S68.719A Complete traumatic transmetacarpal amputation of unspecified hand, initial encounter

Billable ICD-10-CM code, FY2026.

Built from S68.719 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

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 S68.719A

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

• S68.712 Complete traumatic transmetacarpal amputation of left hand
• S68.712A Complete traumatic transmetacarpal amputation of left hand, initial encounter
• S68.712D Complete traumatic transmetacarpal amputation of left hand, subsequent encounter
• S68.712S Complete traumatic transmetacarpal amputation of left hand, sequela
• S68.719 Complete traumatic transmetacarpal amputation of unspecified hand
• S68.719A Complete traumatic transmetacarpal amputation of unspecified hand, initial encounter (this code)
• S68.719D Complete traumatic transmetacarpal amputation of unspecified hand, subsequent encounter
• S68.719S Complete traumatic transmetacarpal amputation of unspecified hand, sequela
• S68.72 Partial traumatic transmetacarpal amputation of hand
• S68.721 Partial traumatic transmetacarpal amputation of right hand
• S68.721A Partial traumatic transmetacarpal amputation of right hand, initial encounter