icd 10 code for central slip injury

Full Answer

What is the ICD 10 code for unspecified injury?

Injury, unspecified, initial encounter 1 T14.90XA is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 The 2020 edition of ICD-10-CM T14.90XA became effective on October 1, 2019. 3 This is the American ICD-10-CM version of T14.90XA - other international versions of ICD-10 T14.90XA may differ.

What is the ICD 10 code for wrist injury?

Unspecified injury of left wrist, hand and finger (s), initial encounter S69.92XA is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Short description: Unsp injury of left wrist, hand and finger (s), init encntr The 2021 edition of ICD-10-CM ...

What is a central slip injury?

Arising from the extrinsic extensor tendon and lateral bands, the central slip is a tendinous attachment to the base of the middle phalanx. The transverse retinacular ligament stabilizes the extensor mechanism over the PIP joint and limits any dorso-palmar translation (1). Central slip disruptions can occur as either open or closed injuries.

What are the zones of central slip extensor tendon injuries?

Extensor tendon injuries are divided into nine zones, extending from the DIP joint (zone I) to the proximal forearm (zone IX) (1). In this entry, we will briefly explore the management strategies for Zone III injuries of the central slip. The extensor mechanism trifurcates at the mid-dorsal aspect of the proximal phalanx.

What is a central slip injury?

A central slip is a section of an extensor tendon which straightens the middle joint of your finger. Recovery. Your damaged tendon has been repaired. It will take about 12 weeks for it to heal fully. During this time, there is a risk that the tendon could rupture (break) and your fingers could become stiff.

What is the ICD 10 code for slip and fall?

W01.0XXAICD-10-CM Code for Fall on same level from slipping, tripping and stumbling without subsequent striking against object, initial encounter W01. 0XXA.

How do you code an injury in ICD-10?

The ICD 10 coding scheme for reporting injury is as follows:First three characters: General category.Fourth character: The type of injury.Fifth character: Which body part was injured.Sixth character: Which hand was injured.Seventh character: The type of encounter (A, D, or S)

What is an extensor tendon injury?

An extensor tendon injury is damage to the tissues on the back of the hand and fingers. It can make it hard for you to extend your wrist, open your hand, or straighten your fingers. The inability to perform these functions can severely limit hand and upper extremity function.

How do you code accidental falls?

The ICD-9 code range ACCIDENTAL FALLS for E880-E888 is medical classification list by the World Health Organization (WHO).

What is ICD-10 for history of falls?

Z91.81There is also another code available in ICD-10 for falls: Z91. 81 (History of falling). This code is to be used when the patient has fallen before and is at risk for future falls.

What is ICD code for fall?

Z91. 81 - History of falling. ICD-10-CM.

What is the ICD-10 code for unspecified injury?

T14.90ICD-10 Code for Injury, unspecified- T14. 90- Codify by AAPC.

Can injury codes be primary?

Diagnosis Codes Never to be Used as Primary Diagnosis With the adoption of ICD-10, CMS designated that certain Supplementary Classification of External Causes of Injury, Poisoning, Morbidity (E000-E999 in the ICD-9 code set) and Manifestation ICD-10 Diagnosis codes cannot be used as the primary diagnosis on claims.

What are the extensor tendons of the foot?

The extensor tendons in your feet are called the extensor hallucis longus, extensor hallucis brevis, extensor digitorum longus, and tibialis anterior. You're at risk for this condition if you have a high instep.

What are extensor tendon zones?

Zone I refers to the area from the DIP joint to the fingertip; zone II encompasses the middle phalanx; zone III refers to the PIP joint; zone IV is over the proximal phalanx; zone V refers to the MP joint; zone VI encompasses the metacarpal and zone VII is over the wrist (see Fig.

What is the common extensor tendon?

The common extensor tendon is a tough band of fibrous connective tissue that attaches to the lateral epicondyle of the humerus (long bone in the upper arm) at the elbow. Rupture or tear of the common extensor tendon is the most common acute tendon injury of the elbow.

What is the ICd 10 code for injury?

Injury, unspecified, initial encounter 1 S00-T88#N#2021 ICD-10-CM Range S00-T88#N#Injury, poisoning and certain other consequences of external causes#N#Note#N#Use secondary code (s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code#N#Type 1 Excludes#N#birth trauma ( P10-P15)#N#obstetric trauma ( O70 - O71)#N#Use Additional#N#code to identify any retained foreign body, if applicable ( Z18.-)#N#Injury, poisoning and certain other consequences of external causes 2 T14#N#ICD-10-CM Diagnosis Code T14#N#Injury of unspecified body region#N#2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code#N#Type 1 Excludes#N#multiple unspecified injuries ( T07)#N#Injury of unspecified body region 3 T14.90#N#ICD-10-CM Diagnosis Code T14.90#N#Injury, unspecified#N#2016 2017 2018 - Converted to Parent Code 2019 2020 2021 Non-Billable/Non-Specific Code#N#Applicable To#N#Injury NOS#N#Injury, unspecified

What is the secondary code for Chapter 20?

Use secondary code (s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code.

What is the secondary code for Chapter 20?

Use secondary code (s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code.

What is the ICd 10 code for laceration of extensor muscle?

Laceration of extensor muscle, fascia and tendon of right index finger at wrist and hand level, initial encounter 1 S66.320A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 Short description: Lacerat extn musc/fasc/tend r idx fngr at wrs/hnd lv, init 3 The 2021 edition of ICD-10-CM S66.320A became effective on October 1, 2020. 4 This is the American ICD-10-CM version of S66.320A - other international versions of ICD-10 S66.320A may differ.

Anatomy

The extensor mechanism of the hand is a complex apparatus; there are extrinsic and intrinsic contributions and ligamentous stabilizers which contribute to the integrity of the system. Extensor tendon injuries are divided into nine zones, extending from the DIP joint (zone I) to the proximal forearm (zone IX) (1).

Mechanism and Types of Injury

Central slip disruptions can occur as either open or closed injuries. Closed injuries are usually caused by forceful flexion induced by sports injuries or falls, while open injuries can arise from lacerations over the PIP joint (2,3).

Symptoms

Patients usually present with pain and swelling over the dorsal PIP joint of the affected finger or a laceration. Digital block is often helpful to further assess extent of injury.

Physical Examination

After a thorough neurovascular examination, attention can be turned to the digit with a suspected central slip injury. This digit will often be held in flexion at the PIP joint, and exhibit a positive Elson Test (5).

Treatment

Nonoperative: 6 weeks of PIP joint splinting in full extension, indicated for acute injuries usually <4 weeks old. Full active flexion of the DIP joint is encouraged to avoid stiffness distally and contraction of the oblique retinacular ligament. Part-time splinting then recommended for an additional 4-6 weeks (2,3).

Example Case

Figure 3: Note the laceration over the dorsum of the left middle finger and flexed posture at the PIP joint. Please see text below for additional details (Image licensed under CC BY-NC-SA 4.0).