Gamekeeper's thumb | |
---|---|
ICD-10 | S42.2-S42.4 |
ICD-9 | 812 |
eMedicine | emerg/199 orthoped/271 orthoped/199 |
Trigger thumb of right thumb ICD-10-CM M65.311 is grouped within Diagnostic Related Group (s) (MS-DRG v38.0): 557 Tendonitis, myositis and bursitis with mcc 558 Tendonitis, myositis and bursitis without mcc
Thanks for your help! A "Sprain" of the Ulnar Collateral Ligament of the thumb as an acute or subacute injury (current), as opposed to a chronic condition, often goes by the name of Game Keeper's Thumb &/or Skier's Thumb.
Right thumb sprain Right thumb sprain, metacarpophalangeal joint ICD-10-CM S63.641A is grouped within Diagnostic Related Group (s) (MS-DRG v38.0): 562 Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with mcc
Pain in unspecified finger(s) M79.646 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2019 edition of ICD-10-CM M79.646 became effective on October 1, 2018. This is the American ICD-10-CM version of M79.646 - other international versions of ICD-10 M79.646 may differ.
Traumatic rupture of ulnar collateral ligament ICD-10-CM S53. 32XA is grouped within Diagnostic Related Group(s) (MS-DRG v39.0):
The thumb metacarpophalangeal joint contains two important ligaments: the ulnar collateral ligament, which is on the pinky side of the thumb, and the radial collateral ligament, which is on the free side of the thumb.
Gamekeeper's thumb is an insufficiency of the ulnar collateral ligament (UCL) of the metacarpophalangeal (MCP) joint of the thumb. Campbell originally coined the term in 1955 because the condition was most commonly associated with Scottish gamekeepers (especially rabbit keepers) as a work-related injury.
The accepted current procedural terminology (CPT) for UCLR (24346) was used to search the database. CPT code 24346 is defined as: “Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft).” A total of 187 patients (188 elbows) were identified.
Gamekeeper's thumb is a condition that occurs when the inner ligament at the base of the thumb (the ulnar collateral ligament) is injured due to overuse or trauma. When sudden injury is the cause, the condition is usually called Skier's thumb.
Skier's or gamekeeper's thumb is a tear of the ulnar collateral ligament. This injury happens when your thumb is pulled back or to the side, away from your fingers. It often happens when skiers fall on an outstretched hand while holding a ski pole. Rest and other measures at home can help heal a mild injury.
Gamekeeper's Thumb, also known as Skier's Thumb, results from acute or chronic injury of the ulnar collateral ligament (UCL).
One of the common mechanisms is a skier landing against the ski pole or ground while the thumb is abducted, causing a valgus force on the thumb. Gamekeeper's thumb, or skier's thumb, may constitute up to 50% of hand injuries in skiers.
Skier's thumb, also known as the gamekeeper's thumb, is an injury to the metacarpal phalangeal joint of the thumb. It can occur to the medial side of the thumb, but this is rare. The chance of a medial side injury is as small as 10-30%.
medialThe ulnar collateral ligament (UCL) or internal lateral ligament is a thick triangular ligament at the medial aspect of the elbow uniting the distal aspect of the humerus to the proximal aspect of the ulna.
The lateral ulnar collateral ligament (LUCL) is an important stabilizing ligament of the elbow. It is involved in many functions of everyday life such as lifting and pushing one's self out of a chair. This ligament is usually injured by way of a traumatic injury as opposed to overuse and wear.
CPT® Code 26540 - Repair, Revision, and/or Reconstruction Procedures on the Hand and Fingers - Codify by AAPC. CPT. Surgical Procedures on the Hand and Fingers. Repair, Revision, and/or Reconstruction Procedures on the Hand and Fingers.
Unspecified sprain of left thumb, initial encounter 1 S63.602A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 The 2021 edition of ICD-10-CM S63.602A became effective on October 1, 2020. 3 This is the American ICD-10-CM version of S63.602A - other international versions of ICD-10 S63.602A may differ.
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.
S63.649A Sprain of metacarpophalangeal joint of unspecified thumb, initial encounter
4D: Impaired Joint Mobility, Motor Function, Muscle Performance, and ROM Associated with Connective Tissue Dysfunction
Gamekeeper’s thumb is ligamentous disruption of the UCL of the first MCP joint due to acute or repeated valgus stress to the thumb. Presents as instability and/or pain with valgus forces to the thumb or pain and weakness with opposition or pinching.
Injury can be either acute or chronic and is common in athletics (especially skiing and football). Injury involves valgus force to the proximal phalanx of the thumb. Injury can also involve an avulsion fracture of the base of the proximal phalanx, which is termed “gamekeeper’s fracture.”.