M65. 4 - Radial styloid tenosynovitis [de Quervain] | ICD-10-CM.
For this surgical incision, you would look to code 25000 (Incision, extensor tendon sheath, wrist [e.g., De Quervains disease]).
Transient synovitis, right wrist M67. 331 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 M67. 331 became effective on October 1, 2021.
ICD-10-CM Code for Other specified disorders of tendon, right wrist M67. 833.
ICD-10 code: M65. 4 Radial styloid tenosynovitis [de Quervain]
De Quervain's tendinosis is a painful swelling (inflammation) of specific tendons of the thumb. The condition is also known as de Quervain tendinitis or de Quervain's tenosynovitis. DeQuervain's was named after the Swiss surgeon who first described the condition in 1895.
M65. 841 - Other synovitis and tenosynovitis, right hand | ICD-10-CM.
M25. 531 Pain in right wrist - ICD-10-CM Diagnosis Codes.
Synovitis is a common condition meaning inflammation of the synovial lining of a joint or tendon sheath (the tunnel the tendon runs through). Tendon sheath synovitis is referred to as tenosynovitis. It is a generalised response of that particular tissue (the synovial lining) to a local problem e.g. injury or infection.
M67. 834 - Other specified disorders of tendon, left wrist | ICD-10-CM.
M25. 532 Pain in left wrist - ICD-10-CM Diagnosis Codes.
Wrist tendinitis (tendonitis) is inflammation in the tough tissues of your wrist that connect the muscles of your forearm to bones in your hand. There are about six tendons in your wrist that help you control your wrist, hand and fingers.
Your Recovery De Quervain's (say "duh-kair-VAZ") tendon release is surgery to reduce pressure on a tendon that runs along the side of the wrist near the thumb. The doctor made a cut, called an incision, in the skin on the side of your wrist near the base of your thumb.
Group 1CodeDescription20526INJECTION, THERAPEUTIC (EG, LOCAL ANESTHETIC, CORTICOSTEROID), CARPAL TUNNEL20527INJECTION, ENZYME (EG, COLLAGENASE), PALMAR FASCIAL CORD (IE, DUPUYTREN'S CONTRACTURE)20550INJECTION(S); SINGLE TENDON SHEATH, OR LIGAMENT, APONEUROSIS (EG, PLANTAR "FASCIA")6 more rows
Open carpal tunnel release (CPT 64721) is a Group 2 procedure, reimbursed at $446, nearly three times less than the endoscopic procedure. It was around this time that more surgeons began discovering the benefits of minimally invasive surgical techniques for carpal tunnel release.
First dorsal compartment release is a surgical procedure that involves releasing the tendon sheath to relieve the constriction of the tendons as they pass though the sheath. During the procedure, an incision is made just below the tip of the radial styloid, and the first dorsal compartment is opened.
Injuries to the wrist, hand and fingers S60-S69 1 S60 Superficial injury of wrist, hand and fingers 2 S61 Open wound of wrist, hand and fingers 3 S62 Fracture at wrist and hand level 4 S63 Dislocation and sprain of joints and ligaments at wrist and hand level 5 S64 Injury of nerves at wrist and hand level 6 S65 Injury of blood vessels at wrist and hand level 7 S66 Injury of muscle, fascia and tendon at wrist and hand level 8 S67 Crushing injury of wrist, hand and fingers 9 S68 Traumatic amputation of wrist, hand and fingers 10 S69 Other and unspecified injuries of wrist, hand and finger (s)
S63 Dislocation and sprain of joints and ligaments at wrist and hand level
S64.0 Injury of ulnar nerve at wrist and hand level...
Other synovitis and tenosynovitis, right hand 1 M65.841 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 The 2021 edition of ICD-10-CM M65.841 became effective on October 1, 2020. 3 This is the American ICD-10-CM version of M65.841 - other international versions of ICD-10 M65.841 may differ.
The 2022 edition of ICD-10-CM M65.841 became effective on October 1, 2021.
De Quervain’s is diagnosed by means of a Finkelstein’s Test, in which the patient makes a fist and the provider pulls the wrist away from the thumb. Pain is a typical indicator of De Quervain’s. Preliminary or stop-gap treatment may include fitting to a short-arm splint or cast.
Hand weakness or stiffness, especially with regard to grip strength.
A wrist defect often requiring surgical intervention is scapholunate advanced collapse (SLAC.) SLAC is a condition of progressive instability that causes advanced radiocarpal and midcarpal osteoarthritis. SLAC describes a specific pattern of progressive subluxation with loss of articulation between the scaphoid and lunate bones. SLAC usually results from trauma to the wrist, but may be caused by a degenerative process such as calcinosis or as a sequela of a prior injury. SLAC is estimated to account for more than half of all non-traumatic wrist osteoarthritis cases.#N#Signs and symptoms of SLAC include:
The wrist, or carpus, contains eight carpal bones. There are three bones in the proximal row (scaphoid, lunate, and triquetrum) and five bones in the distal row (trapezium, trapezoid, capitate, hamate, and pisiform). The trapezium is also known as the greater multangular, the trapezoid as the lesser multangular, and the scaphoid as the navicular bone.#N#In ICD-10-CM, most wrist conditions coded from chapter 13 (M codes) have a “3” in the fifth position of the code such as M19.031 Primary osteoarthritis, right wrist. Common conditions of the wrist and distal radius from chapters 13 and 19 (M and S codes) are:
Coding fracture of carpal bone (S62.1- Fracture of other and unspecified carpal bone (s)) when the diagnosis is a distal radius fracture (S52.5- Fracture of lower end of radius ).
De Quervain’s disease (radial styloid tenosynovitis) is an inflammation of the first dorsal extensor compartment; this is entrapment tendinitis causing tendon thickening, which leads to restricted motion and a grinding sensation with tendon movement (crepitus).
The wrist is classified as an “intermediate” joint, but consists of many intricate structures and bones. Accurate coding of wrist diagnoses, services, and procedures requires a solid working knowledge of wrist, hand, and distal forearm anatomy.