries
33

Codes in S65

  1. S65.0
    Injury of ulnar artery at wrist and hand level
    Header
  2. S65.00
    Unspecified injury of ulnar artery at wrist and hand level
    Header
  3. S65.001
    Unspecified injury of ulnar artery at wrist and hand level of right arm +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  4. S65.002
    Unspecified injury of ulnar artery at wrist and hand level of left arm +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  5. S65.009
    Unspecified injury of ulnar artery at wrist and hand level of unspecified arm +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  6. S65.01
    Laceration of ulnar artery at wrist and hand level
    Header
  7. S65.011
    Laceration of ulnar artery at wrist and hand level of right arm +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  8. S65.012
    Laceration of ulnar artery at wrist and hand level of left arm +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  9. S65.019
    Laceration of ulnar artery at wrist and hand level of unspecified arm +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  10. S65.09
    Other specified injury of ulnar artery at wrist and hand level
    Header
  11. S65.091
    Other specified injury of ulnar artery at wrist and hand level of right arm +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  12. S65.092
    Other specified injury of ulnar artery at wrist and hand level of left arm +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  13. S65.099
    Other specified injury of ulnar artery at wrist and hand level of unspecified arm +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  14. S65.1
    Injury of radial artery at wrist and hand level
    Header
  15. S65.10
    Unspecified injury of radial artery at wrist and hand level
    Header
  16. S65.101
    Unspecified injury of radial artery at wrist and hand level of right arm +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  17. S65.102
    Unspecified injury of radial artery at wrist and hand level of left arm +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  18. S65.109
    Unspecified injury of radial artery at wrist and hand level of unspecified arm +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  19. S65.11
    Laceration of radial artery at wrist and hand level
    Header
  20. S65.111
    Laceration of radial artery at wrist and hand level of right arm +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  21. S65.112
    Laceration of radial artery at wrist and hand level of left arm +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  22. S65.119
    Laceration of radial artery at wrist and hand level of unspecified arm +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  23. S65.19
    Other specified injury of radial artery at wrist and hand level
    Header
  24. S65.191
    Other specified injury of radial artery at wrist and hand level of right arm +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  25. S65.192
    Other specified injury of radial artery at wrist and hand level of left arm +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  26. S65.199
    Other specified injury of radial artery at wrist and hand level of unspecified arm +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  27. S65.2
    Injury of superficial palmar arch
    Header
  28. S65.20
    Unspecified injury of superficial palmar arch
    Header
  29. S65.201
    Unspecified injury of superficial palmar arch of right hand +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  30. S65.202
    Unspecified injury of superficial palmar arch of left hand +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  31. S65.209
    Unspecified injury of superficial palmar arch of unspecified hand +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  32. S65.21
    Laceration of superficial palmar arch
    Header
  33. S65.211
    Laceration of superficial palmar arch of right hand +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  34. S65.212
    Laceration of superficial palmar arch of left hand +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  35. S65.219
    Laceration of superficial palmar arch of unspecified hand +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  36. S65.29
    Other specified injury of superficial palmar arch
    Header
  37. S65.291
    Other specified injury of superficial palmar arch of right hand +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  38. S65.292
    Other specified injury of superficial palmar arch of left hand +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  39. S65.299
    Other specified injury of superficial palmar arch of unspecified hand +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  40. S65.3
    Injury of deep palmar arch
    Header
  41. S65.30
    Unspecified injury of deep palmar arch
    Header
  42. S65.301
    Unspecified injury of deep palmar arch of right hand +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  43. S65.302
    Unspecified injury of deep palmar arch of left hand +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  44. S65.309
    Unspecified injury of deep palmar arch of unspecified hand +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  45. S65.31
    Laceration of deep palmar arch
    Header
  46. S65.311
    Laceration of deep palmar arch of right hand +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  47. S65.312
    Laceration of deep palmar arch of left hand +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  48. S65.319
    Laceration of deep palmar arch of unspecified hand +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  49. S65.39
    Other specified injury of deep palmar arch
    Header
  50. S65.391
    Other specified injury of deep palmar arch of right hand +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  51. S65.392
    Other specified injury of deep palmar arch of left hand +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  52. S65.399
    Other specified injury of deep palmar arch of unspecified hand +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  53. S65.4
    Injury of blood vessel of thumb
    Header
  54. S65.40
    Unspecified injury of blood vessel of thumb
    Header
  55. S65.401
    Unspecified injury of blood vessel of right thumb +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  56. S65.402
    Unspecified injury of blood vessel of left thumb +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  57. S65.409
    Unspecified injury of blood vessel of unspecified thumb +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  58. S65.41
    Laceration of blood vessel of thumb
    Header
  59. S65.411
    Laceration of blood vessel of right thumb +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  60. S65.412
    Laceration of blood vessel of left thumb +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  61. S65.419
    Laceration of blood vessel of unspecified thumb +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  62. S65.49
    Other specified injury of blood vessel of thumb
    Header
  63. S65.491
    Other specified injury of blood vessel of right thumb +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  64. S65.492
    Other specified injury of blood vessel of left thumb +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  65. S65.499
    Other specified injury of blood vessel of unspecified thumb +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  66. S65.5
    Injury of blood vessel of other and unspecified finger
    Header
  67. S65.50
    Unspecified injury of blood vessel of other and unspecified finger
    Header
  68. S65.500
    Unspecified injury of blood vessel of right index finger +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  69. S65.501
    Unspecified injury of blood vessel of left index finger +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  70. S65.502
    Unspecified injury of blood vessel of right middle finger +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  71. S65.503
    Unspecified injury of blood vessel of left middle finger +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  72. S65.504
    Unspecified injury of blood vessel of right ring finger +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  73. S65.505
    Unspecified injury of blood vessel of left ring finger +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  74. S65.506
    Unspecified injury of blood vessel of right little finger +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  75. S65.507
    Unspecified injury of blood vessel of left little finger +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  76. S65.508
    Unspecified injury of blood vessel of other finger +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
    Inclusion terms 1

