icd 10 code for ulnar collateral ligament tear thumb

by Prof. Odie Stehr 10 min read

Traumatic rupture of ulnar collateral ligament
ICD-10-CM S53. 32XA is grouped within Diagnostic Related Group(s) (MS-DRG v39.0):

What is the ulnar collateral ligament in thumb?

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.

What is the CPT code for right thumb ulnar collateral ligament repair?

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).

What is thumb radial collateral ligament?

Radial collateral ligament injuries occur as a result of a forced adduction moment on the MCP joint of the thumb, which may occur from a fall on the radial aspect of the thumb and hand or during sports when a ball or player strikes the thumb.

Where is the radial collateral ligament thumb?

The radial collateral ligament of the thumb extends from the first metacarpal head to the proximal phalanx of the thumb. It is located on the radial side of the joint and is weaker than the ulnar collateral ligament of the thumb.

How do you fix the ulnar collateral ligament of the thumb?

UCL repair surgery is a procedure to treat an injury to the UCL, the soft tissue that connects the bones of the thumb and provides stability to the thumb joint. 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.

What is included in CPT 27427?

The Current Procedural Terminology (CPT®) code 27427 as maintained by American Medical Association, is a medical procedural code under the range - Repair, Revision, and/or Reconstruction Procedures on the Femur (Thigh Region) and Knee Joint.

How do I know if my ulnar collateral ligament is torn in my thumb?

SIGNS AND SYMPTOMS

Symptoms of thumb UCL injuries usually include one or more of the following: Pain and tenderness over the joint at the base of the thumb. Thumb joint swelling / stiffness / bruising. Sensation of weakness or “giving way” of the thumb when pinching or gripping.

What is the lateral ulnar collateral ligament?

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.

How do you tell if you tore your ulnar collateral ligament?

Symptoms
  1. Swelling and bruising (after 24 hours) at the site of injury at the inner elbow and upper forearm, if there is an acute tear.
  2. Inability to throw at full speed or loss of ball control.
  3. Elbow stiffness or inability to straighten the elbow.
  4. Numbness or tingling in the ring and little fingers and hand.

How many ulnar collateral ligaments are there?

The MUCL is one of three ligaments that comprise the “medial ulnar collateral ligament complex” of the elbow with the posterior bundle (PB) and transverse ligament (TL) being the other two (Figure ​ 1).Jun 18, 2018

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.

When will the ICD-10-CM S53.449A be released?

The 2022 edition of ICD-10-CM S53.449A became effective on October 1, 2021.

What is the ICd 10 code for ulnar collateral ligament rupture?

Traumatic rupture of left ulnar collateral ligament, subsequent encounter 1 S53.32XD is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 Short description: Traumatic rupture of left ulnar collateral ligament, subs 3 The 2021 edition of ICD-10-CM S53.32XD became effective on October 1, 2020. 4 This is the American ICD-10-CM version of S53.32XD - other international versions of ICD-10 S53.32XD may differ.

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.

When will the ICD-10-CM S53.32XD be released?

The 2022 edition of ICD-10-CM S53.32XD became effective on October 1, 2021.

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.

When will the ICD-10-CM S63.641A be released?

The 2022 edition of ICD-10-CM S63.641A became effective on October 1, 2021.

What is the ICD code for a ruptured collat ligament?

ICD Code S63.419 is a non-billable code. To code a diagnosis of this type, you must use specify a 7th character that describes the diagnosis 'traum rupture of collat ligament of unsp finger at mcp/ip jt' in more detail. The 7th characters that can be added, and the resulting billable codes, are as follows:

What is a Stener lesion?

A Stener lesion is a type of traumatic injury to the thumb. It occurs when the aponeurosis of the adductor pollicis muscle becomes interposed between the ruptured ulnar collateral ligament (UCL) of the thumb and its site of insertion at the base of the proximal phalanx.

What is the 7th character extension?

The 7th character must always be the 7th position of a code. E.g.

What does "non billable" mean?

Non-Billable means the code is not sufficient justification for admission to an acute care hospital when used a principal diagnosis. Use a child code to capture more detail. 7th Character Required. 7th Character Required. Code requires 7th Character Extension identifier.

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.

When will the ICD-10-CM S63.411A be released?

The 2022 edition of ICD-10-CM S63.411A became effective on October 1, 2021.

What is the ICd 10 code for a sprain of the thumb?

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.

What is a sprain in the wrist?

A sprain is a stretched or torn ligament. Ligaments are tissues that connect bones at a joint. Falling, twisting, or getting hit can all cause a sprain. Ankle and wrist sprains are common. Symptoms include pain, swelling, bruising, and being unable to move your joint. You might feel a pop or tear when the injury happens.

What does "undetermined" mean in medical terms?

Clinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.

How to treat a sprain?

At first, treatment of both sprains and strains usually involves resting the injured area, icing it, wearing a bandage or device that compresses the area, and medicines. Later treatment might include exercise and physical therapy.

What is a strain in a muscle?

A strain is a stretched or torn muscle or tendon. Tendons are tissues that connect muscle to bone. Twisting or pulling these tissues can cause a strain. Strains can happen suddenly or develop over time. Back and hamstring muscle strains are common. Many people get strains playing sports. Symptoms include pain, muscle spasms, swelling, and trouble moving the muscle.

What causes the fingers to bend and stiffen?

Dupuytren's contracture - a hereditary thickening of the tough tissue that lies just below the skin of your palm. It causes the fingers to stiffen and bend. Trigger finger - an irritation of the sheath that surrounds the flexor tendons. It can cause the tendon to catch and release like a trigger.

What is the GEM crosswalk?

The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code S63.649D 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.

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