2026 ICD-10-CM Diagnosis Code S68.019SComplete traumatic metacarpophalangeal amputation of unspecified thumb, sequela
ICD-10-CM Codes›S00–T88›S60-S69›S68
- Billable — Valid for Submission
- POA Exempt
- 7th Character S — Sequela
- Chronic Condition
S68.019S is a billable ICD-10-CM diagnosis code for complete traumatic metacarpophalangeal amputation of unspecified thumb, sequela. The 7th character S marks it as a sequela code, which reports a problem that remains after the original condition has resolved. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 559 through 561. The code is exempt from POA reporting. Coders also document this condition as ring avulsion injury of thumb. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Injury, sequela.
Code Identity
Code Classification
Present on Admission (POA)Billing
S68.019S is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Ring avulsion injury of thumb
- Traumatic amputation of thumb
- Traumatic amputation, thumb, through metacarpal
- Traumatic amputation, thumb, through metacarpophalangeal joint
Coding GuidelinesGuidance
The appropriate 7th character is to be added to each code from block Traumatic amputation of wrist, hand and fingers (S68). Use the following options for the applicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
Source: ICD-10-CM Official Guidelines for Coding and Reporting, FY 2026, published by CMS and the National Center for Health Statistics.
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Limb Loss
People can lose all or part of an arm or leg for many reasons. Common ones include:
Read the full article at MedlinePlus
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Convert S68.019S to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About S68.019SOverview
Is S68.019S a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report complete traumatic metacarpophalangeal amputation of unspecified thumb, sequela on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character S in S68.019S mean?
The final character S makes this a sequela code: it reports a lingering problem that remains after the complete traumatic metacarpophalangeal amputation of unspecified thumb itself has resolved, not the original event.
What MS-DRG does S68.019S group to?
When complete traumatic metacarpophalangeal amputation of unspecified thumb, sequela is the principal diagnosis on an inpatient stay, it groups to MS-DRG 559, 560, 561, with relative weights from 0.8039 to 1.8649 depending on complications. Higher weights mean higher Medicare reimbursement.
Is S68.019S exempt from POA reporting?
Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for complete traumatic metacarpophalangeal amputation of unspecified thumb, sequela on inpatient claims.
What is the ICD-9 equivalent of S68.019S?
Under the General Equivalence Mappings, complete traumatic metacarpophalangeal amputation of unspecified thumb, sequela converts to ICD-9-CM 905.9 (late eff traumat amputat). The mapping is approximate, so confirm the match fits the documentation.
Footnotes
[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:
- The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
- The condition places limitations on self-care, independent living, and social interactions.
