S68.- Traumatic amputation of wrist, hand and fingers

  • S68
  • Traumatic amputation of wrist, hand and fingers
    • S68.0
    Traumatic metacarpophalangeal amputation of thumb
      • S68.01
    Complete traumatic metacarpophalangeal amputation of thumb
          • S68.011
    Complete traumatic metacarpophalangeal amputation of right thumb
                  • S68.011A
    Complete traumatic metacarpophalangeal amputation of right thumb, initial encounter
                  • S68.011D
    Complete traumatic metacarpophalangeal amputation of right thumb, subsequent encounter
                  • S68.011S
    Complete traumatic metacarpophalangeal amputation of right thumb, sequela
          • S68.012
    Complete traumatic metacarpophalangeal amputation of left thumb
                  • S68.012A
    Complete traumatic metacarpophalangeal amputation of left thumb, initial encounter
                  • S68.012D
    Complete traumatic metacarpophalangeal amputation of left thumb, subsequent encounter
                  • S68.012S
    Complete traumatic metacarpophalangeal amputation of left thumb, sequela
          • S68.019
    Complete traumatic metacarpophalangeal amputation of unspecified thumb
                  • S68.019A
    Complete traumatic metacarpophalangeal amputation of unspecified thumb, initial encounter
                  • S68.019D
    Complete traumatic metacarpophalangeal amputation of unspecified thumb, subsequent encounter
                  • S68.019S
    Complete traumatic metacarpophalangeal amputation of unspecified thumb, sequela
      • S68.02
    Partial traumatic metacarpophalangeal amputation of thumb
          • S68.021
    Partial traumatic metacarpophalangeal amputation of right thumb
                  • S68.021A
    Partial traumatic metacarpophalangeal amputation of right thumb, initial encounter
                  • S68.021D
    Partial traumatic metacarpophalangeal amputation of right thumb, subsequent encounter
                  • S68.021S
    Partial traumatic metacarpophalangeal amputation of right thumb, sequela
          • S68.022
    Partial traumatic metacarpophalangeal amputation of left thumb
                  • S68.022A
    Partial traumatic metacarpophalangeal amputation of left thumb, initial encounter
                  • S68.022D
    Partial traumatic metacarpophalangeal amputation of left thumb, subsequent encounter
                  • S68.022S
    Partial traumatic metacarpophalangeal amputation of left thumb, sequela
          • S68.029
    Partial traumatic metacarpophalangeal amputation of unspecified thumb
                  • S68.029A
    Partial traumatic metacarpophalangeal amputation of unspecified thumb, initial encounter
                  • S68.029D
    Partial traumatic metacarpophalangeal amputation of unspecified thumb, subsequent encounter
                  • S68.029S
    Partial traumatic metacarpophalangeal amputation of unspecified thumb, sequela
    • S68.1
    Traumatic metacarpophalangeal amputation of other and unspecified finger
      • S68.11
    Complete traumatic metacarpophalangeal amputation of other and unspecified finger
          • S68.110
    Complete traumatic metacarpophalangeal amputation of right index finger
                  • S68.110A
    Complete traumatic metacarpophalangeal amputation of right index finger, initial encounter
                  • S68.110D
    Complete traumatic metacarpophalangeal amputation of right index finger, subsequent encounter
                  • S68.110S
    Complete traumatic metacarpophalangeal amputation of right index finger, sequela
          • S68.111
    Complete traumatic metacarpophalangeal amputation of left index finger
                  • S68.111A
    Complete traumatic metacarpophalangeal amputation of left index finger, initial encounter
                  • S68.111D
    Complete traumatic metacarpophalangeal amputation of left index finger, subsequent encounter
                  • S68.111S
    Complete traumatic metacarpophalangeal amputation of left index finger, sequela
          • S68.112
    Complete traumatic metacarpophalangeal amputation of right middle finger
                  • S68.112A
    Complete traumatic metacarpophalangeal amputation of right middle finger, initial encounter
                  • S68.112D
    Complete traumatic metacarpophalangeal amputation of right middle finger, subsequent encounter
                  • S68.112S
    Complete traumatic metacarpophalangeal amputation of right middle finger, sequela
          • S68.113
    Complete traumatic metacarpophalangeal amputation of left middle finger
                  • S68.113A
    Complete traumatic metacarpophalangeal amputation of left middle finger, initial encounter
                  • S68.113D
    Complete traumatic metacarpophalangeal amputation of left middle finger, subsequent encounter
                  • S68.113S
