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ICD-10-CM Code S67.196A: Crushing injury of right little finger, initial encounter
ICD-10-CM code S67.196A identifies an initial encounter for a crushing injury of the right little finger. The code is classified under the semantic type of injury or poisoning. Supplied clinical literature describes crush injuries as potentially involving muscle damage, fractures, and dislocations, while official coding sources establish the specific laterality, encounter status, and code hierarchy. 3 4 1
Plain-language overview
A crushing injury to a finger can involve significant muscle damage, multiple fractures, dislocations, and tendon avulsions resulting from the hand being squashed or subjected to high-pressure compression. 1
What this code represents
Code S67.196A is the designated classification for a crushing injury of the right little finger during the initial encounter, and it carries the semantic type of injury or poisoning. 3 4
Coding details
The code S67.196A provides specific laterality for the right little finger and uses a seventh character of A to indicate the initial encounter, distinguishing it from subsequent encounter and sequela codes. 3 5
S67.196A falls under the broader category of crushing injuries of other fingers, which includes distinct codes for different fingers such as the right ring finger and the left index finger. 5
Documentation considerations
Clinical documentation for a crushing finger injury may include details of severe pain, decreased sensation, deformity, and decreased range of motion presenting after a traumatic compression event. 2
Clinical context
Traumatic crushing mechanisms carry a particular risk for developing compartment syndrome, which may be suspected when a patient demonstrates hallmark clinical signs and symptoms after a finger injury. 2
What the sources add
Official coding references define the specific structural hierarchy and encounter modifiers for S67.196A, while clinical case reports illustrate the severe tissue and bone damage that crushing injuries can inflict on the hand. 3 5 1
A Centers for Medicare and Medicaid Services article lists S67.196A alongside subsequent and sequela variants, whereas a clinical case report describes surgical interventions like Kirschner wire fixation and tendon grafting for a right little finger crush injury. 3 1
Sources
- Hyperbaric oxygen therapy for the treatment of a crush injury of the hand: a case report — pmc.ncbi.nlm.nih.gov; accessed 2026-07-25.
- Crush Injury-induced Finger Compartment Syndrome: A Case Report and Literature Review — pmc.ncbi.nlm.nih.gov; accessed 2026-07-25.
- Article - Billing and Coding: Surgical Treatment of Nails (A52998) — cms.gov; accessed 2026-07-25.
- EVS Explore — evsexplore.semantics.cancer.gov; accessed 2026-07-25.
- ICD-10-CM 2024 | S67.19 - Crushing injury of other finger(s) — unboundmedicine.com; accessed 2026-07-25.
S67.196A policy automation walkthrough
Walk through the policies, prior authorization requirements, and workflow automation opportunities connected to this code.