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.
Methods: This was a retrospective study of all patients seen and treated for thumb injuries at a single institution from January 1, 2015, to December 31, 2019, undergoing RCL or UCL repair (CPT code 26540).
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.
S60.931AUnspecified superficial injury of right thumb, initial encounter. S60. 931A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
In this minimally invasive technique, the surgeon makes a small cut over the back of the thumb joint and examines the area around the injury for damage. The surgeon then reattaches the UCL and uses a suture anchor or screw to hold it in place as it heals.
CPT® 27427, Under Repair, Revision, and/or Reconstruction Procedures on the Femur (Thigh Region) and Knee Joint.
The most common UCL injury is a UCL tear that is usually gradual but may also happen in a single traumatic event. Pain on the inner side of the elbow is the most common symptom of a UCL injury. A UCL tear may sometimes feel like a “pop” after throwing followed by intense pain.
The lateral collateral ligament is a thin band of tissue running along the outside of the knee. It connects the thighbone (femur) to the fibula, which is the small bone of the lower leg that runs down the side of the knee and connects to the ankle.
0:391:19Thumb Ulnar Collateral Ligament Test - YouTubeYouTubeStart of suggested clipEnd of suggested clipThis is called a steno lesion and requires surgical repair to perform the test fix the metacarpal.MoreThis is called a steno lesion and requires surgical repair to perform the test fix the metacarpal. And the phalanx above and below the mCP joint. Then apply a valgus stress. Which brings the thumb.
ICD-10-CM Code for Pain in hand and fingers M79. 64.
ICD-10 | Pain in right hand (M79. 641)
ICD-10 | Pain in right wrist (M25. 531)
S63.649D is a billable diagnosis code used to specify a medical diagnosis of sprain of metacarpophalangeal joint of unspecified thumb, subsequent encounter. The code S63.649D is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.#N#The ICD-10-CM code S63.649D might also be used to specify conditions or terms like complete tear of ligament of thumb, complete tear of ligament of thumb, complete tear, thumb, metacarpophalangeal joint, radial collateral ligament, complete tear, thumb, metacarpophalangeal joint, ulnar collateral ligament, sprain of metacarpophalangeal joint , sprain of thumb, etc. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.#N#S63.649D is a subsequent encounter code, includes a 7th character and should be used after the patient has completed active treatment for a condition like sprain of metacarpophalangeal joint of unspecified thumb. According to ICD-10-CM Guidelines a "subsequent encounter" occurs when the patient is receiving routine care for the condition during the healing or recovery phase of treatment. Subsequent diagnosis codes are appropriate during the recovery phase, no matter how many times the patient has seen the provider for this condition. If the provider needs to adjust the patient's care plan due to a setback or other complication, the encounter becomes active again.#N#Unspecified diagnosis codes like S63.649D are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.
Unspecified diagnosis codes like S63.649D are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition.
S63.649D is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the PO A reporting requirement. Review other POA exempt codes here.