    Inclusion terms

    • Unspecified injury of blood vessel of specified finger with unspecified laterality
  77. S65.509
    Unspecified injury of blood vessel of unspecified finger +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  78. S65.51
    Laceration of blood vessel of other and unspecified finger
    Header
  79. S65.510
    Laceration of blood vessel of right index finger +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  80. S65.511
    Laceration of blood vessel of left index finger +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  81. S65.512
    Laceration of blood vessel of right middle finger +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  82. S65.513
    Laceration of blood vessel of left middle finger +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  83. S65.514
    Laceration of blood vessel of right ring finger +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  84. S65.515
    Laceration of blood vessel of left ring finger +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  85. S65.516
    Laceration of blood vessel of right little finger +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  86. S65.517
    Laceration of blood vessel of left little finger +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  87. S65.518
    Laceration of blood vessel of other finger +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
    Inclusion terms 1

    Inclusion terms

    • Laceration of blood vessel of specified finger with unspecified laterality
  88. S65.519
    Laceration of blood vessel of unspecified finger +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  89. S65.59
    Other specified injury of blood vessel of other and unspecified finger
    Header
  90. S65.590
    Other specified injury of blood vessel of right index finger +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  91. S65.591
    Other specified injury of blood vessel of left index finger +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  92. S65.592
    Other specified injury of blood vessel of right middle finger +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  93. S65.593
    Other specified injury of blood vessel of left middle finger +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  94. S65.594
    Other specified injury of blood vessel of right ring finger +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  95. S65.595
    Other specified injury of blood vessel of left ring finger +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  96. S65.596
    Other specified injury of blood vessel of right little finger +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  97. S65.597
    Other specified injury of blood vessel of left little finger +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  98. S65.598
    Other specified injury of blood vessel of other finger +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
    Inclusion terms 1

    Inclusion terms

    • Other specified injury of blood vessel of specified finger with unspecified laterality
  99. S65.599
    Other specified injury of blood vessel of unspecified finger +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  100. S65.8
    Injury of other blood vessels at wrist and hand level
    Header
  101. S65.80
    Unspecified injury of other blood vessels at wrist and hand level
    Header
  102. S65.801
    Unspecified injury of other blood vessels at wrist and hand level of right arm +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  103. S65.802
    Unspecified injury of other blood vessels at wrist and hand level of left arm +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  104. S65.809
    Unspecified injury of other blood vessels at wrist and hand level of unspecified arm +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  105. S65.81
    Laceration of other blood vessels at wrist and hand level
    Header
  106. S65.811
    Laceration of other blood vessels at wrist and hand level of right arm +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  107. S65.812
    Laceration of other blood vessels at wrist and hand level of left arm +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  108. S65.819
    Laceration of other blood vessels at wrist and hand level of unspecified arm +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  109. S65.89
    Other specified injury of other blood vessels at wrist and hand level
    Header
  110. S65.891
    Other specified injury of other blood vessels at wrist and hand level of right arm +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  111. S65.892
    Other specified injury of other blood vessels at wrist and hand level of left arm +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  112. S65.899
    Other specified injury of other blood vessels at wrist and hand level of unspecified arm +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  113. S65.9
    Injury of unspecified blood vessel at wrist and hand level
    Header
  114. S65.90
    Unspecified injury of unspecified blood vessel at wrist and hand level
    Header
  115. S65.901
    Unspecified injury of unspecified blood vessel at wrist and hand level of right arm +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  116. S65.902
    Unspecified injury of unspecified blood vessel at wrist and hand level of left arm +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  117. S65.909
    Unspecified injury of unspecified blood vessel at wrist and hand level of unspecified arm +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  118. S65.91
    Laceration of unspecified blood vessel at wrist and hand level
    Header
  119. S65.911
    Laceration of unspecified blood vessel at wrist and hand level of right arm +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  120. S65.912
    Laceration of unspecified blood vessel at wrist and hand level of left arm +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  121. S65.919
    Laceration of unspecified blood vessel at wrist and hand level of unspecified arm +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  122. S65.99
    Other specified injury of unspecified blood vessel at wrist and hand level
    Header
  123. S65.991
    Other specified injury of unspecified blood vessel at wrist and hand of right arm +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  124. S65.992
    Other specified injury of unspecified blood vessel at wrist and hand of left arm +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters
  125. S65.999
    Other specified injury of unspecified blood vessel at wrist and hand of unspecified arm +7th: A D S
    Needs 7th characterCC AExempt: 2 of 3 7th characters

