S68.419A Complete traumatic amputation of unspecified hand at wrist level, initial encounter

Billable ICD-10-CM code, FY2026.

Built from S68.419 with 7th character A (initial encounter).

Applies from S68 Traumatic amputation of wrist, hand and fingers

Applicable to

• An amputation not identified as partial or complete should be coded to complete

7th character note

• The appropriate 7th character is to be added to each code from category S68

7th character required

• A — initial encounter
• D — subsequent encounter
• S — sequela

Applies from S68.4 Traumatic amputation of hand at wrist level

Applicable to

• Traumatic amputation of hand NOS
• Traumatic amputation of wrist

Risk adjustment (HCC)

• CMS-HCC V28: HCC 405 — Traumatic Amputations and Complications
• CMS-HCC V22: HCC 173 — Traumatic Amputations and Complications
• ESRD V24: HCC 173

Medicare Code Edits (MCE v43.1 (April 2026))

• Unspecified code (laterality): Unspecified codes for which a more specific code identifying laterality (right, left, bilateral) exists within the same code family.

Code annotations containing back-references to S68.419A

Back-references to S68

• Type 1 Excludes: S58 Traumatic amputation of elbow and forearm ("traumatic amputation of wrist and hand (S68.-)")
• Type 1 Excludes: S58.9 Traumatic amputation of forearm, level unspecified ("traumatic amputation of wrist (S68.-)")
• Type 1 Excludes: S61 Open wound of wrist, hand and fingers ("traumatic amputation of wrist and hand (S68.-)")
• Type 1 Excludes: S62 Fracture at wrist and hand level ("traumatic amputation of wrist and hand (S68.-)")

Nearby codes

• S68.412 Complete traumatic amputation of left hand at wrist level
• S68.412A Complete traumatic amputation of left hand at wrist level, initial encounter
• S68.412D Complete traumatic amputation of left hand at wrist level, subsequent encounter
• S68.412S Complete traumatic amputation of left hand at wrist level, sequela
• S68.419 Complete traumatic amputation of unspecified hand at wrist level
• S68.419A Complete traumatic amputation of unspecified hand at wrist level, initial encounter (this code)
• S68.419D Complete traumatic amputation of unspecified hand at wrist level, subsequent encounter
• S68.419S Complete traumatic amputation of unspecified hand at wrist level, sequela
• S68.42 Partial traumatic amputation of hand at wrist level
• S68.421 Partial traumatic amputation of right hand at wrist level
• S68.421A Partial traumatic amputation of right hand at wrist level, initial encounter