    Complete traumatic metacarpophalangeal amputation of left middle finger, sequela
          • S68.114
    Complete traumatic metacarpophalangeal amputation of right ring finger
                  • S68.114A
    Complete traumatic metacarpophalangeal amputation of right ring finger, initial encounter
                  • S68.114D
    Complete traumatic metacarpophalangeal amputation of right ring finger, subsequent encounter
                  • S68.114S
    Complete traumatic metacarpophalangeal amputation of right ring finger, sequela
          • S68.115
    Complete traumatic metacarpophalangeal amputation of left ring finger
                  • S68.115A
    Complete traumatic metacarpophalangeal amputation of left ring finger, initial encounter
                  • S68.115D
    Complete traumatic metacarpophalangeal amputation of left ring finger, subsequent encounter
                  • S68.115S
    Complete traumatic metacarpophalangeal amputation of left ring finger, sequela
          • S68.116
    Complete traumatic metacarpophalangeal amputation of right little finger
                  • S68.116A
    Complete traumatic metacarpophalangeal amputation of right little finger, initial encounter
                  • S68.116D
    Complete traumatic metacarpophalangeal amputation of right little finger, subsequent encounter
                  • S68.116S
    Complete traumatic metacarpophalangeal amputation of right little finger, sequela
          • S68.117
    Complete traumatic metacarpophalangeal amputation of left little finger
                  • S68.117A
    Complete traumatic metacarpophalangeal amputation of left little finger, initial encounter
                  • S68.117D
    Complete traumatic metacarpophalangeal amputation of left little finger, subsequent encounter
                  • S68.117S
    Complete traumatic metacarpophalangeal amputation of left little finger, sequela
          • S68.118
    Complete traumatic metacarpophalangeal amputation of other finger
                  • S68.118A
    Complete traumatic metacarpophalangeal amputation of other finger, initial encounter
                  • S68.118D
    Complete traumatic metacarpophalangeal amputation of other finger, subsequent encounter
                  • S68.118S
    Complete traumatic metacarpophalangeal amputation of other finger, sequela
          • S68.119
    Complete traumatic metacarpophalangeal amputation of unspecified finger
                  • S68.119A
    Complete traumatic metacarpophalangeal amputation of unspecified finger, initial encounter
                  • S68.119D
    Complete traumatic metacarpophalangeal amputation of unspecified finger, subsequent encounter
                  • S68.119S
    Complete traumatic metacarpophalangeal amputation of unspecified finger, sequela
      • S68.12
    Partial traumatic metacarpophalangeal amputation of other and unspecified finger
          • S68.120
    Partial traumatic metacarpophalangeal amputation of right index finger
                  • S68.120A
    Partial traumatic metacarpophalangeal amputation of right index finger, initial encounter
                  • S68.120D
    Partial traumatic metacarpophalangeal amputation of right index finger, subsequent encounter
                  • S68.120S
    Partial traumatic metacarpophalangeal amputation of right index finger, sequela
          • S68.121
    Partial traumatic metacarpophalangeal amputation of left index finger
                  • S68.121A
    Partial traumatic metacarpophalangeal amputation of left index finger, initial encounter
                  • S68.121D
    Partial traumatic metacarpophalangeal amputation of left index finger, subsequent encounter
                  • S68.121S
    Partial traumatic metacarpophalangeal amputation of left index finger, sequela
          • S68.122
    Partial traumatic metacarpophalangeal amputation of right middle finger
                  • S68.122A
    Partial traumatic metacarpophalangeal amputation of right middle finger, initial encounter
                  • S68.122D
    Partial traumatic metacarpophalangeal amputation of right middle finger, subsequent encounter
                  • S68.122S
    Partial traumatic metacarpophalangeal amputation of right middle finger, sequela
          • S68.123
    Partial traumatic metacarpophalangeal amputation of left middle finger
                  • S68.123A
    Partial traumatic metacarpophalangeal amputation of left middle finger, initial encounter
                  • S68.123D
    Partial traumatic metacarpophalangeal amputation of left middle finger, subsequent encounter
                  • S68.123S
    Partial traumatic metacarpophalangeal amputation of left middle finger, sequela
          • S68.124
    Partial traumatic metacarpophalangeal amputation of right ring finger
                  • S68.124A
    Partial traumatic metacarpophalangeal amputation of right ring finger, initial encounter
