Name of the Condition

• Complete traumatic amputation at level between knee and ankle, right lower leg; also referred to as below-knee amputation (BKA).

Summary

• This medical condition refers to the complete loss of the lower part of the right leg as a result of an injury. The amputation occurs between the knee and the ankle.

Causes

• The condition is primarily caused by severe trauma, such as accidents involving machinery or vehicles, or falls from significant heights.

Risk Factors

• Engaging in high-risk occupations or activities, such as construction work or extreme sports.
• Lack of proper safety equipment or protocols.
• Previous injuries or conditions that weaken the leg.

Symptoms

• Absence of the foot and a portion of the lower leg.
• Severe pain or shock immediately following the trauma.
• Possible bleeding, swelling, and damage to surrounding tissues.

Diagnosis

• Physical examination to assess the level of amputation and examine for additional injuries.
• Imaging studies, such as X-rays, to evaluate bone and tissue condition.

Treatment Options

• Emergency medical intervention to control bleeding and prevent infection.
• Surgical cleaning and closure of the amputation site.
• Rehabilitation involving physical therapy and fitting of a prosthetic limb to aid mobility and functionality.

Prognosis and Follow-Up

• Prognosis depends on timely surgical intervention and the patient’s overall health.
• Regular follow-up appointments are essential for monitoring healing and adjusting prosthetic devices.

Complications

• Risk of infection and complications related to wound healing.
• Phantom limb pain or sensation.
• Potential psychological impact, necessitating counseling or support groups.

Lifestyle & Prevention

• Use of personal protective equipment (PPE) in hazardous environments.

• Adherence to safety guidelines and protocols to prevent traumatic incidents.

  When to Seek Professional Help

• Immediate medical attention after experiencing traumatic incidents involving the leg.

  Additional Resources

• Amputee Coalition
• American Orthotic and Prosthetic Association

Tips for Medical Coders

• Ensure the coding specifies the right limb and the level of amputation.
• Verify whether the encounter is initial or for follow-ups, as indicated by the ICD code. Avoid confusing this with other extremity amputation codes.