S68.114S Complete traumatic metacarpophalangeal amputation of right ring finger, sequela

ICD10CM code

#### Name of the Condition
- Complete traumatic metacarpophalangeal amputation of right ring finger, sequela

#### Summary
- This condition involves the complete amputation of the right ring finger at the metacarpophalangeal joint due to trauma. "Sequela" indicates that this documentation pertains to complications or conditions that arise as a consequence of the initial injury.

#### Causes
- The primary cause is direct trauma resulting in the complete severing of the right ring finger. Common scenarios include accidents involving power tools, machinery, or severe crushing injuries.

#### Risk Factors
- Risk factors include occupations or activities involving exposure to high-risk scenarios, such as construction work, machinery operation, or participating in contact sports. Lack of protective gear can also increase risk.

#### Symptoms
- The condition is characterized by the absence of the finger and potential symptoms associated with sequelae, such as pain, sensitivity, limited hand function, or psychological impact from the amputation.

#### Diagnosis
- Diagnosis involves a physical examination and patient history to confirm amputation location and assess any sequelae. Imaging studies may also be used to evaluate the injury's extent and any complication development.

#### Treatment Options
- Initial treatments focus on wound care, potential reattachment, or reconstruction. Long-term management may involve physical therapy to improve hand functionality, as well as prosthetic fitting if desired. Pain management and potential surgical interventions to address any complications may also be considered.

#### Prognosis and Follow-Up
- The prognosis depends on the injury extent and treatment success. Many individuals adapt well with rehabilitation and can regain function in their hands. Regular follow-up is crucial to monitor for complications or to assess adaptation progress.

#### Complications
- Complications can include infection, reduced hand function, pain syndromes, or psychological effects such as depression or anxiety related to body image or loss of function.

#### Lifestyle & Prevention
- Use protective gear when engaging in high-risk activities. Awareness and adherence to safety protocols can prevent accidents. Rehabilitation exercises and counseling services may assist in coping and adaptation.

#### When to Seek Professional Help
- Seek medical attention if there are signs of infection, increased pain, difficulty in function, or any significant emotional distress following the initial injury.

#### Additional Resources
- American Society for Surgery of the Hand (ASSH) - [Hand Care](https://www.assh.org/handcare)
- Amputee Coalition - [Living with Limb Loss](https://www.amputee-coalition.org)

#### Tips for Medical Coders
- Ensure the traumatic amputation code is updated with sequela designation to accurately represent ongoing follow-up.
- Verify appropriate documentation for laterality and specificity regarding the finger involved.

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