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2025 ICD-10-CM code S68.127A

Partial traumatic metacarpophalangeal amputation of left little finger, initial encounter.

A secondary code should be used to indicate the cause of the injury (Chapter 20). If a foreign body is retained, code Z18.- should be used.Do not use this code for birth trauma (P10-P15) or obstetric trauma (O70-O71).

Medical necessity is established by the nature and extent of the injury.The documentation should support the need for the specific treatment provided, whether it's conservative management or surgical intervention.

Physicians, typically hand surgeons or trauma specialists, are responsible for diagnosing and treating this injury. Diagnosis involves physical examination and imaging studies like X-rays and MRI. Treatment can range from wound care and splinting to surgical repair and reimplantation, depending on the severity of the injury. Pain management, antibiotics, and tetanus prophylaxis might also be necessary.Referral to a prosthetics specialist might be required.

In simple words: This code is used when someone partially loses the knuckle joint of their left little finger due to an injury.It's used during the first visit for this injury.Another code will be used to explain what caused the injury.

This code describes a partial amputation of the metacarpophalangeal (MCP) joint of the left little finger due to trauma.It is used for the initial encounter and indicates that the amputation is not complete.A secondary code from Chapter 20 (External causes of morbidity) should be used to specify the cause of the injury.

Example 1: A worker catches their left little finger in a machine, resulting in a partial amputation at the MCP joint. This is their first visit for the injury., A cyclist falls and injures their left hand, resulting in a partial traumatic amputation of the MCP joint of the little finger. They are seen in the emergency room for the initial evaluation and treatment., A person sustains a crush injury to their left little finger in a car accident, leading to a partial amputation at the MCP joint. They present to the hospital for initial assessment and management.

Documentation should include the details of the injury mechanism, the extent of the amputation (e.g., which structures are involved, percentage of the joint amputated), associated injuries, treatment provided, and the plan of care.

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