icd 9 code for hill sachs deformity

by Elenora Connelly II 8 min read

Hill-Sachs Lesion ICD-9. 812.00 (fracture of humerus, upper end, unspecified) 736.89 other deformity of arm or leg , no elsewhere classified. 733.90 other deformity of bone and cartilage, unspecified.

Hill-Sachs Lesion = Impression fracture of the posterolateral humeral head; produced by contact with the anteroinferior glenoid when dislocated.
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Hill-Sachs Lesion S42. 209A 733.89.
ICD-9Classification / Treatment
Xray / Diagnositc TestsReview References
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Full Answer

What is the ICD-9-CM code for surgery?

Short description: Joint dis NEC-shlder. ICD-9-CM 719.81 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 719.81 should only be used for claims with a date of service on or before September 30, 2015.

What does ICD-9-CM 719 mean?

 · In S43.01_ _, Anterior Dislocation of the Shoulder, the Includes note includes "avulsion of the joint or ligament," which would best define/characterize this lesion. The Hill-Sachs Lesion is an impaction/articular fracture of the humeral head, located on the back side (posterior aspect) of the humeral head; an indentation resulting from the back of the humeral head being …

What is the ICD 9 code for shoulder pain syndrome?

Billable Thru Sept 30/2015. Non-Billable On/After Oct 1/2015. ICD-9-CM 719.81 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 719.81 should only be used for claims with a date of service on or before September 30, 2015.

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What is the ICD-10 code for Hill Sachs deformity?

29.

What is the disorder for the code V60 89?

Housing and Economic ProblemsV60.0 (Z59.0)HomelessnessV60.1 (Z59.1)Inadequate HousingV60.89 (Z59.2)Discord With Neighbor, Lodger, or LandlordV60.6 (Z59.3)Problem Related to Living in a Residential InstitutionV60.2 (Z59.4)Lack of Adequate Food or Safe Drinking Water4 more rows•Nov 24, 2021

What does diagnosis code 7242 mean?

Lumbago7242 - ICD 9 Diagnosis Code - Lumbago - Market Size, Prevalence, Incidence, Quality Outcomes, Top Hospitals & Physicians. 720-724. 724.

What is the ICD-10 code for Bankart lesion?

490XA. Bankart lesion = avulsion of the anteroinferior capsulolabrum. Bony Bankart = fracture of the anteroinferior glenoid.

What does F43 23 mean?

23 – Adjustment Disorder with Mixed Anxiety and Depressed Mood. ICD-Code F43. 23 is a billable ICD-10 code used for healthcare diagnosis reimbursement of Adjustment Disorder with Mixed Anxiety and Depressed Mood. Its corresponding ICD-9 code is 309.28.

What does V code mean?

V codes, described in the ICD-9-CM chapter "Supplementary Classification of Factors Influencing Health Status and Contact with Health Services," are designed for occasions when circumstances other than a disease or injury result in an encounter or are recorded by providers as problems or factors that influence care.

What is diagnosis code Z13 220?

2022 ICD-10-CM Diagnosis Code Z13. 220: Encounter for screening for lipoid disorders.

What are ICD-9 procedure codes?

ICD-9-CM is the official system of assigning codes to diagnoses and procedures associated with hospital utilization in the United States. The ICD-9 was used to code and classify mortality data from death certificates until 1999, when use of ICD-10 for mortality coding started.

What is the ICD-9 code for low back pain?

Its corresponding ICD-9 code is 724.2. Code M54. 5 is the diagnosis code used for Low Back Pain (LBP).

What is a hill-Sachs deformity of the shoulder?

A Hill-Sachs lesion is a fracture in the long bone in the upper arm (humerus) that connects to the body at the shoulder. You doctor might have discovered this condition if you've experienced a dislocated shoulder. In this case, the arm bone slips out of the socket and is compressed against the socket's rim.

What is the CPT code for Hill-Sachs lesion repair?

Repair of a Bankart lesion can be accomplished by either an open procedure or arthroscopic technique. The CPT codes are as follows: 23455 – Capsulorrhaphy, anterior; with labral repair (Bankart procedure).

What causes Hill-Sachs deformity?

