S66.821A: Laceration of other specified muscles, fascia and tendons at wrist and hand level, right hand, initial encounter
S66.821A, laceration of other specified muscles, fascia and tendons at wrist and hand level, right hand, initial encounter, is listed as a covered diagnosis in 4 Medicare billing and coding articles that apply to 27 HCPCS Level II codes, including J1670 (Injection, tetanus immune globulin, human, up to 250 units), G0281 (Electrical stimulation, (unattended), to one or more…), G0329 (Electromagnetic therapy, to one or more areas for chronic…). The articles come from 2 Medicare contractors. A listed diagnosis supports medical necessity only; coverage still depends on the LCD's criteria and on documentation in the medical record.
HCPCS Level II codes with S66.821A as a covered diagnosis
| Code | Description | Medicare coverage | DMEPOS fee 2026 (state range) | Articles listing it |
|---|---|---|---|---|
| J1670 | Injection, tetanus immune globulin, human, up to 250 units | Special coverage instructions apply | — | 2 |
| G0281 | Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care | Carrier judgment | — | 2 |
| G0329 | Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care as part of a therapy plan of care | Carrier judgment | — | 2 |
| J1575 | Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin | Carrier judgment | — | 1 |
| J1569 | Injection, immune globulin, (gammagard liquid/gammagard liquid erc), 500 mg | Special coverage instructions apply | — | 1 |
| J1561 | Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg | Special coverage instructions apply | — | 1 |
| J1459 | Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg | Carrier judgment | — | 1 |
| J1557 | Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g., liquid), 500 mg | Carrier judgment | — | 1 |
| J1556 | Injection, immune globulin (bivigam), 500 mg | Carrier judgment | — | 1 |
| J1568 | Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg | Carrier judgment | — | 1 |
| J1566 | Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg | Special coverage instructions apply | — | 1 |
| J1554 | Injection, immune globulin (asceniv), 500 mg | Carrier judgment | — | 1 |
| J1599 | Injection, immune globulin, intravenous, non-lyophilized (e.g., liquid), not otherwise specified, 500 mg | Carrier judgment | — | 1 |
| J1572 | Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg | Special coverage instructions apply | — | 1 |
| J1460 | Injection, gamma globulin, intramuscular, 1 cc | Special coverage instructions apply | — | 1 |
| J0840 | Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram | Carrier judgment | — | 1 |
| J0850 | Injection, cytomegalovirus immune globulin intravenous (human), per vial | Special coverage instructions apply | — | 1 |
| J1552 | Injection, immune globulin (alyglo), 500 mg | Carrier judgment | — | 1 |
| J1560 | Injection, gamma globulin, intramuscular, over 10 cc | Special coverage instructions apply | — | 1 |
| J1571 | Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml | Special coverage instructions apply | — | 1 |
| J1573 | Injection, hepatitis b immune globulin (hepagam b), intravenous, 0.5 ml | Carrier judgment | — | 1 |
| J1577 | Injection, immune globulin (qivigy), 100 mg | Carrier judgment | — | 1 |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | Carrier judgment | — | 1 |
| G2010 | Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment | Carrier judgment | — | 1 |
| G2250 | Remote assessment of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related service provided within the previous 7 days nor leading to a service or procedure within the next 24 hours or soonest available appointment | Carrier judgment | — | 1 |
2 more codes are listed. See every code with payment by region in Caduvo.
Medicare policy articles listing S66.821A
- A57554: Billing and Coding: Immune Globulins (WPS Insurance Corporation (MAC - Part A, MAC - Part B); 20 Level II codes). LCD with the same title: L34771
- A55909: Billing and Coding: Wound Care (WPS Insurance Corporation (MAC - Part A, MAC - Part B); 2 Level II codes). LCD with the same title: L35125, L37166, L37228
- A52438: Billing and Coding: Tetanus Immunization (CGS Administrators, LLC (MAC - Part A, MAC - Part B); 1 Level II codes)
- A57311: Billing and Coding: Physical Therapy - Home Health (CGS Administrators, LLC (HHH MAC); 7 Level II codes). LCD with the same title: L33942
A diagnosis listed as covered in a billing and coding article supports medical necessity for the article's codes; it does not guarantee payment. Coverage depends on the LCD's criteria, the contractor's jurisdiction and documentation in the medical record.
