DxCodebookFY2027 · Oct 1, 2026 – Sep 30, 2027

Category · FY2027

S68 Traumatic amputation of wrist, hand and fingers

  • Header · not billable
  • Codes take a 7th character

S68 is not billable. The category heads 192 billable codes in FY2027, grouped under 6 subdivisions. Its codes take a 7th character, so none is complete with fewer than 7 characters.

Index → code

  • Amputationtraumatic (complete) (partial)hand (complete) (wrist level) → S68.41-
  • Amputationtraumatic (complete) (partial)thumb (complete) (metacarpophalangeal) → S68.01-
  • Amputationtraumatic (complete) (partial)finger (complete) (metacarpophalangeal) → S68.11-

Where it sits

  1. Chapter 19 Injury, poisoning and certain other consequences of external causes (S00-T88)
  2. S60-S69 Injuries to the wrist, hand and fingers (S60-S69)
  3. S68 Traumatic amputation of wrist, hand and fingers
Billable codes
192
Subdivisions
6
CC / MCC codes
12 / 0
HCC V28 codes
12
New FY2027
0
Index entries
28

Codes in S68

  1. S68.0
    Traumatic metacarpophalangeal amputation of thumb
    Header
    Inclusion terms 1

    Inclusion terms

    • Traumatic amputation of thumb NOS
  2. S68.01
    Complete traumatic metacarpophalangeal amputation of thumb
    Header
  3. S68.011
    Complete traumatic metacarpophalangeal amputation of right thumb +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  4. S68.012
    Complete traumatic metacarpophalangeal amputation of left thumb +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  5. S68.019
    Complete traumatic metacarpophalangeal amputation of unspecified thumb +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  6. S68.02
    Partial traumatic metacarpophalangeal amputation of thumb
    Header
  7. S68.021
    Partial traumatic metacarpophalangeal amputation of right thumb +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  8. S68.022
    Partial traumatic metacarpophalangeal amputation of left thumb +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  9. S68.029
    Partial traumatic metacarpophalangeal amputation of unspecified thumb +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  10. S68.1
    Traumatic metacarpophalangeal amputation of other and unspecified finger
    Header
    Inclusion terms 1, Excludes2 1

    Inclusion terms

    • Traumatic amputation of finger NOS

    Excludes2

    • traumatic metacarpophalangeal amputation of thumb (S68.0-) S68.0
  11. S68.11
    Complete traumatic metacarpophalangeal amputation of other and unspecified finger
    Header
  12. S68.110
    Complete traumatic metacarpophalangeal amputation of right index finger +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  13. S68.111
    Complete traumatic metacarpophalangeal amputation of left index finger +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  14. S68.112
    Complete traumatic metacarpophalangeal amputation of right middle finger +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  15. S68.113
    Complete traumatic metacarpophalangeal amputation of left middle finger +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  16. S68.114
    Complete traumatic metacarpophalangeal amputation of right ring finger +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  17. S68.115
    Complete traumatic metacarpophalangeal amputation of left ring finger +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  18. S68.116
    Complete traumatic metacarpophalangeal amputation of right little finger +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  19. S68.117
    Complete traumatic metacarpophalangeal amputation of left little finger +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  20. S68.118
    Complete traumatic metacarpophalangeal amputation of other finger +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
    Inclusion terms 1

    Inclusion terms

    • Complete traumatic metacarpophalangeal amputation of specified finger with unspecified laterality
  21. S68.119
    Complete traumatic metacarpophalangeal amputation of unspecified finger +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  22. S68.12
    Partial traumatic metacarpophalangeal amputation of other and unspecified finger
    Header
  23. S68.120
    Partial traumatic metacarpophalangeal amputation of right index finger +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  24. S68.121
    Partial traumatic metacarpophalangeal amputation of left index finger +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  25. S68.122
    Partial traumatic metacarpophalangeal amputation of right middle finger +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  26. S68.123
    Partial traumatic metacarpophalangeal amputation of left middle finger +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  27. S68.124
    Partial traumatic metacarpophalangeal amputation of right ring finger +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  28. S68.125
    Partial traumatic metacarpophalangeal amputation of left ring finger +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  29. S68.126
    Partial traumatic metacarpophalangeal amputation of right little finger +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  30. S68.127
    Partial traumatic metacarpophalangeal amputation of left little finger +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  31. S68.128
    Partial traumatic metacarpophalangeal amputation of other finger +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
    Inclusion terms 1

    Inclusion terms

    • Partial traumatic metacarpophalangeal amputation of specified finger with unspecified laterality
  32. S68.129
    Partial traumatic metacarpophalangeal amputation of unspecified finger +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  33. S68.4
    Traumatic amputation of hand at wrist level
    Header
    Inclusion terms 2

