2026 ICD-10-CM Diagnosis Code S68.719DComplete traumatic transmetacarpal amputation of unspecified hand, subsequent encounter
ICD-10-CM Codes›S00–T88›S60-S69›S68
- Billable — Valid for Submission
- POA Exempt
- 7th Character D — Subsequent Encounter
- Chronic Condition
S68.719D is a billable ICD-10-CM diagnosis code for complete traumatic transmetacarpal amputation of unspecified hand, subsequent encounter. The 7th character D marks it as a subsequent encounter code, used during routine care in the healing or recovery phase. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 949 through 950. The code is exempt from POA reporting. Coders also document this condition as traumatic amputation, hand, through metacarpals. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Amputation of a limb, subsequent encounter.
Code Identity
Code Classification
Present on Admission (POA)Billing
S68.719D 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.
- Traumatic amputation, hand, through metacarpals
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
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert S68.719D to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About S68.719DOverview
Is S68.719D a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report complete traumatic transmetacarpal amputation of unspecified hand, subsequent encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character D in S68.719D mean?
The final character D marks a subsequent encounter: use it for routine care while the complete traumatic transmetacarpal amputation of unspecified hand is healing, after active treatment has ended.
What MS-DRG does S68.719D group to?
When complete traumatic transmetacarpal amputation of unspecified hand, subsequent encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 949, 950, with relative weights from 0.6277 to 1.1897 depending on complications. Higher weights mean higher Medicare reimbursement.
Is S68.719D 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 transmetacarpal amputation of unspecified hand, subsequent encounter on inpatient claims.
What is the ICD-9 equivalent of S68.719D?
Under the General Equivalence Mappings, complete traumatic transmetacarpal amputation of unspecified hand, subsequent encounter converts to ICD-9-CM V58.89 (other specfied aftercare). 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.
