A 28-year-old was in a car accident and is now in the ED due to 3 fingers on his left hand being completely amputated above the metacarpophalangeal joint during the crash. The ED physician calls in an orthopedic surgeon and the patient is taken to surgery. Under surgical microscope his index finger and middle finger were reconnected; however, his 3rd finger was not able to be reconnected due to extensive crush injuries to that finger, so that finger was surgically amputated. Select the appropriate CPT and ICD-10-CM codes.

Question

Quizplus · Accepted Answer

20822 represents reattachment of a digit, which was performed for two fingers. 26951 represents the amputation procedure for the third finger, with modifier -51 indicating multiple procedures. 69990 is used for the use of the surgical microscope. S68.111A and S68.113A specify the complete traumatic amputation of the index and middle fingers, respectively, while S67.195A indicates a crush injury to the hand, unspecified finger(s). V89.2xxA is used for a motor vehicle accident, unspecified nature.

A 28-Year-Old Was in a Car Accident and Is Now