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    OpenPayerBilling CodesInjuries to the wrist, hand and fingersICD-10-CM s68-traumatic-amputation-wrist-hand-fingers
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    ICD-10-CM Code For Traumatic Amputation Of Wrist Hand And Fingers: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group S68 includes traumatic amputations and traumatic separations of the wrist, hand, and fingers, covering partial and complete amputations, avulsions, and crush injuries leading to loss of distal upper extremity structures. These ICD-10-CM diagnosis codes are used to document acute traumatic injury to the distal upper extremity, capturing the anatomic level, laterality, and extent of tissue loss or damage relevant to surgical planning and follow-up. Accurate coding within the ICD-10-CM S68 group supports proper claim adjudication, complete clinical documentation, and appropriate reimbursement.

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    ICD-10-CM S68: Traumatic Amputation Of Wrist, Hand And Fingers Overview

    The diagnoses in this group represent traumatic amputations and traumatic separations of the wrist, hand, and fingers, including partial and complete amputations and traumatic avulsions. These injury codes target the musculoskeletal and integumentary structures of the distal upper extremity and capture the anatomic level of loss. Accurate coding is important for correct claim processing and to reflect the severity and resource needs related to traumatic limb loss.

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    When to Use

    Use a code from this group when documentation indicates a traumatic amputation or traumatic separation involving the wrist, hand, or fingers, with specification of level and laterality. Select the most specific code reflecting whether the amputation is partial or complete, and include any associated conditions such as crush injury or avulsion when documented.

    ICD-10-CM Codes

    192 rows

    ICD-10-CM CodeDescription
    S68.011AComplete traumatic metacarpophalangeal amputation of right thumb, initial encounter
    S68.011DComplete traumatic metacarpophalangeal amputation of right thumb, subsequent encounter
    S68.011SComplete traumatic metacarpophalangeal amputation of right thumb, sequela
    S68.012AComplete traumatic metacarpophalangeal amputation of left thumb, initial encounter
    S68.012DComplete traumatic metacarpophalangeal amputation of left thumb, subsequent encounter
    S68.012SComplete traumatic metacarpophalangeal amputation of left thumb, sequela
    S68.019AComplete traumatic metacarpophalangeal amputation of unspecified thumb, initial encounter
    S68.019DComplete traumatic metacarpophalangeal amputation of unspecified thumb, subsequent encounter
    S68.019SComplete traumatic metacarpophalangeal amputation of unspecified thumb, sequela
    S68.021APartial traumatic metacarpophalangeal amputation of right thumb, initial encounter
    S68.021DPartial traumatic metacarpophalangeal amputation of right thumb, subsequent encounter
    S68.021SPartial traumatic metacarpophalangeal amputation of right thumb, sequela
    S68.022APartial traumatic metacarpophalangeal amputation of left thumb, initial encounter
    S68.022DPartial traumatic metacarpophalangeal amputation of left thumb, subsequent encounter
    S68.022SPartial traumatic metacarpophalangeal amputation of left thumb, sequela
    S68.029APartial traumatic metacarpophalangeal amputation of unspecified thumb, initial encounter
    S68.029DPartial traumatic metacarpophalangeal amputation of unspecified thumb, subsequent encounter
    S68.029SPartial traumatic metacarpophalangeal amputation of unspecified thumb, sequela
    S68.110AComplete traumatic metacarpophalangeal amputation of right index finger, initial encounter
    S68.110DComplete traumatic metacarpophalangeal amputation of right index finger, subsequent encounter

    Showing 1–20 of 192

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    DRG Codes

    10 rows

    DRG CodeDescription
    559Aftercare, Musculoskeletal System and Connective Tissue with MCC
    560Aftercare, Musculoskeletal System and Connective Tissue with CC
    561Aftercare, Musculoskeletal System and Connective Tissue without CC/MCC
    913Traumatic Injury with MCC
    914Traumatic Injury without MCC
    949Aftercare with CC/MCC
    950Aftercare without CC/MCC
    963Other Multiple Significant Trauma with MCC
    964Other Multiple Significant Trauma with CC
    965Other Multiple Significant Trauma without CC/MCC

    Typical Clinical Scenarios

    • An adult factory worker presents to the emergency department after a circular saw accident with complete traumatic amputation through the distal forearm/wrist at the level of the radiocarpal joint. The patient has an open, cleanly transected amputated hand with visible bone and tendons; emergent care includes hemorrhage control, tetanus update, imaging, and consideration for replantation or stump revision. A code from this group is assigned to describe the acute traumatic amputation of the wrist/hand at initial encounter. Typical codes: S68.011A, S68.012A
    • An elderly patient with peripheral vascular disease and prior limb salvage attempts presents with a chronic, non-healing traumatic partial amputation of multiple fingers after a work-related crush injury months earlier; they report persistent pain, infection risk, and decreased function requiring definitive surgical revision and prosthetic planning. The visit documents sequelae of the prior traumatic amputations and plans for delayed stump revision/closure, so an appropriate code from this group reflecting subsequent or sequela status is assigned. Typical codes: S68.011D, S68.011S
    • A middle-aged bicyclist arrives at urgent care after a high-energy hand avulsion with near-total amputation of multiple digits and significant contamination; initial management focuses on wound irrigation, antibiotic prophylaxis, and coordination with hand surgery for urgent revascularization attempts. Because this is an acute traumatic amputation of fingers/hand requiring urgent evaluation and possible replantation, an initial encounter code from the group is used to document the injury and encounter urgency. Typical codes: S68.021A, S68.029A

    Related Codes

    S60-SUPERFICIAL-INJURY-OF-WRIST-HAND-FINGERS

    ICD-10-CM Code For Superficial Injury Of Wrist Hand And Fingers: Group Overview

    S61-OPEN-WOUND-OF-WRIST-HAND-FINGERS

    ICD-10-CM Code For Open Wound Of Wrist Hand And Fingers: Group Overview

    S62-FRACTURE-AT-WRIST-AND-HAND-LEVEL

    ICD-10-CM Code For Fracture At Wrist And Hand Level: Group Overview

    S63-DISLOCATION-AND-SPRAIN-WRIST-HAND

    ICD-10-CM Code For Dislocation And Sprain Of Joints And Ligaments At Wrist And Hand Level: Group Overview

    S64-INJURY-OF-NERVES-AT-WRIST-AND-HAND-LEVEL

    ICD-10-CM Code For Injury Of Nerves At Wrist And Hand Level: Group Overview

    S65-INJURY-OF-BLOOD-VESSELS-WRIST-HAND

    ICD-10-CM Code For Injury Of Blood Vessels At Wrist And Hand Level: Group Overview

    S66-INJURY-OF-MUSCLE-FASCIA-AND-TENDON

    ICD-10-CM Code For Injury Of Muscle Fascia And Tendon At Wrist And Hand Level: Group Overview

    S67-CRUSHING-INJURY-OF-WRIST-HAND-FINGERS

    ICD-10-CM Code For Crushing Injury Of Wrist Hand And Fingers: Group Overview

    S69-OTHER-AND-UNSPECIFIED-WRIST-HAND-INJURIES

    ICD-10-CM Code For Other And Unspecified Injuries Of Wrist Hand And Finger(S): Group Overview

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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