Is S68.5 a billable ICD-10-CM code?

No. S68.5 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does S68.5 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).

S68.5

S68.5 — Traumatic transphalangeal amputation of thumb

Non-billable headerICD-10-CM

S68.5 is a non-billable header ICD-10-CM code for traumatic transphalangeal amputation of thumb. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.

This code requires a 7th character

The appropriate 7th character is to be added to each code from category S68

A: initial encounter
D: subsequent encounter
S: sequela

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Traumatic interphalangeal joint amputation of thumb

Other codes that can never be billed with S68.5

These codes carry an Excludes1 note pointing at S68.5. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading S68.5 alone.

S58Traumatic amputation of elbow and forearm
S58.9Traumatic amputation of forearm, level unspecified
S61Open wound of wrist, hand and fingers
S62Fracture at wrist and hand level

Risk adjustment

S68.5 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.

Code history

S68.5 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Code to one of these instead S68.5

2 child codes. Green means billable.

Related codes at this level

Codes that share S68. If S68.5 is not quite right, the correct code is usually one of these.

Questions about S68.5

Is S68.5 a billable ICD-10-CM code?: No. S68.5 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does S68.5 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).