                  • S68.124D
    Partial traumatic metacarpophalangeal amputation of right ring finger, subsequent encounter
                  • S68.124S
    Partial traumatic metacarpophalangeal amputation of right ring finger, sequela
          • S68.125
    Partial traumatic metacarpophalangeal amputation of left ring finger
                  • S68.125A
    Partial traumatic metacarpophalangeal amputation of left ring finger, initial encounter
                  • S68.125D
    Partial traumatic metacarpophalangeal amputation of left ring finger, subsequent encounter
                  • S68.125S
    Partial traumatic metacarpophalangeal amputation of left ring finger, sequela
          • S68.126
    Partial traumatic metacarpophalangeal amputation of right little finger
                  • S68.126A
    Partial traumatic metacarpophalangeal amputation of right little finger, initial encounter
                  • S68.126D
    Partial traumatic metacarpophalangeal amputation of right little finger, subsequent encounter
                  • S68.126S
    Partial traumatic metacarpophalangeal amputation of right little finger, sequela
          • S68.127
    Partial traumatic metacarpophalangeal amputation of left little finger
                  • S68.127A
    Partial traumatic metacarpophalangeal amputation of left little finger, initial encounter
                  • S68.127D
    Partial traumatic metacarpophalangeal amputation of left little finger, subsequent encounter
                  • S68.127S
    Partial traumatic metacarpophalangeal amputation of left little finger, sequela
          • S68.128
    Partial traumatic metacarpophalangeal amputation of other finger
                  • S68.128A
    Partial traumatic metacarpophalangeal amputation of other finger, initial encounter
                  • S68.128D
    Partial traumatic metacarpophalangeal amputation of other finger, subsequent encounter
                  • S68.128S
    Partial traumatic metacarpophalangeal amputation of other finger, sequela
          • S68.129
    Partial traumatic metacarpophalangeal amputation of unspecified finger
                  • S68.129A
    Partial traumatic metacarpophalangeal amputation of unspecified finger, initial encounter
                  • S68.129D
    Partial traumatic metacarpophalangeal amputation of unspecified finger, subsequent encounter
                  • S68.129S
    Partial traumatic metacarpophalangeal amputation of unspecified finger, sequela
    • S68.4
    Traumatic amputation of hand at wrist level
      • S68.41
    Complete traumatic amputation of hand at wrist level
          • S68.411
    Complete traumatic amputation of right hand at wrist level
                  • S68.411A
    Complete traumatic amputation of right hand at wrist level, initial encounter
                  • S68.411D
    Complete traumatic amputation of right hand at wrist level, subsequent encounter
                  • S68.411S
    Complete traumatic amputation of right hand at wrist level, sequela
          • S68.412
    Complete traumatic amputation of left hand at wrist level
                  • S68.412A
    Complete traumatic amputation of left hand at wrist level, initial encounter
                  • S68.412D
    Complete traumatic amputation of left hand at wrist level, subsequent encounter
                  • S68.412S
    Complete traumatic amputation of left hand at wrist level, sequela
          • S68.419
    Complete traumatic amputation of unspecified hand at wrist level
                  • S68.419A
    Complete traumatic amputation of unspecified hand at wrist level, initial encounter
                  • S68.419D
    Complete traumatic amputation of unspecified hand at wrist level, subsequent encounter
                  • S68.419S
    Complete traumatic amputation of unspecified hand at wrist level, sequela
      • S68.42
    Partial traumatic amputation of hand at wrist level
          • S68.421
    Partial traumatic amputation of right hand at wrist level
                  • S68.421A
    Partial traumatic amputation of right hand at wrist level, initial encounter
                  • S68.421D
    Partial traumatic amputation of right hand at wrist level, subsequent encounter
                  • S68.421S
    Partial traumatic amputation of right hand at wrist level, sequela
          • S68.422
    Partial traumatic amputation of left hand at wrist level
                  • S68.422A
    Partial traumatic amputation of left hand at wrist level, initial encounter
                  • S68.422D
    Partial traumatic amputation of left hand at wrist level, subsequent encounter
                  • S68.422S
    Partial traumatic amputation of left hand at wrist level, sequela
          • S68.429
    Partial traumatic amputation of unspecified hand at wrist level
                  • S68.429A
    Partial traumatic amputation of unspecified hand at wrist level, initial encounter
