by Felipe Maggio DVM
Published 3 years ago
Updated 2 years ago
9 min read
AC Separation/Dislocation/Subluxation Merge the Traditional Orthopedic Terminology with the new/different codes from ICD-10. 1. The Traditional Grade I, Mild AC Joint injury would equal "Sprain" of the AC Joint: S43.51X _ for the right, and S43.52X _ for the left.
Dislocation of left acromioclavicular joint, 100%-200% displacement, initial encounter. S43.122A 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 S43.
Oct 01, 2021 · Sprain of left acromioclavicular joint, initial encounter. 2016 2017 2018 2019 2020 2021 2022 Billable/Specific Code. S43.52XA 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 S43.52XA became effective on October 1, 2021.
What is a Grade 1 AC joint injury?
Oct 01, 2021 · Dislocation of left acromioclavicular joint, greater than 200% displacement, initial encounter. S43.132A 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 S43.132A became effective on October 1, 2021.
What is the ICD 10 diagnosis code for left shoulder separation?
ICD-10-CM Diagnosis Code S43.142A [convert to ICD-9-CM] Inferior dislocation of left acromioclavicular joint, initial encounter. Inferior dislocation of left acromioclavicular joint, init; Left acromioclavicular separation, type 6. ICD-10-CM Diagnosis Code S43.142A.
What is the ICD 10 code for dislocation of left acromioclavicular joint?
Oct 01, 2021 · Approximate Synonyms. Left acromioclavicular separation, type 3; ICD-10-CM S43.122A is grouped within Diagnostic Related Group(s) (MS-DRG v 39.0):. 562 Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with mcc; 563 Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc; 963 Other multiple significant …
What is the ICD-10 code for AC separation?
2022 ICD-10-CM Diagnosis Code S43.102A: Unspecified dislocation of left acromioclavicular joint, initial encounter.
What is a left AC separation?
An acromioclavicular joint separation, or AC separation, is a very frequent injury among physically active people. In this injury the clavicle (collar bone) separates from the scapula (shoulder blade). It is commonly caused by a fall directly on the "point" of the shoulder or a direct blow received in a contact sport.
Where is the AC joint?
The acromioclavicular, or AC, joint is a joint in the shoulder where two bones meet. One of these bones is the collarbone, or clavicle. The second bone is actually part of the shoulder blade (scapula), which is the big bone behind the shoulder that also forms part of the shoulder joint.
What is the joint classification of the AC joint?
The acromioclavicular joint is a diarthrodial joint defined by the lateral clavicle articulating with the acromion process as it projects anteriorly off the scapula. The AC joint is a plane type synovial joint, which under normal physiological conditions allows only gliding movement.Jul 26, 2021
What is a Grade 1 AC joint sprain?
Grade 1—Involves stretching/spraining of the joint covering (capsule), with no damage to ligaments connecting the shoulder blade (scapula) and collar bone (clavicle). There may be swelling over the joint but the bump is not permanent. Pain typically lasts for 2-4 weeks, but can be easily reaggravated.
What is a Grade 5 AC joint separation?
Grade 5—Involves tearing of the joint covering (capsule) and ligaments connecting the shoulder blade (scapula) and collar bone (clavicle), and the end of the collar bone (clavicle) tears through the muscle covering (fascia) above it. Results in a large, permanent bump over the top of the shoulder at the AC joint.
How do you know if your AC joints are separated?
What Are the Symptoms of an AC Joint Separation?
Pain.
Bruising.
Swelling.
Weakness in the upper arm or shoulder.
A visible deformity, typically a bump at the top of the shoulder.
How is AC joint separation diagnosed?
What are the symptoms of shoulder separation?
Pain at the top of your shoulder.
Tenderness when touching your AC joint.
Swelling.
Deformity of your shoulder.
Limited range of motion in your shoulder (for example, when you try to lift your arm)
How do you treat AC joint separation?
Treatment is typically an arm sling, bed rest, ice and heat therapy, and anti-inflammatory drugs. Most people recover full motion of the shoulder and arm within 6 to 8 weeks, often with the assistance of physiotherapy. Type III – Both acromioclavicular and coracoclavicular ligaments are torn.
How long does it take for a Grade 1 AC joint separation to heal?
Complete healing may take four to six weeks. Type I injuries generally heal well without an increased risk of reinjury.Jul 27, 2021
What are the Rockwood classifications types of AC joint injury?
A Type I injury is a mild sprain of the AC ligament, Type II is a ruptured AC ligament and sprained CC ligaments, Type III is a superior dislocation of the AC joint with ruptured AC ligament, CC ligament, and joint capsule, Type IV is a posterior dislocation of the AC joint with ruptured AC ligament, CC ligament, and ...Sep 16, 2016
What is AC joint reconstruction?
AC joint reconstruction for recurrent shoulder separations involves reconstruction using a tendon graft (called an allograft) with mechanical fixation to further secure the new tissue in the anatomical location of the torn ligaments.
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. Type 1 Excludes.
What is the ICd 10 code for acromioclavicular dislocation?
Dislocation of left acromioclavicular joint, 100%-200% displacement, initial encounter 1 S43.122A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 #N#Short description: Dislocation of l acromioclav jt, 100%-200% displacmnt, init#N#The 2021 edition of ICD-10-CM S43.122A became effective on October 1, 2020.#N#This is the American ICD-10-CM version of S43.122A - other international versions of ICD-10 S43.122A may differ.
When will the ICD-10-CM S43.122A be released?
The 2022 edition of ICD-10-CM S43.122A became effective on October 1, 2021.
What is the ICD-10 code for dislocation of the left acromioclavicular joint?
Unspecified dislocation of left acromioclavicular joint, initial encounter. S43. 102A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
What is AC joint subluxation?
An AC Joint Subluxation is a partial dislocation, meaning that the clavicle goes partially out of joint, with part of the clavicle still touching the acromion. An AC Joint Subluxation looks like a small bump on top of the shoulder. The majority of people with AC Joint injuries can be treated without surgery.
How long does it take for an AC joint to heal?
Most AC injuries are grade I, II, or III and these generally do not require surgery. Usually the joint remains sore for two to six weeks and then full return to activity is the norm.
Can blunt force cause AC joint separation?
However, any direct blunt force can cause an AC joint separation if severe enough. The initial symptoms are very severe pain, localized swelling and the notable presence of a “bump” on the shoulder.
What is a grade 2 AC joint injury?
2. The Traditional Grade II, Moderate AC Joint injury would equal "Superior Subluxation of the AC Joint (<100% displacement of the clavicle):
Where is the AC joint?
Anatomically, it is the small joint between the lateral/distal end of the Clavicle/Collar Bone and the Acromial process of the Scapula/Shoulder Blade. It is located at the top and front of the shoulder. Females can locate it by putting a finger tip on their bra strap where it crosses their collar bone, then slide laterally towards the shoulder, and you can feel a mildly lumpy or irregular ridge from front to back.
What is grade V?
Grade V is S43.14xx for inferior and S43.14xx for posterior.