    Inclusion terms

    • Traumatic amputation of hand NOS
    • Traumatic amputation of wrist
  34. S68.41
    Complete traumatic amputation of hand at wrist level
    Header
  35. S68.411
    Complete traumatic amputation of right hand at wrist level +7th: A D S
    Needs 7th characterCC A405 (some 7th characters)Exempt: 2 of 3 7th characters
  36. S68.412
    Complete traumatic amputation of left hand at wrist level +7th: A D S
    Needs 7th characterCC A405 (some 7th characters)Exempt: 2 of 3 7th characters
  37. S68.419
    Complete traumatic amputation of unspecified hand at wrist level +7th: A D S
    Needs 7th characterCC A405 (some 7th characters)Exempt: 2 of 3 7th characters
  38. S68.42
    Partial traumatic amputation of hand at wrist level
    Header
  39. S68.421
    Partial traumatic amputation of right hand at wrist level +7th: A D S
    Needs 7th characterCC A405 (some 7th characters)Exempt: 2 of 3 7th characters
  40. S68.422
    Partial traumatic amputation of left hand at wrist level +7th: A D S
    Needs 7th characterCC A405 (some 7th characters)Exempt: 2 of 3 7th characters
  41. S68.429
    Partial traumatic amputation of unspecified hand at wrist level +7th: A D S
    Needs 7th characterCC A405 (some 7th characters)Exempt: 2 of 3 7th characters
  42. S68.5
    Traumatic transphalangeal amputation of thumb
    Header
    Inclusion terms 1

    Inclusion terms

    • Traumatic interphalangeal joint amputation of thumb
  43. S68.51
    Complete traumatic transphalangeal amputation of thumb
    Header
  44. S68.511
    Complete traumatic transphalangeal amputation of right thumb +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  45. S68.512
    Complete traumatic transphalangeal amputation of left thumb +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  46. S68.519
    Complete traumatic transphalangeal amputation of unspecified thumb +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  47. S68.52
    Partial traumatic transphalangeal amputation of thumb
    Header
  48. S68.521
    Partial traumatic transphalangeal amputation of right thumb +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  49. S68.522
    Partial traumatic transphalangeal amputation of left thumb +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  50. S68.529
    Partial traumatic transphalangeal amputation of unspecified thumb +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  51. S68.6
    Traumatic transphalangeal amputation of other and unspecified finger
    Header
  52. S68.61
    Complete traumatic transphalangeal amputation of other and unspecified finger(s)
    Header
  53. S68.610
    Complete traumatic transphalangeal amputation of right index finger +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  54. S68.611
    Complete traumatic transphalangeal amputation of left index finger +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  55. S68.612
    Complete traumatic transphalangeal amputation of right middle finger +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  56. S68.613
    Complete traumatic transphalangeal amputation of left middle finger +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  57. S68.614
    Complete traumatic transphalangeal amputation of right ring finger +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  58. S68.615
    Complete traumatic transphalangeal amputation of left ring finger +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  59. S68.616
    Complete traumatic transphalangeal amputation of right little finger +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  60. S68.617
    Complete traumatic transphalangeal amputation of left little finger +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  61. S68.618
    Complete traumatic transphalangeal amputation of other finger +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
    Inclusion terms 1

    Inclusion terms

    • Complete traumatic transphalangeal amputation of specified finger with unspecified laterality
  62. S68.619
    Complete traumatic transphalangeal amputation of unspecified finger +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  63. S68.62
    Partial traumatic transphalangeal amputation of other and unspecified finger
    Header
  64. S68.620
    Partial traumatic transphalangeal amputation of right index finger +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  65. S68.621
    Partial traumatic transphalangeal amputation of left index finger +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  66. S68.622
    Partial traumatic transphalangeal amputation of right middle finger +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  67. S68.623
    Partial traumatic transphalangeal amputation of left middle finger +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  68. S68.624
    Partial traumatic transphalangeal amputation of right ring finger +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  69. S68.625
    Partial traumatic transphalangeal amputation of left ring finger +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  70. S68.626
    Partial traumatic transphalangeal amputation of right little finger +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  71. S68.627
    Partial traumatic transphalangeal amputation of left little finger +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  72. S68.628
    Partial traumatic transphalangeal amputation of other finger +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
    Inclusion terms 1

    Inclusion terms

    • Partial traumatic transphalangeal amputation of specified finger with unspecified laterality
  73. S68.629
    Partial traumatic transphalangeal amputation of unspecified finger +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  74. S68.7
    Traumatic transmetacarpal amputation of hand
    Header
  75. S68.71
    Complete traumatic transmetacarpal amputation of hand
    Header
  76. S68.711
    Complete traumatic transmetacarpal amputation of right hand +7th: A D S
    Needs 7th characterCC A405 (some 7th characters)Exempt: 2 of 3 7th characters
  77. S68.712
    Complete traumatic transmetacarpal amputation of left hand +7th: A D S
    Needs 7th characterCC A405 (some 7th characters)Exempt: 2 of 3 7th characters
  78. S68.719
    Complete traumatic transmetacarpal amputation of unspecified hand +7th: A D S
    Needs 7th characterCC A405 (some 7th characters)Exempt: 2 of 3 7th characters
  79. S68.72
    Partial traumatic transmetacarpal amputation of hand
    Header
  80. S68.721
    Partial traumatic transmetacarpal amputation of right hand +7th: A D S
    Needs 7th characterCC A405 (some 7th characters)Exempt: 2 of 3 7th characters
  81. S68.722
    Partial traumatic transmetacarpal amputation of left hand +7th: A D S
    Needs 7th characterCC A405 (some 7th characters)Exempt: 2 of 3 7th characters
  82. S68.729
    Partial traumatic transmetacarpal amputation of unspecified hand +7th: A D S
    Needs 7th characterCC A405 (some 7th characters)Exempt: 2 of 3 7th characters

CC/MCC: as a secondary diagnosis, unless the principal diagnosis is on the code’s PDX exclusion list (MS-DRG v44 Appendix C; list on the code card).

