icd 10 code for complete phalangeal amputaion of right middle finger

by Carmine Klein DVM 10 min read

S68.612A

What is the ICD 10 code for amputation of the middle finger?

Partial traumatic transphalangeal amputation of right middle finger, initial encounter. S68.622A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2020 edition of ICD-10-CM S68.622A became effective on October 1, 2019.

What are the codes for amputation of the thumb?

Finger Amputation Codes 1 Traumatic thumb amputation (885.0) 2 Traumatic thumb amputation, compl (885.1) 3 Traumatic finger amputation (886.0) 4 Traumatic finger amputation, compl (886.1) 5 Late effect of traumatic amputation (905.9) 6 Late effect, open wound extremity (nonspecific) (906.1) 7 Neuroma of amputation stump (997.61)

What is the ICD 10 code for transphalangeal amputation?

Complete traumatic transphalangeal amputation of right middle finger, initial encounter. S68.612A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What is the S68 for traumatic transmetacarpal amputation of hand?

Partial traumatic transphalangeal amputation of specified finger with unspecified laterality; S68.629 Partial traumatic transphalangeal amputation of unspecified finger S68.7 Traumatic transmetacarpal amputation of hand S68.71 Complete traumatic transmetacarpal amputation of hand. S68.711 Complete traumatic transmetacarpal amputation of right hand

What is primary amputation?

What is the difference between primary and secondary amputation?

What is CPT 26951?

Was the distal phalanx fractured?

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What is ICD 10 code for finger amputation?

Acquired absence of other finger(s) ICD-10-CM Z89. 022 is grouped within Diagnostic Related Group(s) (MS-DRG v39.0):

What is Transphalangeal amputation finger?

Transphalangeal amputations usually involve the four fingers in similar or slightly varying degrees. Most often these patients need no device but they may desire cosmetic fingers. These can be fitted easily when at least half of the proximal phalanx remains for each finger.

What is ICD 10 code for left middle finger laceration?

S61.213AICD-10 code S61. 213A for Laceration without foreign body of left middle finger without damage to nail, initial encounter is a medical classification as listed by WHO under the range - Injury, poisoning and certain other consequences of external causes .

What is the ICD 10 code for right middle finger Pain?

ICD-10 code M79. 644 for Pain in right finger(s) is a medical classification as listed by WHO under the range - Soft tissue disorders .

Where is the Transphalangeal amputation?

Transphalangeal toe amputation is performed for gangrene or infection of the distal phalanx of the toe with adequate blood supply. This chapter describes indications, essential steps, variations, and complications of this procedure. It provides a detailed template operative note for the procedure.

What is metacarpophalangeal amputation?

The metacarpal-like hand is a severe hand injury, never addressed before. It describes a hand that has lost a significant degree of prehension through a wide array of amputations, involving all digits proximal to the functional length except in one finger or in two digits, including the thumb.

What is the ICD-10 code for right long finger Laceration?

2022 ICD-10-CM Diagnosis Code S61. 210S: Laceration without foreign body of right index finger without damage to nail, sequela.

What is the ICD-10 code for left hand injury?

Unspecified superficial injury of left hand, initial encounter. S60. 922A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What is the ICD-10 code for contact with knife?

W26.0XXAICD-10 code W26. 0XXA for Contact with knife, initial encounter is a medical classification as listed by WHO under the range - Other external causes of accidental injury .

What is the modifier for right middle finger?

Modifiers FA, F1-F9ModifierBrief DescriptionF5Right hand, thumbF6Right hand, second digitF7Right hand, third digitF8Right hand, fourth digit6 more rows

What is the ICD-10 code for right third trigger finger?

M65. 331 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM M65. 331 became effective on October 1, 2021.

What is the ICD-10 code for right hand injury?

S69.91XAS69. 91XA - Unspecified injury of right wrist, hand and finger(s) [initial encounter]. ICD-10-CM.

What to expect after having a finger amputated?

Recovery can take several weeks. Your finger may be sensitive to cold and painful for a year or more. You probably will have a splint to protect your finger as it heals. It is very important that you wear the splint exactly as your doctor tells you.

What is Terminalisation of finger?

An amputation is the removal of all or part of a finger or thumb. This can also be known as a terminalisation.

How long does it take to recover from finger amputation?

Complete healing usually takes 2 to 4 weeks, although stiffness and hypersensitivity (extreme sensitivity) may remain longer, depending on the severity of the injury.

What is a ray amputation of finger?

In a finger example, ray amputations are the removal of an entire finger along with the corresponding metacarpal bones in the hand. They are same-day surgeries with the patient going home with a bulky soft dressing. The recoveries can vary, but light use of the hand is almost immediate.

Help With Finger Amputation Code - AAPC

I need help with a finger amputation procedure, report reads as follows: Amputation of left ring finger with avulsion. Reimplantation of lt ring finger with microvascular reconnection of one digital artery, two dorsal veins, digital nerve and pinning/k wire fixation of one bone. The finger was...

Finger Amputation Codes

Finger Amputation Codes Coding Submenus Thenar or Cross finger Flap. ICD9 Codes Traumatic thumb amputation (885.0) Traumatic thumb amputation, compl (885.1)

CPT® Code 26951 in section: Amputation, finger or thumb, primary or ...

CPT® Code 26951 in section: Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies

Please help, coding operative report--finger amputations

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Finger Amputation Codes

Finger Amputation Codes Coding Submenus Thenar or Cross finger Flap. ICD9 Codes Traumatic thumb amputation (885.0) Traumatic thumb amputation, compl (885.1)

Finger Amputation Codes

American Society for Surgery of the Hand assh.org The Best Resource For Your Hands, Period.

