S68.511S
S68.511S — Complete traumatic transphalangeal amputation of right thumb, sequela
Billable / specific codeICD-10-CMPOA exemptright
S68.511S is a billable, specific ICD-10-CM code for complete traumatic transphalangeal amputation of right thumb, sequela. It is valid for submission on a claim.
7th character "S" — sequela
The appropriate 7th character is to be added to each code from category S68
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
S68.511S 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
S68.511S is named in 5 Medicare coverage policies — 5 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53057Billing and Coding: Home Health Occupational Therapy
- A53058Billing and Coding: Home Health Physical Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
- A54767Billing and Coding: Medicare Preventive Coverage for Certain Vaccines
Related codes at this level
Codes that share S68.511. If S68.511S is not quite right, the correct code is usually one of these.
Questions about S68.511S
- Is S68.511S a billable ICD-10-CM code?
- Yes. S68.511S is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S68.511S 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).