Other S66 diagnoses (Injury of muscle, fascia and tendon at wrist and hand level)
- S66.822A — Laceration of other specified muscles, fascia and tendons at wrist…
- S66.021A — Laceration of long flexor muscle, fascia and tendon of right thumb…
- S66.022A — Laceration of long flexor muscle, fascia and tendon of left thumb at…
- S66.120A — Laceration of flexor muscle, fascia and tendon of right index finger…
- S66.121A — Laceration of flexor muscle, fascia and tendon of left index finger…
- S66.122A — Laceration of flexor muscle, fascia and tendon of right middle…
- S66.123A — Laceration of flexor muscle, fascia and tendon of left middle finger…
- S66.124A — Laceration of flexor muscle, fascia and tendon of right ring finger…
- S66.125A — Laceration of flexor muscle, fascia and tendon of left ring finger…
- S66.126A — Laceration of flexor muscle, fascia and tendon of right little…
- S66.127A — Laceration of flexor muscle, fascia and tendon of left little finger…
- S66.221A — Laceration of extensor muscle, fascia and tendon of right thumb at…
- S66.222A — Laceration of extensor muscle, fascia and tendon of left thumb at…
- S66.320A — Laceration of extensor muscle, fascia and tendon of right index…
- S66.321A — Laceration of extensor muscle, fascia and tendon of left index…
- S66.322A — Laceration of extensor muscle, fascia and tendon of right middle…
- S66.323A — Laceration of extensor muscle, fascia and tendon of left middle…
- S66.324A — Laceration of extensor muscle, fascia and tendon of right ring…
- S66.325A — Laceration of extensor muscle, fascia and tendon of left ring finger…
- S66.326A — Laceration of extensor muscle, fascia and tendon of right little…
- S66.327A — Laceration of extensor muscle, fascia and tendon of left little…
- S66.421A — Laceration of intrinsic muscle, fascia and tendon of right thumb at…
- S66.422A — Laceration of intrinsic muscle, fascia and tendon of left thumb at…
- S66.520A — Laceration of intrinsic muscle, fascia and tendon of right index…
- S66.521A — Laceration of intrinsic muscle, fascia and tendon of left index…
- S66.522A — Laceration of intrinsic muscle, fascia and tendon of right middle…
- S66.523A — Laceration of intrinsic muscle, fascia and tendon of left middle…
- S66.524A — Laceration of intrinsic muscle, fascia and tendon of right ring…
- S66.525A — Laceration of intrinsic muscle, fascia and tendon of left ring…
- S66.526A — Laceration of intrinsic muscle, fascia and tendon of right little…
Frequently asked questions
Does Medicare cover S66.821A (Laceration of other specified muscles, fascia and tendons…)?
Medicare covers items and services, not diagnoses. 4 Medicare billing and coding articles list S66.821A as a covered diagnosis for 27 HCPCS Level II codes: the diagnosis can support medical necessity for those codes, but payment still depends on the LCD's coverage criteria and the medical record.
Which HCPCS codes can be billed with ICD-10 S66.821A?
The Level II codes from the policies most specific to this diagnosis are J1670 (Injection, tetanus immune globulin, human, up to 250 units, 2 articles); G0281 (Electrical stimulation, (unattended), to one or more…, 2 articles); G0329 (Electromagnetic therapy, to one or more areas for chronic…, 2 articles); J1575 (Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg…, 1 article); J1569 (Injection, immune globulin, (gammagard liquid/gammagard…, 1 article). Code choice depends on the item supplied; check each code's descriptor.
Which Medicare policy articles list S66.821A?
A57554 (Billing and Coding: Immune Globulins); A55909 (Billing and Coding: Wound Care); A52438 (Billing and Coding: Tetanus Immunization), and 1 more article.
What is ICD-10-CM code S66.821A?
S66.821A is the ICD-10-CM code for laceration of other specified muscles, fascia and tendons at wrist and hand level, right hand, initial encounter, in category S66 (Injury of muscle, fascia and tendon at wrist and hand level), chapter 19: Injury, poisoning and other consequences of external causes.
Next steps
- Run a reimbursement report for a device billed under J1670
- Watch J1670 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J1670
Sources: CMS Medicare Coverage Database billing and coding articles (covered ICD-10 code lists and HCPCS links); ICD-10-CM FY2026; CMS HCPCS Level II release October 2026; CMS DMEPOS fee schedule 2026 (non-rural state fees). Not billing or legal advice.
Chapter 19: Injury, poisoning and other consequences of external causes · All diagnoses · HCPCS lookup