What is primary amputation?

Primary amputation is removal of the digit following an acute injury or infection. Secondary amputation occurs when earlier attempts to preserve the digit have failed. In 26951, the wound is approximated, reduced, and sutured in layers. In 26952, local advancement flaps are necessary for closure.

What is the difference between primary and secondary amputation?

The overlying skin is incised and the tissues are dissected to the bone. The bone is removed. The vessels and nerves are ligated using microsurgical techniques. Primary amputation is removal of the digit following an acute injury or infection. Secondary amputation occurs when earlier attempts to preserve the digit have failed. In 26951, the wound is approximated, reduced, and sutured in layers. In 26952, local advancement flaps are necessary for closure.

What is CPT 26951?

Can someone please confirm that CPT 26951 is the correct code for the following procedure?#N#Preop DX: Traumatic amputation, right index finger with fracture through the distal phalangeal physis.#N#Procedure: Patient was taken to the op room and placed on the table.The right upper extremity was sterilely prepped and draped after the administration of the general anesthetic. The finger tip was then examined. Upon initial presentation in the ER dept. The finger tip was rotated by 180 degrees with a nail on the volar surface. This was reduced in the ER and upon exam under anesthesia, it is apparent that the only remaining attachmentis the flexor tendon. There was no soft tissue attachment whatsoever and no perfusion obviously of the tip of the finger. The decision was therefore made to complete the amputation by transecting the flexor tendon and then using the skin from the tip as graft in order to cover exposed bone and preserve as much length as possible. The nail was removed with an tiris scissors and then the nail bed and remainder of the distal phalanx was then dissected free. The subcutaneous tissues were dissected off of the skin and dermis. This was then placed over the tip of the finder. There was no contamination whatsoever. The nail had been avulsed from the tip and there was a small amount of germinal matrix appearing tissue on the ulnar side of the finger tip. This was removed with a scalpel. The graft was then sutured with 4-0 chromic suture. An initial dorsal stay suture was placed and then further stitches were placed around the circumference with the skin being trimmed as necessary to provide good coverage without any tension and without creating a pocket for hematoma formation. There was capillary bleeding from the distal tip of the finger, but this was minimal. The coverage was quite good. The fingers and hand was then cleaned with saline. A metacarpal block was done with .25% marcaine. A sterile dressing of Xeroform and two gauze was then applied which was tied around the wrist and then this was covered with Coban. Pt doing well transferred to postop for recovery.#N#Did an amputation of the bone in the finger happen? I do not read where any part of the bone was cut. I see where the bone was covered, but no bone was cut out.#N#What do you think, correct CPT code or if not any suggestions? Thank you.

Was the distal phalanx fractured?

There was a fracture of the distal phalanx, and in the note the physician states that he dissected the remaining portion of the bone free. This was not an amputation at the joint, the amputation was through the bone is how I am seeing this.

What is primary amputation?

Primary amputation is removal of the digit following an acute injury or infection. Secondary amputation occurs when earlier attempts to preserve the digit have failed. In 26951, the wound is approximated, reduced, and sutured in layers. In 26952, local advancement flaps are necessary for closure.

What is the difference between primary and secondary amputation?

The overlying skin is incised and the tissues are dissected to the bone. The bone is removed. The vessels and nerves are ligated using microsurgical techniques. Primary amputation is removal of the digit following an acute injury or infection. Secondary amputation occurs when earlier attempts to preserve the digit have failed. In 26951, the wound is approximated, reduced, and sutured in layers. In 26952, local advancement flaps are necessary for closure.

What is CPT 26951?

Can someone please confirm that CPT 26951 is the correct code for the following procedure?#N#Preop DX: Traumatic amputation, right index finger with fracture through the distal phalangeal physis.#N#Procedure: Patient was taken to the op room and placed on the table.The right upper extremity was sterilely prepped and draped after the administration of the general anesthetic. The finger tip was then examined. Upon initial presentation in the ER dept. The finger tip was rotated by 180 degrees with a nail on the volar surface. This was reduced in the ER and upon exam under anesthesia, it is apparent that the only remaining attachmentis the flexor tendon. There was no soft tissue attachment whatsoever and no perfusion obviously of the tip of the finger. The decision was therefore made to complete the amputation by transecting the flexor tendon and then using the skin from the tip as graft in order to cover exposed bone and preserve as much length as possible. The nail was removed with an tiris scissors and then the nail bed and remainder of the distal phalanx was then dissected free. The subcutaneous tissues were dissected off of the skin and dermis. This was then placed over the tip of the finder. There was no contamination whatsoever. The nail had been avulsed from the tip and there was a small amount of germinal matrix appearing tissue on the ulnar side of the finger tip. This was removed with a scalpel. The graft was then sutured with 4-0 chromic suture. An initial dorsal stay suture was placed and then further stitches were placed around the circumference with the skin being trimmed as necessary to provide good coverage without any tension and without creating a pocket for hematoma formation. There was capillary bleeding from the distal tip of the finger, but this was minimal. The coverage was quite good. The fingers and hand was then cleaned with saline. A metacarpal block was done with .25% marcaine. A sterile dressing of Xeroform and two gauze was then applied which was tied around the wrist and then this was covered with Coban. Pt doing well transferred to postop for recovery.#N#Did an amputation of the bone in the finger happen? I do not read where any part of the bone was cut. I see where the bone was covered, but no bone was cut out.#N#What do you think, correct CPT code or if not any suggestions? Thank you.

Was the distal phalanx fractured?

There was a fracture of the distal phalanx, and in the note the physician states that he dissected the remaining portion of the bone free. This was not an amputation at the joint, the amputation was through the bone is how I am seeing this.

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