                  • S68.429D
    Partial traumatic amputation of unspecified hand at wrist level, subsequent encounter
                  • S68.429S
    Partial traumatic amputation of unspecified hand at wrist level, sequela
    • S68.5
    Traumatic transphalangeal amputation of thumb
      • S68.51
    Complete traumatic transphalangeal amputation of thumb
          • S68.511
    Complete traumatic transphalangeal amputation of right thumb
                  • S68.511A
    Complete traumatic transphalangeal amputation of right thumb, initial encounter
                  • S68.511D
    Complete traumatic transphalangeal amputation of right thumb, subsequent encounter
                  • S68.511S
    Complete traumatic transphalangeal amputation of right thumb, sequela
          • S68.512
    Complete traumatic transphalangeal amputation of left thumb
                  • S68.512A
    Complete traumatic transphalangeal amputation of left thumb, initial encounter
                  • S68.512D
    Complete traumatic transphalangeal amputation of left thumb, subsequent encounter
                  • S68.512S
    Complete traumatic transphalangeal amputation of left thumb, sequela
          • S68.519
    Complete traumatic transphalangeal amputation of unspecified thumb
                  • S68.519A
    Complete traumatic transphalangeal amputation of unspecified thumb, initial encounter
                  • S68.519D
    Complete traumatic transphalangeal amputation of unspecified thumb, subsequent encounter
                  • S68.519S
    Complete traumatic transphalangeal amputation of unspecified thumb, sequela
      • S68.52
    Partial traumatic transphalangeal amputation of thumb
          • S68.521
    Partial traumatic transphalangeal amputation of right thumb
                  • S68.521A
    Partial traumatic transphalangeal amputation of right thumb, initial encounter
                  • S68.521D
    Partial traumatic transphalangeal amputation of right thumb, subsequent encounter
                  • S68.521S
    Partial traumatic transphalangeal amputation of right thumb, sequela
          • S68.522
    Partial traumatic transphalangeal amputation of left thumb
                  • S68.522A
    Partial traumatic transphalangeal amputation of left thumb, initial encounter
                  • S68.522D
    Partial traumatic transphalangeal amputation of left thumb, subsequent encounter
                  • S68.522S
    Partial traumatic transphalangeal amputation of left thumb, sequela
          • S68.529
    Partial traumatic transphalangeal amputation of unspecified thumb
                  • S68.529A
    Partial traumatic transphalangeal amputation of unspecified thumb, initial encounter
                  • S68.529D
    Partial traumatic transphalangeal amputation of unspecified thumb, subsequent encounter
                  • S68.529S
    Partial traumatic transphalangeal amputation of unspecified thumb, sequela
    • S68.6
    Traumatic transphalangeal amputation of other and unspecified finger
      • S68.61
    Complete traumatic transphalangeal amputation of other and unspecified finger(s)
          • S68.610
    Complete traumatic transphalangeal amputation of right index finger
                  • S68.610A
    Complete traumatic transphalangeal amputation of right index finger, initial encounter
                  • S68.610D
    Complete traumatic transphalangeal amputation of right index finger, subsequent encounter
                  • S68.610S
    Complete traumatic transphalangeal amputation of right index finger, sequela
          • S68.611
    Complete traumatic transphalangeal amputation of left index finger
                  • S68.611A
    Complete traumatic transphalangeal amputation of left index finger, initial encounter
                  • S68.611D
    Complete traumatic transphalangeal amputation of left index finger, subsequent encounter
                  • S68.611S
    Complete traumatic transphalangeal amputation of left index finger, sequela
          • S68.612
    Complete traumatic transphalangeal amputation of right middle finger
                  • S68.612A
    Complete traumatic transphalangeal amputation of right middle finger, initial encounter
                  • S68.612D
    Complete traumatic transphalangeal amputation of right middle finger, subsequent encounter
                  • S68.612S
    Complete traumatic transphalangeal amputation of right middle finger, sequela
          • S68.613
    Complete traumatic transphalangeal amputation of left middle finger
                  • S68.613A
    Complete traumatic transphalangeal amputation of left middle finger, initial encounter
                  • S68.613D
    Complete traumatic transphalangeal amputation of left middle finger, subsequent encounter
                  • S68.613S
    Complete traumatic transphalangeal amputation of left middle finger, sequela
