S66.4
Non-Billable

Injury of intrinsic muscle, fascia and tendon of thumb at wrist and hand level

Non-Billable / Non-Specific Code

What is Injury of intrinsic muscle, fascia and tendon of thumb at wrist and hand level?

ICD-10-CM S66.4 is the diagnosis code for Injury of intrinsic muscle, fascia and tendon of thumb at wrist and hand level. This code falls under the section "Injuries to the wrist, hand and fingers" within Chapter 19 — Injury, poisoning and certain other consequences of external causes (S00-T88). It is a non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.

Coding Guidelines for S66.4

Always refer to the official ICD-10-CM Tabular List for complete coding guidelines. Ensure documentation supports the specificity of the code selected. When in doubt, consult a certified medical coder or the latest CMS guidelines.

ICD-10-CM Code Hierarchy

Understanding where S66.4 sits in the ICD-10-CM classification helps ensure proper coding:

Current CodeS66.4 — Injury of intrinsic muscle, fascia and tendon of thumb at wrist and hand level
Sub-Codes (1918)
A00A01A02A03A04A05A06A07A08A09A15A17A18A19A20A21A22A23A24A25A26A27A28A30A31A32A33A34A35A36A37A38A39A40A41A42A43A44A46A48A49A50A51A52A53A54A55A56A57A58A59A60A63A64A65A66A67A68A69A70A71A74A75A77A78A79A80A81A82A83A84A85A86A87A88A89A90A91A92A93A94A95A96A98A99B00B01B02B03B04B05B06B07B08B09B10B15B16B17B18B19B20B25B26B27B30B33B34B35B36B37B38B39B40B41B42B43B44B45B46B47B48B49B50B51B52B53B54B55B56B57B58B59B60B64B65B66B67B68B69B70B71B72B73B74B75B76B77B78B79B80B81B82B83B85B86B87B88B89B90B91B92B94B95B96B97B99C00C01C02C03C04C05C06C07C08C09C10C11C12C13C14C15C16C17C18C19C20C21C22C23C24C25C26C30C31C32C33C34C37C38C39C40C41C43C44C45C46C47C48C49C4AC50C51C52C53C54C55C56C57C58C60C61C62C63C64C65C66C67C68C69C70C71C72C73C74C75C76C77C78C79C7AC7BC80C81C82C83C84C85C86C88C90C91C92C93C94C95C96D00D01D02D03D04D05D06D07D09D10D11D12D13D14D15D16D17D18D19D20D21D22D23D24D25D26D27D28D29D30D31D32D33D34D35D36D37D38D39D3AD40D41D42D43D44D45D46D47D48D49D50D51D52D53D55D56D57D58D59D60D61D62D63D64D65D66D67D68D69D70D71D72D73D74D75D76D77D78D80D81D82D83D84D86D89E00E01E02E03E04E05E06E07E08E09E10E11E13E15E16E20E21E22E23E24E25E26E27E28E29E30E31E32E34E35E36E40E41E42E43E44E45E46E50E51E52E53E54E55E56E58E59E60E61E63E64E65E66E67E68E70E71E72E73E74E75E76E77E78E79E80E83E84E85E86E87E88E89F01F02F03F04F05F06F07F09F10F11F12F13F14F15F16F17F18F19F20F21F22F23F24F25F28F29F30F31F32F33F34F39F40F41F42F43F44F45F48F50F51F52F53F54F55F59F60F63F64F65F66F68F69F70F71F72F73F78F79F80F81F82F84F88F89F90F91F93F94F95F98F99G00G01G02G03G04G05G06G07G08G09G10G11G12G13G14G20G21G23G24G25G26G30G31G32G35G36G37G40G43G44G45G46G47G50G51G52G53G54G55G56G57G58G59G60G61G62G63G64G65G70G71G72G73G80G81G82G83G89G90G91G92G93G94G95G96G97G98G99H00H01H02H04H05H10H11H15H16H17H18H20H21H22H25H26H27H28H30H31H32H33H34H35H36H40H42H43H44H46H47H49H50H51H52H53H54H55H57H59H60H61H62H65H66H67H68H69H70H71H72H73H74H75H80H81H82H83H90H91H92H93H94H95I00I01I02I05I06I07I08I09I10I11I12I13I15I16I1AI20I21I22I23I24I25I26I27I28I30I31I32I33I34I35I36I37I38I39I40I41I42I43I44I45I46I47I48I49I50I51I52I5AI60I61I62I63I65I66I67I68I69I70I71I72I73I74I75I76I77I78I79I80I81I82I83I85I86I87I88I89I95I96I97I99J00J01J02J03J04J05J06J09J10J11J12J13J14J15J16J17J18J20J21J22J30J31J32J33J34J35J36J37J38J39J40J41J42J43J44J45J47J4AJ60J61J62J63J64J65J66J67J68J69J70J80J81J82J84J85J86J90J91J92J93J94J95J96J98J99K00K01K02K03K04K05K06K08K09K11K12K13K14K20K21K22K23K25K26K27K28K29K30K31K35K36K37K38K40K41K42K43K44K45K46K50K51K52K55K56K57K58K59K60K61K62K63K64K65K66K67K68K70K71K72K73K74K75K76K77K80K81K82K83K85K86K87K90K91K92K94K95L00L01L02L03L04L05L08L10L11L12L13L14L20L21L22L23L24L25L26L27L28L29L30L40L41L42L43L44L45L49L50L51L52L53L54L55L56L57L58L59L60L62L63L64L65L66L67L68L70L71L72L73L74L75L76L80L81L82L83L84L85L86L87L88L89L90L91L92L93L94L95L97L98L99M00M01M02M04M05M06M07M08M10M11M12M13M14M15M16M17M18M19M1AM20M21M22M23M24M25M26M27M30M31M32M33M34M35M36M40M41M42M43M45M46M47M48M49M50M51M53M54M60M61M62M63M65M66M67M70M71M72M75M76M77M79M80M81M83M84M85M86M87M88M89M90M91M92M93M94M95M96M97M99N00N01N02N03N04N05N06N07N08N10N11N12N13N14N15N16N17N18N19N20N21N22N23N25N26N27N28N29N30N31N32N33N34N35N36N37N39N40N41N42N43N44N45N46N47N48N49N50N51N52N53N60N61N62N63N64N65N70N71N72N73N74N75N76N77N80N81N82N83N84N85N86N87N88N89N90N91N92N93N94N95N96N