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S68.719A vs S68.719D

S68.719A (Complete traumatic transmetacarpal amputation of unspecified hand, initial encounter) compared with S68.719D (Complete traumatic transmetacarpal amputation of unspecified hand, subsequent encounter), from the official CMS tabular data. S68.719A and S68.719D code the same injury at a different phase of treatment. MedCoder-derived

Relationship

Review

Encounter relationship

S68.719A
Initial encounter
Complete traumatic transmetacarpal amputation of unspecified hand, initial encounter
↔
S68.719D
Subsequent encounter
Complete traumatic transmetacarpal amputation of unspecified hand, subsequent encounter

Same underlying diagnosis, different encounter phase.

The 7th character records the phase of care for the encounter being coded, so a single encounter takes one of these characters, not several. Review whether both phases belong on the same episode of care.

Source: ICD-10-CM Official Guidelines, Section I.C.19.a

Can these codes be reported together?

Same injury, other encounter phase. S68.719A and S68.719D code the same injury at a different phase of treatment, set by the 7th character.

The 7th character records the type of care given at the encounter being coded (ICD-10-CM Official Guidelines, Section I.C.19.a), so one encounter takes one of these, not both.

Side by side

S68.719AComplete traumatic transmetacarpal amputation of unspecified hand, initial encounterS68.719DComplete traumatic transmetacarpal amputation of unspecified hand, subsequent encounter
Billing statusBillableBillable
ClassificationS00-T88 — Injury, poisoning and certain other consequences of external causesS00-T88 — Injury, poisoning and certain other consequences of external causes
DefinitionComplete traumatic transmetacarpal amputation of unspecified hand, initial encounter is a billable ICD-10-CM diagnosis code (S68.719A).Complete traumatic transmetacarpal amputation of unspecified hand, subsequent encounter is a billable ICD-10-CM diagnosis code (S68.719D).
7th characterThe appropriate 7th character is to be added to each code from category S68The appropriate 7th character is to be added to each code from category S68
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Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources