AHA Coding Clinic® for ICD-9 - 2005 Issue 2; Ask the Editor

Acquired Absence of Fingers Status Post Crush Injury

A 32-year-old patient suffered a crush and avulsion type injury that resulted in loss of the fourth and fifth digits at the metacarpophalangeal joint levels, loss of the index and long fingers through the proximal phalanx proximal aspect and soft tissue loss dorsally over the left hand. The patient has had multiple surgeries and is now admitted for bilateral toe amputation with bilateral second toe to hand transfer. What are the appropriate diagnosis and procedure code assignments for the admission? ...

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