Sources of each column. Rows marked +7th need a 7th character: pick one to build the full code; its code card has its own flags.

Instructions

At S68

Inclusion terms

  • An amputation not identified as partial or complete should be coded to complete

Notes that also apply

Block S60-S69 instructions (Excludes2 3): printed on the block page.

Chapter 19 instructions (Notes 2, Excludes2 2, Use additional code 1): printed on the chapter 19 page.

7th characters

7th characters for S68 defined here

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

7th characters for S68
7thMeaning (NCHS)
Ainitial encounter
Dsubsequent encounter
Ssequela

A code that takes a 7th character is invalid without it; the placeholder X fills a code shorter than 6 characters (Official Guidelines I.A.5). How 7th characters work.

Index entries

  • Amputationtraumatic (complete) (partial)thumb (complete) (metacarpophalangeal) → S68.01-
  • Amputationtraumatic (complete) (partial)finger (complete) (metacarpophalangeal) → S68.11-
  • Amputationtraumatic (complete) (partial)hand (complete) (wrist level) → S68.41-
  • Amputationtraumatic (complete) (partial)thumb (complete) (metacarpophalangeal)partial → S68.02-
  • Amputationtraumatic (complete) (partial)finger (complete) (metacarpophalangeal)index → S68.11-
  • Amputationtraumatic (complete) (partial)finger (complete) (metacarpophalangeal)little → S68.11-
  • Amputationtraumatic (complete) (partial)finger (complete) (metacarpophalangeal)middle → S68.11-
  • Amputationtraumatic (complete) (partial)finger (complete) (metacarpophalangeal)ring → S68.11-
  • Amputationtraumatic (complete) (partial)finger (complete) (metacarpophalangeal)partial → S68.12-
  • Amputationtraumatic (complete) (partial)hand (complete) (wrist level)partial → S68.42-
  • Amputationtraumatic (complete) (partial)thumb (complete) (metacarpophalangeal)transphalangeal (complete) → S68.51-
  • Amputationtraumatic (complete) (partial)finger (complete) (metacarpophalangeal)transphalangeal (complete) → S68.61-
  • Amputationtraumatic (complete) (partial)hand (complete) (wrist level)transmetacarpal (complete) → S68.71-
  • Amputationtraumatic (complete) (partial)finger (complete) (metacarpophalangeal)partialindex → S68.12-
  • Amputationtraumatic (complete) (partial)finger (complete) (metacarpophalangeal)partiallittle → S68.12-
  • Amputationtraumatic (complete) (partial)finger (complete) (metacarpophalangeal)partialmiddle → S68.12-
  • Amputationtraumatic (complete) (partial)finger (complete) (metacarpophalangeal)partialring → S68.12-
  • Amputationtraumatic (complete) (partial)thumb (complete) (metacarpophalangeal)transphalangeal (complete)partial → S68.52-
  • Amputationtraumatic (complete) (partial)finger (complete) (metacarpophalangeal)transphalangeal (complete)index → S68.61-
  • Amputationtraumatic (complete) (partial)finger (complete) (metacarpophalangeal)transphalangeal (complete)little → S68.61-
  • Amputationtraumatic (complete) (partial)finger (complete) (metacarpophalangeal)transphalangeal (complete)middle → S68.61-
  • Amputationtraumatic (complete) (partial)finger (complete) (metacarpophalangeal)transphalangeal (complete)ring → S68.61-
  • Amputationtraumatic (complete) (partial)finger (complete) (metacarpophalangeal)transphalangeal (complete)partial → S68.62-
  • Amputationtraumatic (complete) (partial)hand (complete) (wrist level)transmetacarpal (complete)partial → S68.72-
  • Amputationtraumatic (complete) (partial)finger (complete) (metacarpophalangeal)transphalangeal (complete)partialindex → S68.62-
  • Amputationtraumatic (complete) (partial)finger (complete) (metacarpophalangeal)transphalangeal (complete)partiallittle → S68.62-
  • Amputationtraumatic (complete) (partial)finger (complete) (metacarpophalangeal)transphalangeal (complete)partialmiddle → S68.62-
  • Amputationtraumatic (complete) (partial)finger (complete) (metacarpophalangeal)transphalangeal (complete)partialring → S68.62-

NCHS Alphabetic Index. Index first, then the Tabular List.

Hierarchy