          • S68.614
    Complete traumatic transphalangeal amputation of right ring finger
                  • S68.614A
    Complete traumatic transphalangeal amputation of right ring finger, initial encounter
                  • S68.614D
    Complete traumatic transphalangeal amputation of right ring finger, subsequent encounter
                  • S68.614S
    Complete traumatic transphalangeal amputation of right ring finger, sequela
          • S68.615
    Complete traumatic transphalangeal amputation of left ring finger
                  • S68.615A
    Complete traumatic transphalangeal amputation of left ring finger, initial encounter
                  • S68.615D
    Complete traumatic transphalangeal amputation of left ring finger, subsequent encounter
                  • S68.615S
    Complete traumatic transphalangeal amputation of left ring finger, sequela
          • S68.616
    Complete traumatic transphalangeal amputation of right little finger
                  • S68.616A
    Complete traumatic transphalangeal amputation of right little finger, initial encounter
                  • S68.616D
    Complete traumatic transphalangeal amputation of right little finger, subsequent encounter
                  • S68.616S
    Complete traumatic transphalangeal amputation of right little finger, sequela
          • S68.617
    Complete traumatic transphalangeal amputation of left little finger
                  • S68.617A
    Complete traumatic transphalangeal amputation of left little finger, initial encounter
                  • S68.617D
    Complete traumatic transphalangeal amputation of left little finger, subsequent encounter
                  • S68.617S
    Complete traumatic transphalangeal amputation of left little finger, sequela
          • S68.618
    Complete traumatic transphalangeal amputation of other finger
                  • S68.618A
    Complete traumatic transphalangeal amputation of other finger, initial encounter
                  • S68.618D
    Complete traumatic transphalangeal amputation of other finger, subsequent encounter
                  • S68.618S
    Complete traumatic transphalangeal amputation of other finger, sequela
          • S68.619
    Complete traumatic transphalangeal amputation of unspecified finger
                  • S68.619A
    Complete traumatic transphalangeal amputation of unspecified finger, initial encounter
                  • S68.619D
    Complete traumatic transphalangeal amputation of unspecified finger, subsequent encounter
                  • S68.619S
    Complete traumatic transphalangeal amputation of unspecified finger, sequela
      • S68.62
    Partial traumatic transphalangeal amputation of other and unspecified finger
          • S68.620
    Partial traumatic transphalangeal amputation of right index finger
                  • S68.620A
    Partial traumatic transphalangeal amputation of right index finger, initial encounter
                  • S68.620D
    Partial traumatic transphalangeal amputation of right index finger, subsequent encounter
                  • S68.620S
    Partial traumatic transphalangeal amputation of right index finger, sequela
          • S68.621
    Partial traumatic transphalangeal amputation of left index finger
                  • S68.621A
    Partial traumatic transphalangeal amputation of left index finger, initial encounter
                  • S68.621D
    Partial traumatic transphalangeal amputation of left index finger, subsequent encounter
                  • S68.621S
    Partial traumatic transphalangeal amputation of left index finger, sequela
          • S68.622
    Partial traumatic transphalangeal amputation of right middle finger
                  • S68.622A
    Partial traumatic transphalangeal amputation of right middle finger, initial encounter
                  • S68.622D
    Partial traumatic transphalangeal amputation of right middle finger, subsequent encounter
                  • S68.622S
    Partial traumatic transphalangeal amputation of right middle finger, sequela
          • S68.623
    Partial traumatic transphalangeal amputation of left middle finger
                  • S68.623A
    Partial traumatic transphalangeal amputation of left middle finger, initial encounter
                  • S68.623D
    Partial traumatic transphalangeal amputation of left middle finger, subsequent encounter
                  • S68.623S
    Partial traumatic transphalangeal amputation of left middle finger, sequela
          • S68.624
    Partial traumatic transphalangeal amputation of right ring finger
                  • S68.624A
    Partial traumatic transphalangeal amputation of right ring finger, initial encounter
                  • S68.624D
    Partial traumatic transphalangeal amputation of right ring finger, subsequent encounter
                  • S68.624S
