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2025 ICD-10-CM code S78.122

Partial traumatic amputation at a level between the left hip and knee.

Use secondary codes from Chapter 20 (External causes of morbidity) to indicate the cause of injury. If a foreign body is retained, use code Z18.-.

Medical necessity is established by the traumatic nature of the amputation and the need for acute medical intervention. The documentation should justify the level of care provided, including surgery, pain management, and rehabilitation services.

Diagnosis involves physical examination, imaging (X-ray, CT, MRI), and laboratory tests (hemoglobin, hematocrit, platelets, coagulation studies, white blood cell count). Treatment includes controlling bleeding, wound care, possible reattachment, pain management, antibiotics, tetanus prophylaxis, and rehabilitation including prosthesis fitting, physical therapy, and counseling.

In simple words: This code describes an injury where the left upper leg is partially severed between the hip and the knee, but not completely detached.

Partial traumatic amputation at a level between the left hip and knee refers to the incomplete severing of the left leg between the hip and knee joints due to trauma. This involves damage to the femur (thigh bone) and surrounding soft tissues.

Example 1: A patient is brought to the ER following a motorcycle accident with partial amputation of the left thigh between the hip and knee., A construction worker suffers a crush injury resulting in partial traumatic amputation between the left hip and knee., An explosion victim presents with partial traumatic amputation of the left thigh, with the level of injury between the hip and knee.

Documentation should include the type of injury, laterality (left leg), the level of amputation (between hip and knee), encounter type (initial, subsequent, sequela), cause of injury, and associated injuries. Imaging and laboratory reports should also be included.

** This code describes a partial traumatic amputation, meaning the limb is not completely detached. It is specific to the left leg between the hip and knee joint.Excludes 1: birth trauma (P10-P15), obstetric trauma (O70-O71). Excludes 2: burns and corrosions (T20-T32), frostbite (T33-T34), snake bite (T63.0-), venomous insect bite or sting (T63.4-).

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