Diagnosis
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Procedure
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ICD10-Right
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ICD10-Left
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Wrist Pain Stiffness Sprain Effusion Contusion Artificial Joint
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E/M Coding
Modifiers
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M25.531 Pain in right wrist M25.631 Stiffness of right wrist S63.8X1A Sprain other right wrist and hand M25.431 Effusion, right wrist S60.211A Contusion of right wrist Z96.631 Presence of right artificial wrist joint
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M25.532 Pain in left wrist M25.632 Stiffness of left wrist S63.8X2A Sprain other left wrist and hand, M25.432 Effusion, left wrist S60.212A Contusion of left wrist, Z96.632 Presence of left artificial wrist joint
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Hand Pain Stiffness Sprain Effusion Contusion
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E/M Coding Modifiers
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M79.641 Pain in right hand M25.641 Stiffness of right hand S63.8X1A Sprain other right wrist and hand M25.441 Effusion, right hand S60.221A Contusion of right hand
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M79.642 Pain in left hand M25.642 Stiffness of left hand S63.8X2A Sprain other left wrist and hand, M25.442 Effusion, left hand S60.222A Contusion of left hand
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Bennett's Fracture S62.213A
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Bennett's Fracture ORIF 26665
CPT Coding
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S62.211A Bennett's fracture, right hand, initial closed
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S62.212A Bennett's fracture, left hand, initial closed
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Carpal Boss M25.739
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Carpal Boss Excision 25130
CPT Coding
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M25.741 - Osteophyte, right hand
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M25.742 - Osteophyte, left hand
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Carpal Tunnel syndrome (CTS) G56.00
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Carpal Tunnel Release 64721
CPT Coding
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G56.01 - Carpal tunnel syndrome, right upper limb
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G56.02 - Carpal tunnel syndrome, left upper limb
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Carpometacarpal Fracture - Dislocation S63.056A S62.109A S62.309A
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Carpometacarpal Fracture-Dislocation CRPP 26676
CPT Coding
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S63.054A - Dislocation of other carpometacarpal joint of right hand, initial encounter
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S63.055A - Dislocation of other carpometacarpal joint of left hand, initial encounter
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DeQuervain's Tenosynovitis M65.4
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deQuervain Release 25000
CPT Coding
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M65.4
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M65.4
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DIP Arthritis M19.049
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DIP Arthrodesis 26860
CPT Coding
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M19.041 - Primary osteoarthritis, right hand
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M19.042 - Primary osteoarthritis, left hand
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Distal Phalanx Fracture S62.523A
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Distal Phalanx Fracture Open Treatment 26765
CPT Coding
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Distal Phalanx Fracture - right
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Distal Phalanx fracture - left
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Distal Radius Fracture S52.539A
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Distal Radius External Fixation 20690
Distal Radius Fracture CRPP 25606
Distal Radius ORIF 25607
CPT Coding
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S52.501A - Unspecified fracture of the lower end of right radius, initial encounter for closed fracture
S52.531A - Colles' fracture of right radius, initial encounter for closed fracture
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S52.502A - Unspecified fracture of the lower end of left radius, initial encounter for closed fracture
S52.532A - Colles' fracture of left radius, initial encounter for closed fracture
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DRUJ Instability / Dislocation S63.016A
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DRUJ Reconstruction 25676
CPT Coding
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S63.011A - Subluxation of distal radioulnar joint of right wrist, initial encounter
S63.014A - Dislocation of distal radioulnar joint of right wrist, initial encounter
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S63.012A - Subluxation of distal radioulnar joint of left wrist, initial encounter
S63.015A - Dislocation of distal radioulnar joint of left wrist, initial encounter
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Dupuytren's Contracture M72.0
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Dupuytren's Contracture Excision CPT 26123
CPT Coding
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M72.0 - Palmar fascial fibromatosis [Dupuytren]
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M72.0 - Palmar fascial fibromatosis [Dupuytren]
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Extensor Tendon Injuries M66.249 S61.409A S66.929A
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Extensor Tendon Repair 26410
CPT Coding
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S66.22_A - Laceration of extensor at wrist and hand level, right S56.42_A - Laceration of extensor at forearm level, right
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S66.22_A - Laceration of extensor at wrist and hand level, left
S56.42_A - Laceration of extensor at forearm level, left
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Felon L03.019
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L03.011 Cellulitis right finger
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L03.012 Cellulitis left finger
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Flexor Tendon Tenosynovitis M65.849
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Flexor tendon sheath Irrigation and debridement 26020
CPT Coding
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M65.041 - Abscess of tendon sheath, right hand
M65.841 Other synovitis and tenosynovitis, right hand
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M65.042 - Abscess of tendon sheath, left hand
M65.842 Other synovitis and tenosynovitis, left hand
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Ganglion Cyst M67.439
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Ganglion Cyst Excision 25111
