Patient had an unstable MCP joint and elected to have surgery to repair left thumb ulnar collateral ligament. WoulD cpt CODE 26540 be the correct code ? DX code 841.1 is not correct for THUMB collateral ligament sprain. This code (841.1) pertains to the elbow and forearm/wrist area.
Diagnosis Index entries containing back-references to Z98.1: Ankylosis (fibrous) (osseous) (joint) M24.60 ICD-10-CM Diagnosis Code M24.60 Arthrodesis status Z98.1 Fusion, fused (congenital) lumbosacral (acquired) M43.27 ICD-10-CM Diagnosis Code M43.27 Status (post) - see also Presence (of) arthrodesis Z98.1
Left index finger collateral ligament rupture ICD-10-CM S63.411A 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 563 Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
Acquired absence of left finger(s) Z89.022 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 Z89.022 became effective on October 1, 2018. This is the American ICD-10-CM version of Z89.022 - other international versions of ICD-10 Z89.022 may differ.
ICD-10-CM Code for Encounter for surgical aftercare following surgery on specified body systems Z48. 81.
S61.012AS61. 012A Laceration w/o fb of left thumb w/o damage to nail, init - ICD-10-CM Diagnosis Codes.
ICD-10 Code for Encounter for other orthopedic aftercare- Z47. 89- Codify by AAPC.
Traumatic rupture of ulnar collateral ligament ICD-10-CM S53. 32XA is grouped within Diagnostic Related Group(s) (MS-DRG v39.0):
645 - Pain in left finger(s). ICD-10-CM.
The code sets for laceration repair are:12001-12007 for simple repair to scalp, neck, axillae, external genitalia, trunk, and/or extremities (including hands and feet)G0168 for wound closure using tissue adhesive only when the claim is being billed to Medicare.More items...•
ORIF utilizes open surgery to set the fracture followed by the use of plates, pins, and screws to hold the bones in place. THA involves surgically removing both the femoral head and acetabular cartilage, and replacing them with an artificial femoral head and acetabular cup.
ICD-10 code Z98. 890 for Other specified postprocedural states is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
Open reduction and internal fixation (ORIF) is a type of surgery used to stabilize and heal a broken bone. You might need this procedure to treat your broken ankle. Three bones make up the ankle joint. These are the tibia (shinbone), the fibula (the smaller bone in your leg), and the talus (a bone in your foot).
The ulnar collateral ligament to the thumb is a complex ligament, comprised of the UCL proper and the accessory UCL. Together, they stabilize the thumb for pinch and grip activities; without this ligament, you would have very little pinch or grip strength and very poor overall dexterity.
The ulnar collateral ligament (UCL) is a ligament that runs on the inner side of the elbow to help support it when performing certain motions, such as throwing. When this ligament is torn or damaged, it can lead to pain, elbow instability and loss of function.
The radial collateral ligament (RCL) is a strong, short, thin band of tissue that connects from the humerus (upper arm bone) to the radius (one of two forearm bones). The role of the RCL is to provide stability against inner to outer stress on the elbow.
As usual, ICD-10 has made a confusing mess of "Sprains" of the Joints of the Fingers &/or Thumb (S63.6 Code Set) and the "Traumatic Rupture of Ligaments" of the "Finger (s)" at the MP and IP Joints (Code Set of S63.4). A "Sprain" is a Ligamentous Injury, anywhere from mild to moderate to severe (complete tear/rupture of a ligament). ICD-10 does not really differentiate between mild, moderate, or severe "Sprains" or "Traumatic Ruptures" of the Ligaments, which from an Orthopedic perspective are essentially one in the same. Of course, Subluxations and Dislocations (S63.1 and S63.2 Code Sets) are the most severe/extreme forms of joint ligamentous injuries. The S63.6 Code Set Excludes the S63.4 Code Set, and the S63.4 Code Set also Excludes the Thumb. Why these are all separated this way is totally bizarre and incomprehensible to me.#N#As for the Thumb, the most common ligamentous injury/sprain is to the Ulnar Collateral Ligament of the MP joint, resulting in what is often called Game Keeper's or Skier's Thumb. The Radial Collateral Ligament could be injured at the MP Joint level, but is quite uncommon when compared to the Ulnar Collateral Ligament. The S63.64 _ _ code covers both the Ulnar and Radial Collateral Ligament injuries. "Sprains" of the Radial and Ulnar Collateral Ligaments of the IP Joint are infrequent when compared to the MP Joint injuries, but can occur. The S63.62 _ _ code would again cover both the Radial and Ulnar Collateral Ligament injuries.#N#So, the crucial information is which joint level has been injured? The physician needs to specify this in his documentation.#N#I hope this helps some.#N#Respectfully submitted, Alan Pechacek, M.D.#N#icd10orthocoder.com
As for the Thumb, the most common ligamentous injury/sprain is to the Ulnar Collateral Ligament of the MP joint, resulting in what is often called Game Keeper's or Skier's Thumb. The Radial Collateral Ligament could be injured at the MP Joint level, but is quite uncommon when compared to the Ulnar Collateral Ligament.