The long extensor tendon to the thumb is called the Extensor Pollicis Longus (EPL). This tendon straightens the end joint of the thumb and also helps pull the thumb in towards the index finger. The tendon runs around a bony prominence on the back of the wrist called Lister's tubercle.
Y93.66Y93. 66 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
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.
T14.90XAICD-10 Code for Injury, unspecified, initial encounter- T14. 90XA- Codify by AAPC.
0XXA for Fall on same level from slipping, tripping and stumbling without subsequent striking against object, initial encounter is a medical classification as listed by WHO under the range - Other external causes of accidental injury .
Table 4ICD-10-CM codes used to define sports-related injuriesICD-10-CM codeDescriptionContact or collisionY9367Activity, basketballY9371Activity, boxingY9372Activity, wrestling65 more rows
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.
How are extensor tendon injuries treated? Cuts that split the tendon may need stitches or surgical repair, but tears caused by jamming injuries are usually treated with splints. Splints stop the healing ends of the tendons from pulling apart and should be worn at all times until the tendon is fully healed.
Causes of Common Extensor Tendon Origin Rupture Common causes may include: Activity that requires repetitive motion of the forearm such as painting, typing, weaving, gardening, lifting heavy objects, and sports. Overuse of the forearm muscles. Direct trauma as with a fall, work injury, or motor vehicle accident.
9: Fever, unspecified.
The injury diagnosis codes (or nature of injury codes) are the ICD codes used to classify injuries by body region (for example, head, leg, chest) and nature of injury (for example, fracture, laceration, solid organ injury, poisoning).
ICD-10 code R52 for Pain, unspecified is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .
The tendon may take four to eight weeks, or longer in some patients, to heal completely. Removing the splint early may result in drooping of the fingertip, which may then require additional splinting.
In some cases, damage to the extensor tendons can be treated without the need for surgery, using a rigid support called a splint that's worn around the hand.
Common signs and symptoms of extensor tendon and mallet finger injuries include:Inability to straighten the fingers or extend the wrist.Pain and swelling in fingertip.Recent trauma or laceration to the hand.Drooping of the end joint of the finger.
1:043:36Finger extensor tendon basics - evaluate an extensor tendon injuryYouTubeStart of suggested clipEnd of suggested clipIf the central slip's intact. So a negative test then extension's really strong and the distalMoreIf the central slip's intact. So a negative test then extension's really strong and the distal phalanx remains floppy.
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. Type 1 Excludes.
Laceration of extensor muscle, fascia and tendon of right thumb at wrist and hand level, initial encounter 1 S66.221A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 Short description: Lacerat extensor musc/fasc/tend r thm at wrs/hnd lv, init 3 The 2021 edition of ICD-10-CM S66.221A became effective on October 1, 2020. 4 This is the American ICD-10-CM version of S66.221A - other international versions of ICD-10 S66.221A may differ.
The 2022 edition of ICD-10-CM S66.221A became effective on October 1, 2021.
Laceration of extensor muscle, fascia and tendon of unspecified finger at wrist and hand level 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 S60-S69#N#2021 ICD-10-CM Range S60-S69#N#Injuries to the wrist, hand and fingers#N#Type 2 Excludes#N#burns and corrosions ( T20 - T32)#N#frostbite ( T33-T34)#N#insect bite or sting, venomous ( T63.4)#N#Injuries to the wrist, hand and fingers 3 S66#N#ICD-10-CM Diagnosis Code S66#N#Injury of muscle, fascia and tendon at wrist and hand level#N#2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code#N#Code Also#N#any associated open wound ( S61.-)#N#Type 2 Excludes#N#sprain of joints and ligaments of wrist and hand ( S63.-)#N#Injury of muscle, fascia and tendon at wrist and hand level 4 S66.3#N#ICD-10-CM Diagnosis Code S66.3#N#Injury of extensor muscle, fascia and tendon of other and unspecified finger at wrist and hand level#N#2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code#N#Type 2 Excludes#N#Injury of extensor muscle, fascia and tendon of thumb at wrist and hand level ( S66.2-)#N#Injury of extensor muscle, fascia and tendon of other and unspecified finger at wrist and hand level
The 2022 edition of ICD-10-CM S66.329 became effective on October 1, 2021.
S66.329 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.