ICD-10-CM Diagnosis Code M75.40 [convert to ICD-9-CM] Impingement syndrome of unspecified shoulder. Impingement syndrome of shoulder; Impingement syndrome of shoulder region. ICD-10-CM Diagnosis Code M75.40. Impingement syndrome of unspecified shoulder. 2016 2017 2018 2019 2020 2021 2022 Billable/Specific Code.
Oct 01, 2021 · M24.851 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM M24.851 became …
Oct 01, 2021 · M25.859 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM M25.859 became …
M25.859 is a billable diagnosis code used to specify a medical diagnosis of other specified joint disorders, unspecified hip. The code M25.859 is valid during the fiscal year 2022 from October …
M25.859 is a billable diagnosis code used to specify a medical diagnosis of other specified joint disorders, unspecified hip. The code M25.859 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.#N#The ICD-10-CM code M25.859 might also be used to specify conditions or terms like disorder of hip, femoral acetabular impingement, femoral trochlear dysplasia, hip retracted, mass of hip joint , problem of hip, etc.#N#Unspecified diagnosis codes like M25.859 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.
Unspecified diagnosis codes like M25.859 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used ...
Surgical treatments for treating FAI include arthroscopic or open surgery and hip replacement. Arthroscopic surgery involves the insertion of an arthroscope and small surgical instruments through several small skin incisions into the joint for examination, shaving of bone spurs or removal of damaged cartilage as needed. Open surgery is performed when large defects are present. Hip replacement is necessary when no articular cartilage is present.
The three types of FAI include excessive acetabular covering (pincer type), nonspherical femoral head (cam type) or a combination of the two. The two basic mechanisms of FAI are cam impingement (most common in young athletic males) and pincer impingement (most common in middle-aged women).
Characteristic magnetic resonance arthrographic findings of pincer FAI include a deep acetabulum and postero-inferior cartilage lesions (Pfirrmann, et al., 2006). The term coxa profunda refers to a deep acetabulum with excessive acetabular coverage; also referred to as "deep socket." A center edge angle greater than or equal to 40 degrees has been found to be a reliable predictor of pincer impingement (Kutty, et al., 2012). The center edge angle is the angle formed by a vertical line and a line connecting the femoral head center with the lateral edge of the acetabulum. A normal center edge angle varies between 25º and 39º (Tannast, et al., 2007).
The alpha angle is a measurement of the hip ball (femoral head and neck junction) to determine how much cam impingement exists. The severity of the impingement increases along with the degree of the alpha angle.
Aetna considers capsular plication experimental and investigational for the treatment of FAI because there is insufficient evidence regarding the effectiveness of this approach.
Management of individuals with FAI ranges from conservative therapies (e.g., modification of activities to reduce excessive motion and burden on the hip, the use of non-steroidal anti-inflammatory drugs, and discontinuation of activities associated with the painful hip movement) to surgery (e.g., peri-acetabular osteotomy, hip dislocation and debridement). Conservative measures, including physical therapy, restriction of activities, core strengthening, improvement of sensory-motor, and control and nonsteroidal anti-inflammatories are the mainstays of nonsurgical treatment (Samora, et al., 2011).
Femoro-acetabular impingement syndrome has been reported to be associated with progressive osteoarthritis of the hip. History, physical examination, as well as supportive radiographical findings including evidence of articular cartilage damage, acetabular labral tearing, and early-onset degenerative changes can aid in diagnosing this condition. Several pathological changes of the femur and acetabulum are known to predispose individuals to develop FAI syndrome.
The femoral shaving is coded separately because it is a procedure performed on the femur rather than on the hip joint. The capsulotomy and synovectomy were performed to access the procedure site and are not coded separately. Assign the ICD-10-PCS codes as follows:
Assign code S73.192A, Other sprain of left hip, initial encounter, for the labral tear. Assign code M25.852, Other specified joint disorders, left hip, for the femoroacetabular impingement.
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