CC/MCC: as a secondary diagnosis, unless the principal diagnosis is on the code’s PDX exclusion list (MS-DRG v44 Appendix C; list on the code card).

Sources of each column. Rows marked +7th need a 7th character: pick one to build the full code; its code card has its own flags.

Instructions

At S65

Code also

  • any associated open wound (S61.-) S61

Notes that also apply

Block S60-S69 instructions (Excludes2 3): printed on the block page.

Chapter 19 instructions (Notes 2, Excludes2 2, Use additional code 1): printed on the chapter 19 page.

7th characters

7th characters for S65 defined here

The appropriate 7th character is to be added to each code from category S65

7th characters for S65
7thMeaning (NCHS)
Ainitial encounter
Dsubsequent encounter
Ssequela

A code that takes a 7th character is invalid without it; the placeholder X fills a code shorter than 6 characters (Official Guidelines I.A.5). How 7th characters work.

Index entries

  • Injuryblood vessel NECpalmar arch (superficial) → S65.20-
  • Injuryblood vessel NECthumb → S65.40-
  • Injuryblood vessel NECfinger → S65.50-
  • Injuryblood vessel NEChand (level) → S65.90-
  • Injuryblood vessel NECulnar artery (forearm level)hand and wrist (level) → S65.00-
  • Injuryblood vessel NECradial artery (forearm level)hand and wrist (level) → S65.10-
  • Injuryblood vessel NECpalmar arch (superficial)laceration → S65.21-
  • Injuryblood vessel NECpalmar arch (superficial)specified type NEC → S65.29-
  • Injuryblood vessel NECpalmar arch (superficial)deep → S65.30-
  • Injuryblood vessel NECthumblaceration → S65.41-
  • Injuryblood vessel NECthumbspecified type NEC → S65.49-
  • Injuryblood vessel NECfingerindex → S65.50-
  • Injuryblood vessel NECfingerlittle → S65.50-
  • Injuryblood vessel NECfingermiddle → S65.50-
  • Injuryblood vessel NECfingerlaceration → S65.51-
  • Injuryblood vessel NECfingerspecified type NEC → S65.59-
  • Injuryblood vessel NEChand (level)laceration → S65.91-
  • Injuryblood vessel NECulnar artery (forearm level)hand and wrist (level)laceration → S65.01-
  • Injuryblood vessel NECulnar artery (forearm level)hand and wrist (level)specified type NEC → S65.09-
  • Injuryblood vessel NECradial artery (forearm level)hand and wrist (level)laceration → S65.11-
  • Injuryblood vessel NECradial artery (forearm level)hand and wrist (level)specified type NEC → S65.19-
  • Injuryblood vessel NECpalmar arch (superficial)deeplaceration → S65.31-
  • Injuryblood vessel NECpalmar arch (superficial)deepspecified type NEC → S65.39-
  • Injuryblood vessel NECfingerindexlaceration → S65.51-
  • Injuryblood vessel NECfingerlittlelaceration → S65.51-
  • Injuryblood vessel NECfingermiddlelaceration → S65.51-
  • Injuryblood vessel NECfingerindexspecified type NEC → S65.59-
  • Injuryblood vessel NECfingerlittlespecified type NEC → S65.59-
  • Injuryblood vessel NECfingermiddlespecified type NEC → S65.59-
  • Injuryblood vessel NEChand (level)specifiedsite NEC → S65.80-
  • Injuryblood vessel NEChand (level)specifiedtype NEC → S65.99-
  • Injuryblood vessel NEChand (level)specifiedsite NEClaceration → S65.81-
  • Injuryblood vessel NEChand (level)specifiedsite NECspecified type NEC → S65.89-

NCHS Alphabetic Index. Index first, then the Tabular List.

Hierarchy