2027 ICD-10-CM Diagnosis Code S68.624SPartial traumatic transphalangeal amputation of right ring finger, sequela
ICD-10-CM Codes›S00–T88›S60-S69›S68
- Billable — Valid for Submission
- POA Exempt
- 7th Character S — Sequela
- Chronic Condition
S68.624S is a billable ICD-10-CM diagnosis code for partial traumatic transphalangeal amputation of right ring finger, 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 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 559 through 561. The code is exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Injury, sequela.
S68.624S no longer risk-adjusts for Medicare Advantage: it mapped to HCC 189 under the retired CMS-HCC V24 model through payment year 2025 but maps to no category in the live V28 model. It still risk-adjusts in the PACE (CMS-HCC V22) category 189, ESRD (V21) category 189, and ESRD (V24) category 189 for payment year 2027.
Code Identity
Code Classification
Present on Admission (POA)Billing
S68.624S is exempt from POA reporting on inpatient claims to general acute care hospitals. Review the other POA exempt codes in Injuries to the wrist, hand and fingers (S60-S69).
Medicare Risk Adjustment (HCC)Billing
S68.624S no longer risk-adjusts for Medicare Advantage: it maps to no payment category in the live CMS-HCC V28 model, although it still risk-adjusts in the other CMS models shown below.
Source: CMS Payment Year 2027 risk adjustment mappings and model software. Weights are relative factors, not dollar amounts; a beneficiary's total RAF also includes demographics and interactions. Browse all CMS-HCC categories.
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 2027, published by CMS and the National Center for Health Statistics.
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to S68.624S: its own notes plus those printed at S68, block S60-S69, and Chapter 19. A note printed at a category, block or chapter applies to every code under it.
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
Use Additional Code
Add a second code, after this one, to fully describe the condition.
- code to identify any retained foreign body, if applicable (Z18.-)
Notes
General instructions on how these codes are used.
- Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
- The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.
7th Character
Every code in the category takes a 7th character from the listed values, with the placeholder X filling any empty positions before it.
- The appropriate 7th character is to be added to each code from category S68
- Ainitial encounter
- Dsubsequent encounter
- Ssequela this code
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name S68.624S, its category, or a range that includes it.
Excludes1 4
These codes carry an Excludes1 note naming S68.624S: they are not reported together with it, unless the two conditions are unrelated.
- S58 Traumatic amputation of elbow and forearmtraumatic amputation of wrist and hand (S68.-) names S68.-, which includes this code
- S58.9 Traumatic amputation of forearm, level unspecifiedtraumatic amputation of wrist (S68.-) names S68.-, which includes this code
- S61 Open wound of wrist, hand and fingerstraumatic amputation of wrist and hand (S68.-) names S68.-, which includes this code
- S62 Fracture at wrist and hand leveltraumatic amputation of wrist and hand (S68.-) names S68.-, which includes this code
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
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert S68.624S to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About S68.624SOverview
Is S68.624S a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report partial traumatic transphalangeal amputation of right ring finger, sequela on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What does the 7th character S in S68.624S mean?
The final character S makes this a sequela code: it reports a lingering problem that remains after the partial traumatic transphalangeal amputation of right ring finger itself has resolved, not the original event.
What MS-DRG does S68.624S group to?
When partial traumatic transphalangeal amputation of right ring finger, sequela is the principal diagnosis on an inpatient stay, it groups to MS-DRG 559, 561, 560, with relative weights from 0.8258 to 1.8087 depending on complications. Higher weights mean higher Medicare reimbursement.
Is S68.624S 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 partial traumatic transphalangeal amputation of right ring finger, sequela on inpatient claims. The code appears in the Injuries to the wrist, hand and fingers (S60-S69) range of the CMS exempt list.
What is the ICD-9 equivalent of S68.624S?
Under the General Equivalence Mappings, partial traumatic transphalangeal amputation of right ring finger, sequela converts to ICD-9-CM 905.9 (late eff traumat amputat). The mapping is approximate, so confirm the match fits the documentation.
Does S68.624S risk-adjust for Medicare Advantage payment?
Not for Medicare Advantage. S68.624S mapped to HCC 189 in the retired CMS-HCC V24 model, which last determined payment in 2025, but it maps to no category in the live V28 model; see all codes that no longer risk-adjust. It still risk-adjusts in the PACE (CMS-HCC V22) category 189 (Amputation Status/Lower Limb/Amputation Complications), ESRD (V21) category 189 (Amputation Status/Lower Limb/Amputation Complications), and ESRD (V24) category 189 (Amputation Status/Lower Limb/Amputation Complications).