This occurs when the round humeral head is forcibly impacted on the edge of the glenoid, which causes compression fractures in the humeral head. This forms a dimple structure on the articular surface of the humerus - a Hill-Sachs lesion. This is always caused by dislocation, not only sublaxation.

What is Hill Sachs defect?

A Hill-Sachs defect is a posterolateral humeral head depression fracture, resulting from the impaction with the anterior glenoid rim, therefore indicative of an anterior glenohumeral dislocation. It is often associated with a Bankart lesion of the glenoid.

When a Hill-Sachs defect is identified careful assessment of the anterior glenoid should be undertaken to

When a Hill-Sachs defect is identified careful assessment of the anterior glenoid should be undertaken to assess for a Bankart lesion.

What is the effect of glenohumeral dislocation on the glenoid rim?

Anterior glenohumeral dislocation will lead to impaction of the posterolateral humeral head and anterior glenoid rim. Repeat dislocations can lead to further bony defects in both the humeral head and glenoid and the engaging Hill–Sachs defect is associated with decreased glenoid bone stock, glenoid rim fracture, and chronic instability 14 . Bankart lesions are up to 11x more common in patients with a Hill-Sachs lesion, with increasing incidence with increasing size 8 .

Is the humeral head neck junction a Hill-Sachs defect?

on abduction-internal rotation views, the physiological depression at humeral head-neck junction should not be mistaken for Hill-Sachs defect and is evident 2 cm from superior humeral head margin 15

Who first described the 'engaging' 'Hill-Sachs'?

The "engaging" Hill-Sachs was described by Burkhart and De Beer in 2000 10 .

Can a Hill Sachs lesion be filled?

The bony defect can be treated with bone grafting or placement of soft tissue within the defect, but this is generally reserved for large, engaging defects 6,7. Capsulotendinosis and filling of the Hill-Sachs lesion can be performed via open ( Connolly procedure) or arthroscopic ( remplissage) approaches 6,7 .

What is the ICd 10 code for upper arm deformities?

Other specified acquired deformities of right upper arm 1 M21.821 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 M21.821 became effective on October 1, 2020. 3 This is the American ICD-10-CM version of M21.821 - other international versions of ICD-10 M21.821 may differ.

When will the ICD-10-CM M21.821 be released?

The 2022 edition of ICD-10-CM M21.821 became effective on October 1, 2021.

What is Hill-Sachs lesion?

A Hill-Sachs lesion, or Hill-Sachs impaction fracture, is an injury to the back portion of the rounded top of your upper arm bone (humerus). This injury occurs when you dislocate your shoulder. It’s named for the two American radiologists who first described the injury in 1940: Harold Hill and Maurice Sachs.

What is the best way to diagnose Hill-Sachs lesion?

According to one study, MRI is the most helpful method in diagnosing a Hill-Sachs lesion and determining its size.

How to tell if your shoulder is dislocated?

Also, more than one part of your shoulder may be damaged in an injury. A dislocated shoulder requires emergency care. The symptoms of a dislocated shoulder are: intense pain. difficulty moving the joint. visible deformation of the shoulder, often with a bulge in the front of the joint. swelling or bruising.

How to diagnose a dislocated shoulder?

A doctor can diagnose a dislocated shoulder during a physical examination, but determining whether you have a Hill-Sachs lesion or other damage will require further testing. The doctor will ask how your shoulder injury occurred, whether it’s happened before, and what your symptoms are.

How much of the head of the humerus is affected by a shoulder lesion?

If the lesion is midsize, involving 20 to 40 percent of the head of the humerus, the treatment option will depend on whether the doctor determines your shoulder will be unstable if not treated.

What percentage of shoulder dislocations occur at home?

A 2010 study of 8,940 people with shoulder dislocations found that 58.8 percent of dislocations resulted from a fall. Of these cases, 47.7 percent occurred at home. And 34.5 percent occurred while playing sports or participating in some other type of recreation. Overall, 48.3 percent of all the dislocations occurred in sports or recreations.

Is a Hill-Sachs lesion good?

The outlook for recovery from a dislocated shoulder and a Hill-Sachs lesion is generally good. But a recurrence of a dislocation is common, especially in younger people.

When will the ICD-10-CM S42.29 be released?

The 2022 edition of ICD-10-CM S42.29 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.

