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Complete traumatic metacarpophalangeal amputation of right index finger, initial encounter
ICD10CM code
Name of the Condition
- Complete Traumatic Metacarpophalangeal Amputation of Right Index Finger
Summary
- This condition refers to the traumatic removal or loss of the right index finger at the metacarpophalangeal joint — the joint connecting the finger to the hand. It typically results from severe injuries.
Causes
- Most commonly caused by accidents involving machinery, tools, or vehicles, as well as severe trauma from falls or sports injuries.
Risk Factors
- Occupations involving heavy machinery or tools.
- Involvement in high-impact sports.
- Participating in activities with a high risk of hand injury.
Symptoms
- Complete loss of the index finger at the metacarpophalangeal joint.
- Severe pain and bleeding at the site of injury.
- Possible shock or emotional distress related to the injury.
Diagnosis
- Mainly based on physical examination and history of the incident.
- Imaging tests such as X-rays may be necessary to assess any associated damage to nearby bones and tissues.
Treatment Options
- Surgical intervention: Reattachment if possible, or preparation of the stump for future prosthetics.
- Rehabilitation: Physical therapy to regain function and adapt to daily activities.
Pain management: Medications as needed.
Prognosis and Follow-Up
- Prognosis depends on the severity of the injury and success of treatment.
- Regular follow-up is essential for wound care, recovery, and functional adaptation.
Complications
- Possible infection of the wound.
- Limited hand function affecting grip and dexterity.
- Emotional and psychological impact due to loss of a finger.
Lifestyle & Prevention
- Adhering to safety protocols in workplaces and during high-risk activities.
- Using protective gear, like gloves, when handling tools or engaging in potentially dangerous activities.
When to Seek Professional Help
- Immediate medical attention is required after the injury for proper wound care and to evaluate the possibility of reattachment.
Additional Resources
Tips for Medical Coders
- Ensure accuracy in coding by confirming the laterality (right index finger).
- Verify that it is a complete amputation and initial encounter for precise documentation.
- Avoid confusing with partial amputation codes or other finger designations.
Similar Codes
ICD10CM codes
S68.120A - Partial traumatic metacarpophalangeal amputation of right index finger, initial encounter
S68.114A - Complete traumatic metacarpophalangeal amputation of right ring finger, initial encounter