2025 ICD-10-CM code S68.111S
Complete traumatic amputation of the left index finger at the metacarpophalangeal joint, sequela.
Medical necessity for services related to this code should be supported by documentation of the functional limitations resulting from the amputation and the need for ongoing care or prosthetic devices to improve function and quality of life.
Providers diagnose the condition based on history and physical examination, along with imaging such as X-rays and MRI scans to determine the most viable repair option for either reimplantation or for prosthesis use. Treatment options may include stopping the bleeding, surgical repair and possible reimplantation of the amputated part; medications such as analgesics, antibiotics, and tetanus prophylaxis may be used, along with physical and occupational therapy with referral to a prosthetics specialist as deemed appropriate by the provider and care team.
- Injury, poisoning and certain other consequences of external causes (S00-T88)
- Injuries to the wrist, hand and fingers (S60-S69)
In simple words: This code describes the long-term effects of a completely amputated left index finger knuckle due to an injury.
Complete traumatic metacarpophalangeal amputation of the left index finger refers to a complete loss of the joint where the metacarpal bone in the hand joins the phalanx bone of the finger, caused by trauma. This code applies to the sequela, a condition resulting from the initial injury.
Example 1: A patient presents with a complete traumatic amputation of the left index finger at the MCP joint following a machinery accident. The amputation is old, and the patient now experiences phantom limb pain., A patient who experienced a complete traumatic amputation of the left index finger at the MCP joint several years prior presents for follow-up care and prosthetic fitting adjustments., A patient with a history of complete traumatic amputation of the left index finger at the MCP joint presents with ongoing neuromas and difficulty using a prosthesis.
Documentation should include the cause of the amputation, the date of the original injury, the current status of the injury site, any associated complications (e.g., phantom limb pain, neuromas, infection), and the type of treatment provided (e.g., surgical repair, prosthetic fitting, pain management).
- Specialties:Orthopedic Surgery, Hand Surgery, Physical Medicine and Rehabilitation, Occupational Therapy
- Place of Service:Inpatient Hospital, Outpatient Hospital, Office, Physical Therapy Office