    Partial traumatic transphalangeal amputation of right ring finger, sequela
          • S68.625
    Partial traumatic transphalangeal amputation of left ring finger
                  • S68.625A
    Partial traumatic transphalangeal amputation of left ring finger, initial encounter
                  • S68.625D
    Partial traumatic transphalangeal amputation of left ring finger, subsequent encounter
                  • S68.625S
    Partial traumatic transphalangeal amputation of left ring finger, sequela
          • S68.626
    Partial traumatic transphalangeal amputation of right little finger
                  • S68.626A
    Partial traumatic transphalangeal amputation of right little finger, initial encounter
                  • S68.626D
    Partial traumatic transphalangeal amputation of right little finger, subsequent encounter
                  • S68.626S
    Partial traumatic transphalangeal amputation of right little finger, sequela
          • S68.627
    Partial traumatic transphalangeal amputation of left little finger
                  • S68.627A
    Partial traumatic transphalangeal amputation of left little finger, initial encounter
                  • S68.627D
    Partial traumatic transphalangeal amputation of left little finger, subsequent encounter
                  • S68.627S
    Partial traumatic transphalangeal amputation of left little finger, sequela
          • S68.628
    Partial traumatic transphalangeal amputation of other finger
                  • S68.628A
    Partial traumatic transphalangeal amputation of other finger, initial encounter
                  • S68.628D
    Partial traumatic transphalangeal amputation of other finger, subsequent encounter
                  • S68.628S
    Partial traumatic transphalangeal amputation of other finger, sequela
          • S68.629
    Partial traumatic transphalangeal amputation of unspecified finger
                  • S68.629A
    Partial traumatic transphalangeal amputation of unspecified finger, initial encounter
                  • S68.629D
    Partial traumatic transphalangeal amputation of unspecified finger, subsequent encounter
                  • S68.629S
    Partial traumatic transphalangeal amputation of unspecified finger, sequela
    • S68.7
    Traumatic transmetacarpal amputation of hand
      • S68.71
    Complete traumatic transmetacarpal amputation of hand
          • S68.711
    Complete traumatic transmetacarpal amputation of right hand
                  • S68.711A
    Complete traumatic transmetacarpal amputation of right hand, initial encounter
                  • S68.711D
    Complete traumatic transmetacarpal amputation of right hand, subsequent encounter
                  • S68.711S
    Complete traumatic transmetacarpal amputation of right hand, sequela
          • S68.712
    Complete traumatic transmetacarpal amputation of left hand
                  • S68.712A
    Complete traumatic transmetacarpal amputation of left hand, initial encounter
                  • S68.712D
    Complete traumatic transmetacarpal amputation of left hand, subsequent encounter
                  • S68.712S
    Complete traumatic transmetacarpal amputation of left hand, sequela
          • S68.719
    Complete traumatic transmetacarpal amputation of unspecified hand
                  • S68.719A
    Complete traumatic transmetacarpal amputation of unspecified hand, initial encounter
                  • S68.719D
    Complete traumatic transmetacarpal amputation of unspecified hand, subsequent encounter
                  • S68.719S
    Complete traumatic transmetacarpal amputation of unspecified hand, sequela
      • S68.72
    Partial traumatic transmetacarpal amputation of hand
          • S68.721
    Partial traumatic transmetacarpal amputation of right hand
                  • S68.721A
    Partial traumatic transmetacarpal amputation of right hand, initial encounter
                  • S68.721D
    Partial traumatic transmetacarpal amputation of right hand, subsequent encounter
                  • S68.721S
    Partial traumatic transmetacarpal amputation of right hand, sequela
          • S68.722
    Partial traumatic transmetacarpal amputation of left hand
                  • S68.722A
    Partial traumatic transmetacarpal amputation of left hand, initial encounter
                  • S68.722D
    Partial traumatic transmetacarpal amputation of left hand, subsequent encounter
                  • S68.722S
    Partial traumatic transmetacarpal amputation of left hand, sequela
          • S68.729
    Partial traumatic transmetacarpal amputation of unspecified hand
                  • S68.729A
    Partial traumatic transmetacarpal amputation of unspecified hand, initial encounter
                  • S68.729D
    Partial traumatic transmetacarpal amputation of unspecified hand, subsequent encounter
                  • S68.729S
    Partial traumatic transmetacarpal amputation of unspecified hand, sequela