97N98N99O00O01O02O03O04O07O08O09O10O11O12O13O14O15O16O20O21O22O23O24O25O26O28O29O30O31O32O33O34O35O36O40O41O42O43O44O45O46O47O48O60O61O62O63O64O65O66O67O68O69O70O71O72O73O74O75O76O77O80O82O85O86O87O88O89O90O91O92O94O98O99O9AP00P01P02P03P04P05P07P08P09P10P11P12P13P14P15P19P22P23P24P25P26P27P28P29P35P36P37P38P39P50P51P52P53P54P55P56P57P58P59P60P61P70P71P72P74P76P77P78P80P81P83P84P90P91P92P93P94P95P96Q00Q01Q02Q03Q04Q05Q06Q07Q10Q11Q12Q13Q14Q15Q16Q17Q18Q20Q21Q22Q23Q24Q25Q26Q27Q28Q30Q31Q32Q33Q34Q35Q36Q37Q38Q39Q40Q41Q42Q43Q44Q45Q50Q51Q52Q53Q54Q55Q56Q60Q61Q62Q63Q64Q65Q66Q67Q68Q69Q70Q71Q72Q73Q74Q75Q76Q77Q78Q79Q80Q81Q82Q83Q84Q85Q86Q87Q89Q90Q91Q92Q93Q95Q96Q97Q98Q99QA0R00R01R03R04R05R06R07R09R10R11R12R13R14R15R16R17R18R19R20R21R22R23R25R26R27R29R30R31R32R33R34R35R36R37R39R40R41R42R43R44R45R46R47R48R49R50R51R52R53R54R55R56R57R58R59R60R61R62R63R64R65R68R69R70R71R73R74R75R76R77R78R79R80R81R82R83R84R85R86R87R88R89R90R91R92R93R94R97R99S00S01S02S03S04S05S06S07S08S09S10S11S12S13S14S15S16S17S19S20S21S22S23S24S25S26S27S28S29S30S31S32S33S34S35S36S37S38S39S40S41S42S43S44S45S46S47S48S49S50S51S52S53S54S55S56S57S58S59S60S61S62S63S64S65S66S67S68S69S70S71S72S73S74S75S76S77S78S79S80S81S82S83S84S85S86S87S88S89S90S91S92S93S94S95S96S97S98S99T07T14T15T16T17T18T19T20T21T22T23T24T25T26T27T28T30T31T32T33T34T36T37T38T39T40T41T42T43T44T45T46T47T48T49T50T51T52T53T54T55T56T57T58T59T60T61T62T63T64T65T66T67T68T69T70T71T73T74T75T76T78T79T80T81T82T83T84T85T86T87T88U07U09V00V01V02V03V04V05V06V09V10V11V12V13V14V15V16V17V18V19V20V21V22V23V24V25V26V27V28V29V30V31V32V33V34V35V36V37V38V39V40V41V42V43V44V45V46V47V48V49V50V51V52V53V54V55V56V57V58V59V60V61V62V63V64V65V66V67V68V69V70V71V72V73V74V75V76V77V78V79V80V81V82V83V84V85V86V87V88V89V90V91V92V93V94V95V96V97V98V99W00W01W03W04W05W06W07W08W09W10W11W12W13W14W15W16W17W18W19W20W21W22W23W24W25W26W27W28W29W30W31W32W33W34W35W36W37W38W39W40W42W44W45W46W49W50W51W52W53W54W55W56W57W58W59W60W61W62W64W65W67W69W73W74W85W86W88W89W90W92W93W94W99X00X01X02X03X04X05X06X08X10X11X12X13X14X15X16X17X18X19X30X31X32X34X35X36X37X38X39X50X52X58X71X72X73X74X75X76X77X78X79X80X81X82X83X92X93X94X95X96X97X98X99Y00Y01Y02Y03Y04Y07Y08Y09Y21Y22Y23Y24Y25Y26Y27Y28Y29Y30Y31Y32Y33Y35Y36Y37Y38Y62Y63Y64Y65Y66Y69Y70Y71Y72Y73Y74Y75Y76Y77Y78Y79Y80Y81Y82Y83Y84Y90Y92Y93Y95Y99Z00Z01Z02Z03Z04Z05Z08Z09Z11Z12Z13Z14Z15Z16Z17Z18Z19Z20Z21Z22Z23Z28Z29Z30Z31Z32Z33Z34Z36Z37Z38Z39Z3AZ40Z41Z42Z43Z44Z45Z46Z47Z48Z49Z51Z52Z53Z55Z56Z57Z58Z59Z60Z62Z63Z64Z65Z66Z67Z68Z69Z70Z71Z72Z73Z74Z75Z76Z77Z78Z79Z80Z81Z82Z83Z84Z85Z86Z87Z88Z89Z90Z91Z92Z93Z94Z95Z96Z97Z98Z99
Sub-Codes 4 entries
S66.40Unspecified injury of intrinsic muscle, fascia and tendon of thumb at wrist and hand levelNon-BillableS66.401Unspecified injury of intrinsic muscle, fascia and tendon of right thumb at wrist and hand levelBillableS66.402Unspecified injury of intrinsic muscle, fascia and tendon of left thumb at wrist and hand levelBillableS66.409Unspecified injury of intrinsic muscle, fascia and tendon of unspecified thumb at wrist and hand levelBillableS66.41Strain of intrinsic muscle, fascia and tendon of thumb at wrist and hand levelNon-BillableS66.411Strain of intrinsic muscle, fascia and tendon of right thumb at wrist and hand levelBillableS66.412Strain of intrinsic muscle, fascia and tendon of left thumb at wrist and hand levelBillableS66.419Strain of intrinsic muscle, fascia and tendon of unspecified thumb at wrist and hand levelBillableS66.42Laceration of intrinsic muscle, fascia and tendon of thumb at wrist and hand levelNon-BillableS66.421Laceration of intrinsic muscle, fascia and tendon of right thumb at wrist and hand levelBillableS66.422Laceration of intrinsic muscle, fascia and tendon of left thumb at wrist and hand levelBillableS66.429Laceration of intrinsic muscle, fascia and tendon of unspecified thumb at wrist and hand levelBillableS66.49Other specified injury of intrinsic muscle, fascia and tendon of thumb at wrist and hand levelNon-BillableS66.491Other specified injury of intrinsic muscle, fascia and tendon of right thumb at wrist and hand levelBillableS66.492Other specified injury of intrinsic muscle, fascia and tendon of left thumb at wrist and hand levelBillableS66.499Other specified injury of intrinsic muscle, fascia and tendon of unspecified thumb at wrist and hand levelBillable
Related Codes

