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

The correct CPT codes are 20822 x 2 for the reattachment of the index and middle fingers, 26951-51 for the amputation of the third finger with modifier 51 indicating multiple procedures, and 69990 for the use of the surgical microscope. The ICD-10-CM codes are S68.111A and S68.113A for the traumatic amputations of the index and middle fingers, S67.195A for the crush injury of the third finger, and V89.2xxA for the car accident.

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