What is the ICd 10 code for a fracture of the humerus?

S42.296S is a billable diagnosis code used to specify a medical diagnosis of other nondisplaced fracture of upper end of unspecified humerus, sequela. The code S42.296S 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 S42.296S might also be used to specify conditions or terms like articular cartilage disorder of upper arm, fracture of head of humerus, hill-sachs lesion or reverse hill-sachs lesion. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.#N#S42.296S is a sequela code, includes a 7th character and should be used for complications that arise as a direct result of a condition like other nondisplaced fracture of upper end of unspecified humerus. According to ICD-10-CM Guidelines a "sequela" code should be used for chronic or residual conditions that are complications of an initial acute disease, illness or injury. The most common sequela is pain. Usually, two diagnosis codes are needed when reporting sequela. The first code describes the nature of the sequela while the second code describes the sequela or late effect.#N#Unspecified diagnosis codes like S42.296S 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.

How are fractures of specified sites coded?

Fractures of specified sites are coded individually by site nd the level of detail furnished by medical record content. A fracture not indicated as open or closed should be coded to closed. A fracture not indicated whether displaced or not displaced should be coded to displaced.

What is the 7th character for open fracture?

The open fracture designations in the assignment of the 7th character for fractures of the forearm, femur and lower leg, including ankle are based on the Gustilo open fracture classification. When the Gustilo classification type is not specified for an open fracture, the 7th character for open fracture type I or II should be assigned (B, E, H, M, Q).

What is the most common sequela?

The most common sequela is pain. Usually, two diagnosis codes are needed when reporting sequela. The first code describes the nature of the sequela while the second code describes the sequela or late effect. Unspecified diagnosis codes like S42.296S are acceptable when clinical information is unknown or not available about a particular condition.

What is a broken bone called?

Also called: Broken bone. A fracture is a break, usually in a bone. If the broken bone punctures the skin, it is called an open or compound fracture. Fractures commonly happen because of car accidents, falls, or sports injuries. Other causes are low bone density and osteoporosis, which cause weakening of the bones.

Why are the shoulders unstable?

Your shoulders are the most movable joints in your body. They can also be unstable because the ball of the upper arm is larger than the shoulder socket that holds it. To remain in a stable or normal position, the shoulder must be anchored by muscles, tendons, and ligaments.

When was the ICd 10 code implemented?

FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)

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Terminology

  • A Hill-Sachs defect is the terminology of preferenceover other terms, such as Hill-Sachs lesions, and Hill-Sachs fractures 14. Repeat dislocations lead to larger defects, which can result in an "engaging" Hill-Sachs defect​, which engages the anterior glenoidwhen the shoulder is abducted and externally rotated 4 (see article: On-track and off-track shoulder lesions for further discussio…
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Pathology

  • Anterior glenohumeral dislocation will lead to impaction of the posterolateral humeral head and anterior glenoid rim. Repeat dislocations can lead to further bony defects in both the humeral head and glenoid and the engaging Hill–Sachs defect is associated with decreased glenoid bone stock, glenoid rim fracture, and chronic instability 14. Bankart lesions are up to 11x more comm…
See more on radiopaedia.org

Radiographic Features

  • When a Hill-Sachs defect is identified careful assessment of the anterior glenoid should be undertaken to assess for a Bankart lesion. 1. wedge shape defect in the posterolateral aspect of the humeral head 2. best appreciated on AP internal rotation view 3. smaller defects can be difficult to identify 4. on abduction-internal rotation views, the ph...
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Treatment and Prognosis

  • The bony defect itself often does not require treatment, however, the associated glenohumeral instability and coexistent anterior labralinjuries often do require surgical repair. The bony defect can be treated with bone grafting or placement of soft tissue within the defect, but this is generally reserved for large, engaging defects 6,7. Capsulotendinosis and filling of the Hill-Sach…
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History and Etymology

  • It was first described in 1940 by American radiologists Harold Arthur Hill (1901-1973)and Maurice David Sachs (1909–1987) 3,11,12. The "engaging" Hill-Sachs was described by Burkhart and De Beer in 2000 10.
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Differential Diagnosis

  1. hatchet sign of ankylosing spondylitis
  2. humeral head pseudolesion
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