ICD-9 | Classification / Treatment |
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Etiology / Epidemiology / Natural History | Associated Injuries / Differential Diagnosis |
Anatomy | Complications |
Clinical Evaluation | Follow-up Care |
Xray / Diagnositc Tests | Review References |
I typically code GLAD lesions using the ICD-9 code 840.8, but in the case of a degenerative-type tear/lesion, I feel that your doctor's suggestion would be the more appropriate coding. But to answer your question, I code the GLAD lesions using ICD-9 code 840.8.
Reverse Hill-Sachs lesion has been described in patients with posterior shoulder instability. Glenoid bone loss is typically associated with the Hill-Sachs lesion in patients with recurrent anterior shoulder instability. The lesion is a bipolar injury, and identification of concomitant glenoid bone loss is essential to optimize clinical outcome.
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. In the long-term, about one-third of people who have surgery for a dislocated shoulder will develop shoulder arthritis.
Shoulder lesion, unspecified, right shoulder M75.91 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2021 edition of ICD-10-CM M75.91 became effective on October 1, 2020. This is the American ICD-10-CM version of M75.91 - other ...
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
ICD-10 Code for Subluxation and dislocation of shoulder joint- S43. 0- Codify by AAPC.
S43. 004A - Unspecified dislocation of right shoulder joint [initial encounter] | ICD-10-CM.
An “unspecified” code means that the condition is unknown at the time of coding. An “unspecified” diagnosis may be coded more specifically later, if more information is obtained about the patient's condition.
Dislocation is injury to a joint that causes adjoining bones to no longer touch each other. Subluxation is a minor or incomplete dislocation in which the joint surfaces still touch but are not in normal relation to each other.
One of the most common labral injuries is known as a Bankart lesion. This condition occurs when the labrum pulls off the front of the socket. This occurs most often when the shoulder dislocates. If a Bankart tear doesn't heal properly, it can cause future dislocations, instability, weakness and pain.
Anterior dislocation of unspecified sternoclavicular joint The 2022 edition of ICD-10-CM S43. 216 became effective on October 1, 2021.
Bankart lesion = avulsion of the anteroinferior capsulolabrum. Bony Bankart = fracture of the anteroinferior glenoid.
ICD-10-CM Code for Complete rotator cuff tear or rupture of right shoulder, not specified as traumatic M75. 121.
According to ICD-10-CM Official Guidelines for Coding and Reporting FY 2018, “unspecified codes are to be used when the information in the medical record is insufficient to assign a more specific code.” In my opinion, this can be the case with testing, when lab work or cultures do not support the more specific code.
An example of "other specified" might be a depressive episode that does not have the full number of symptoms to meet the formal diagnosis. By contrast, "unspecified" might be used in a situation in which there isn't enough information to make a more specific diagnosis.
Do not code diagnoses documented as “probable,” “suspected,” “questionable,” “rule out,” “working diagnosis,” or other similar terms because they indicate uncertainty.
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.
According to one study, MRI is the most helpful method in diagnosing a Hill-Sachs lesion and determining its size.
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.
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.
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.
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.
The 2022 edition of ICD-10-CM S42.29 became effective on October 1, 2021.
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.