Homans sign: Discomfort in the calf muscles on forced dorsiflexion of the foot with the knee straight has been a time-honored sign of DVT. From: Genesis, Pathophysiology and Management of Venous and Lymphatic Disorders, 2022.
ICD-10 code R29. 898 for Other symptoms and signs involving the musculoskeletal system is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .
ICD-10-CM Code for Weakness R53. 1.
Homan's sign test also called dorsiflexon sign test is a physical examination procedure that is used to test for Deep Vein Thrombosis (DVT). A positive Homan's sign in the presence of other clinical signs may be a quick indicator of DVT.
9: Dorsalgia, unspecified.
81.
R53. 1 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 R53. 1 became effective on October 1, 2021.
ICD-10-CM Code for Other malaise and fatigue R53. 8.
10 for Atherosclerotic heart disease of native coronary artery without angina pectoris is a medical classification as listed by WHO under the range - Diseases of the circulatory system .
Phlegmasia cerulea dolens is an uncommon, severe form of deep venous thrombosis (blood clots in the vein). It most often occurs in the upper leg.
0:463:02Homans Sign for Deep Vein Thrombosis - YouTubeYouTubeStart of suggested clipEnd of suggested clipI like to leave the leg in a little bit of a flexion. And I'll explain that in a second. You takeMoreI like to leave the leg in a little bit of a flexion. And I'll explain that in a second. You take the ankle. And you Dorsey flicks a little bit and you squeeze the calf.
Thrombosis occurs when blood clots block your blood vessels. There are 2 main types of thrombosis: Venous thrombosis is when the blood clot blocks a vein. Veins carry blood from the body back into the heart. Arterial thrombosis is when the blood clot blocks an artery.
The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code (s). The following references for the code R29.898 are found in the index:
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code R29.898 its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
Movement disorders are neurologic conditions that cause problems with movement, such as
DRG Group #555-556 - Signs and symptoms of musculoskeletal system and connective tissue with MCC.
The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code R29.898. Click on any term below to browse the alphabetical index.
This is the official approximate match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that while there is no exact mapping between this ICD10 code R29.898 and a single ICD9 code, 781.99 is an approximate match for comparison and conversion purposes.
The classic presentations of DVT are swelling and tenderness, elevated temperature, and a positive Homans' sign (calf pain on dorsiflexion of the foot ) (see Figure 51.1 ). In an extreme scenario, phlegmasia cerulea dolens, as evident by the painful blue appearance of the leg, can occur due to massive thrombosis involving the iliac veins and extending into the most distal venules in the leg. Phlegmasia cerulea dolens is a condition frequently associated with a hypercoagulable state or external obstruction, such as an underlying intraabdominal malignancy or May-Thurner syndrome.
The most common presenting symptom of acute embolism is the sudden onset of dyspnea. 107-109 In various studies, dyspnea was a presenting symptom in the majority of patients. However, it must be emphasized that, in the PIOPED study, 109 dyspnea was not present in 27% of patients ultimately proven to have embolism. Pleuritic chest pain was present in 66% of patients, whereas hemoptysis (15%) was uncommon. Less than 50% of patients had cough (37%), leg swelling (28%), and leg pain (26%). A sense of impending doom also is reported, particularly with massive embolism. Angina also can result from massive embolism representing, in this circumstance, right ventricular ischemia. Syncope also may be a presenting complaint in major embolic occlusion.
The most common physical finding is tachypnea (respiratory rate >20/min). In the PIOPED study, 109 however, tachypnea was not present in approximately 30% of patients with embolism. Clinical findings noted less frequently include crackles (55%), tachycardia (30%), and an increased pulmonic component of the second heart sound (S2; 23%). Fever may develop some hours after the event and often reaches but rarely exceeds 38.3° C. As noted previously, hemoptysis may be observed; it usually is quite modest in extent, although it may persist for some days. Brisk hemoptysis is rare and is almost never the initial finding. With massive embolism, there may be evidence of right ventricular overload or failure, such as a right ventricular tap along the left sternal border and an accentuated pulmonary valve closure sound. If right ventricular failure develops, there may be narrowed or fixed splitting of an S2, an S3, and/or an S4, distended neck veins, and cyanosis. Careful examination of the legs may elicit evidence suggesting venous thrombosis. In the PIOPED study, 109 clinically apparent venous thrombosis was found in only 15% of patients.
Impedance plethysmography (IP), which detects proximal veins, reasonable in symptomatic pts, but lacks sensitivity and specificity in asymptomatic pts.
The most common symptoms and physical findings of venous thrombosis include swelling, pain, erythema, and warmth. “Classic” findings such as Homan sign (calf pain with flexion of the knee and dorsiflexion of the ankle), Moses sign (pain with calf compression against the tibia), or a palpable cord are infrequent and nonspecific.
A value of ‘Y’ in this field indicates that this LOINC code can be sent by a payer as part of an HL7 attachment request for additional information.
A value in this field means that the content should be delivered in the named field/subfield of the HL7 message. When NULL, the data for this data element should be sent in an OBX segment with this LOINC code with the value stored in OBX-3 and in the OBX-5.