ICD 10 CM S68.117 | Description & Clinical Information
ICD 10 S68.117 describes a severe and complete loss of the joint connecting the metacarpal bone in the hand to the phalanx bone of the left little finger, resulting from a traumatic incident such as a motor vehicle accident, electrical burn, frostbite, occupational injuries caused by machines, or crush injuries.
Official Description Of S68.117
The ICD 10 CM book defines ICD 10 code S68.117 as:
Excludes2: traumatic metacarpophalangeal amputation of thumb (S68.0-)
When To Use S68.117
The diagnosis describes by the S68.117 code refers to a complete traumatic metacarpophalangeal amputation of the left little finger. This is a serious condition that can result in a range of complications and requires prompt and efficient treatment to ensure the best possible outcomes for the patient.
One of the most evident complications of this condition is pain, which can be severe and debilitating. Pain management is, therefore, a crucial aspect of the treatment plan, and healthcare providers may use a range of medications such as analgesics to alleviate discomfort in patients. Besides pain, other critical issues that may arise as a result of this injury include bleeding, injury to soft tissues, bones, and nerves, and gross deformity, with loss of body parts.
To diagnose the condition, healthcare providers will conduct a thorough assessment of the patient, including a detailed history and physical examination. The provider may also use diagnostic imaging techniques such as X-rays and MRI scans to determine the most viable repair option, whether it is reimplantation or use of a prosthesis.
Treatment plans for this condition may vary depending on the severity of the injury and its associated complications, as well as the wishes of the patient. For instance, if the amputated part is available, the provider may opt for surgical repair and possible reimplantation. This procedure has proven to be highly effective, and many patients experience complete or partial restoration of hand function. However, not all patients are suitable for this procedure, and there may be limitations based on the condition of the amputated part or the general health of the patient.
In cases where reimplantation is not possible or is deemed inappropriate, prosthetic use may be considered instead. This may involve a referral to a prosthetics specialist who will work closely with the patient and the care team to develop a custom-made prosthetic that suits the individual’s needs and lifestyle.
Besides surgical and prosthetic interventions, other treatment options may be used to manage complications that may arise as a result of this injury. For instance, healthcare providers may administer antibiotics to prevent infections, and tetanus prophylaxis may also be used. Additionally, physical and occupational therapy may be used to help patients regain lost functionality, improve mobility and strength, and adapt to using a prosthetic device if required.
In conclusion, the S68.117 code represents a severe injury that can significantly impact the quality of life of patients. Timely diagnosis and prompt interventions are essential in ensuring optimal outcomes for the patient. Healthcare providers and their care teams must work together closely to develop a comprehensive treatment plan that addresses the individual needs of each patient and ensures the best possible results.
