2021 ICD-10-CM Diagnosis Code M66.341 Spontaneous rupture of flexor tendons, right hand 2016 2017 2018 2019 2020 2021 Billable/Specific Code M66.341 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
Injury of long flexor muscle, fascia and tendon of thumb at wrist and hand level ( ICD-10-CM Diagnosis Code S66.0. Injury of long flexor muscle, fascia and tendon of thumb at wrist and hand level 2016 2017 2018 2019 Non-Billable/Non-Specific Code. S66.0-)
2018/2019 ICD-10-CM Diagnosis Code S66.12. Laceration of flexor muscle, fascia and tendon of other and unspecified finger at wrist and hand level. S66.12 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
My question is if Dr. is repairing a Flexor Digitorum Profundus tendon not in zone 2, should we code 26350 or 26370. 26350 is repair of flexor tendon, not in zone 2 and 26370 is repair of advancement of profundus tendon with intact superficialis tendon.
forearmFlexor digitorum profundus is a fusiform muscle located deep within the anterior (flexor) compartment of the forearm. Along with the flexor pollicis longus and pronator quadratus muscles, it comprises the deep flexor compartment of the forearm.
Flexor digitorum superficialis (FDS) tendons FDS tendons help bend the index, middle, ring, and small fingers at the middle finger joint. They are powered by a common muscle belly shared by all the fingers, which divides into 4 tendons. They travel down the forearm and within the carpal tunnel.
forearmFlexor Digitorum Superficialis along with other superficial muscles of volar compartment of forearm. It is the bulk of muscle located at the superficial volar/anterior aspect of the forearm.
Rupture of the flexor digitorum profundus (FDP) tendon from its distal attachment is commonly known as jersey finger. This injury occurs most often in athletes involved in contact sports, such as American football or rugby [1].
The flexor digitorum profundus (FDP) is a muscle that has 4 tendons with one tendon attaching to the end of each finger on the palm side of the hand. A ruptured FDP tendon results in a person being unable to actively bend the end of their finger.
The flexor digitorum superficialis (FDS/sublimis) is a flexor of the digits of the hand and has been reported to have varying degrees of agenesis.
The flexor digitorum superficialis flexes the middle phalanges of the medial four digits at the proximal interphalangeal joints. It also flexes the proximal phalanges at the metacarpophalangeal joints and the wrist joint. Flexor digitorum superficialis can flex each finger it serves independently.
Flexor digitorum longus is a thin muscle that belongs to the deep posterior muscles of the leg. It runs from the posterior surface of the tibia, across the posterior compartment of the leg to the phalanges of the foot. On its course, the muscle receives functional support from the quadratus plantae muscle.
Unlike the flexor digitorum profundus, flexor digitorum superficialis has independent muscle slips for all four digits. This allows it to flex the digits individually at their proximal interphalangeal joints. In addition, flexor digitorum superficialis aids the aids flexion of the wrist.
Flexor tendons run from the forearm to the ends of the fingers across the palm side of the hand. They control the ability to bend fingers down to the palm (for example to make a fist, grip, or pinch objects). When these tendons are cut or injured, it can be impossible to bend the fingers or thumb.
The extensor digitorum communis is a superficial extensor muscle located in the posterior compartment of the forearm. It shares a common synovial tendon sheaths along with other extensor muscles which helps to reduce friction between the tendon and the surrounding structures.
The flexor digitorum profundus helps flex the fingers. The muscle originates in the upper part of the ulna bone. It inserts at the distal phalanges in the tips of the fingers.