Frequently Asked Questions

Is S66.4 a billable ICD-10-CM code?

No, S66.4 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.

What does S66.4 mean?

S66.4 is the ICD-10-CM diagnosis code for "Injury of intrinsic muscle, fascia and tendon of thumb at wrist and hand level". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What is the parent code of S66.4?

The parent code of S66.4 is S66 ("Injury of muscle, fascia and tendon at wrist and hand level"). S66.4 provides a more specific classification within this category.

What section is S66.4 in?

S66.4 is located in Section S60-S69 — "Injuries to the wrist, hand and fingers" within Chapter 19 of the ICD-10-CM Tabular List.

What are the sub-codes of S66.4?

S66.4 has 1918 sub-code(s) that provide more specific detail: A00, A01, A02, A03, A04 and more.

When should I use S66.4?

Use S66.4 when the patients documented diagnosis matches "Injury of intrinsic muscle, fascia and tendon of thumb at wrist and hand level" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.

People Also Ask

What is the ICD-10 code for Injury of intrinsic muscle, fascia and tendon of thumb at wrist and hand level?

The ICD-10-CM code for Injury of intrinsic muscle, fascia and tendon of thumb at wrist and hand level is S66.4.

Can S66.4 be used for primary diagnosis?

No, S66.4 is non-billable. Use a more specific sub-code for primary diagnosis billing.

What chapter is S66.4 in?

S66.4 is in Chapter 19 of the ICD-10-CM Tabular List.

Is S66.4 valid for 2026?

Yes, S66.4 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousS66.399Other injury of extensor muscle, fascia and tendon of unspecified finger at wrist and hand levelNext →S66.40Unspecified injury of intrinsic muscle, fascia and tendon of thumb at wrist and hand level
Code Details
S66.4
Injury of intrinsic muscle, fascia and tendon of thumb at wrist and hand level
Non-Billable / Non-Specific Code
19 — Injury, poisoning and certain other consequences of external causes (S00-T88)
S60-S69 — Injuries to the wrist, hand and fingers
2026 ICD-10-CM