CPT Coding
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M67.431 Ganglion, right wrist
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M67.432 Ganglion, left wrist
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Ganglion of Tendon Sheath M67.40
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Ganglion of Tendon Sheath Excision 26160
CPT Coding
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M67.441 Ganglion, right hand
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M67.442 Ganglion, left hand
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Jersey Finger S63.629A
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S63.63_A Sprain interphalangeal joint right __finger, initial
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S63.63_A Sprain interphalangeal joint left __ finger, initial
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Mallet Finger M20.019
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Mallet Finger Repair 26433
Extension Block Pinning 26756
CPT Coding
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M20.011 Mallet finger right finger(s)
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M20.012 Mallet finger left finger(s)
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Metacarpal Neck Fracture S62.339A
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Metacarpal Neck Fracture ORIF / CRPP 26615
CPT Coding
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Metacarpal neck fracture right ICD-10
S62.336A - Displaced fracture of neck of fifth metacarpal bone, right hand, initial encounter for closed fracture
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Metacarpal neck fracture left ICD-10
S62.337A - Displaced fracture of neck of fifth metacarpal bone, left hand, initial encounter for closed fracture
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Metacarpal Shaft Fracture S62.329A
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Metacarpal Shaft Fracture ORIF 26615
CPT Coding
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Metacarpal shaft fractrue right ICD-10
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Metacarpal shaft fractrue left ICD-10
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Mucous Cyst M19.049
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Mucous Cyst Excision 26160
CPT Coding
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M19.041 - Primary osteoarthritis, right hand
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M19.042 - Primary osteoarthritis, left hand
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Nail Bed Injury S61.309A
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Nailbed Repair 11760
CPT Coding
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with damage to nail, right ICD-10
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with damage to nail, left ICD-10
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Pain in finger(s)
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M79.644
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M79.645
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Pain in hand
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M79.641
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M79.642
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Pain in wrist
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M25.531
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M25.532
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Phalangeal Shaft Fracture S62.509A S62.609A
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Phalanx Fracture ORIF 26735
CPT Coding
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Distal Phalanx Fracture - Right ICD-10 Middle Phalanx Fracture - Right ICD-10 Proximal Phalanx Fracture - Right ICD-10
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Distal Phalanx Fracture - Left ICD-10
Middle Phalanx Fracture - Left ICD-10
Proximal Phalanx Fracture - Left ICD-10
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PIP Arthritis M19.049
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M19.041 - Primary osteoarthritis, right hand
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M19.042 - Primary osteoarthritis, left hand
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Scaphoid Fracture S62.009A
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Scaphoid ORIF 25628
CPT Coding
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Scaphoid Fracture - Right ICD-10
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Scaphoid Fracture - Left ICD-10
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Scapholunate Instability S63.519A
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Scapholunate Ligament Repair 25320
CPT Coding
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S63.511A Sprain carpal joint right wrist, initial
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S63.512A Sprain carpal joint left wrist, initial
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Thumb Basilar Joint Arthritis M19.049
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LRTI 25447
CPT Coding
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M19.041 - Primary osteoarthritis, right hand
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M19.042 - Primary osteoarthritis, left hand
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Thumb MCP Dislocation S63.116A
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Thumb MCP Reduction 26705
CPT Coding
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S63.114A Dislocation metacarpophalangeal joint right thumb, initial
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S63.115A Dislocation metacarpophalangeal joint left thumb, initial
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Thumb Ulnar Collateral Ligament Injury S63.649A
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S63.641A Sprain metacarpophalangeal joint right thumb, initial
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S63.642A Sprain metacarpophalangeal joint left thumb, initial
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Trigger Finger / Thumb M65.30
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Trigger Finger Release 26055
CPT Coding
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M65.351 Trigger finger, right little
M65.311 Trigger thumb, right thumb
M65.321 Trigger finger, right index
M65.331 Trigger finger, right middle
M65.341 Trigger finger, right ring
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M65.342 Trigger finger, left ring
M65.352 Trigger finger, left little
M65.312 Trigger thumb, left thumb
M65.322 Trigger finger, left index
M65.332 Trigger finger, left middle
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Wrist Arthritis M19.039
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Proximal Row Carpectomy 25215
4 Corner Fusion 25825
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M19.031 Primary osteoarthritis, right wrist
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M19.032 Primary osteoarthritis, left wrist
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see 7th Character Coding
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A=initial encounter, D=subsequent encounter, S=sequela
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