S68.123A — Partial traumatic metacarpophalangeal amputation of left middle finger, initial encounter
S68.123A is a billable, specific ICD-10-CM code for partial traumatic metacarpophalangeal amputation of left middle finger, initial encounter. It is valid for submission on a claim.
7th character "A" — initial encounter
The appropriate 7th character is to be added to each code from category S68
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
S68.123A does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
S68.123A is named in 9 Medicare coverage policies — 9 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52438Billing and Coding: Tetanus Immunization
- A54767Billing and Coding: Medicare Preventive Coverage for Certain Vaccines
- A56459Billing and Coding: Debridement Services
- A56900Billing and Coding: Immunizations
Related codes at this level
Codes that share S68.123. If S68.123A is not quite right, the correct code is usually one of these.
Questions about S68.123A
- Is S68.123A a billable ICD-10-CM code?
- Yes. S68.123A is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S68.123A sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the wrist, hand and fingers (S60-S69).