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Wrist/Hand

Diagnosis

Procedure

ICD10-Right

ICD10-Left

Wrist
Pain
Stiffness
Sprain
Effusion
Contusion
Artificial Joint 

E/M Coding

Modifiers 

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 

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 

Hand
Pain
Stiffness
Sprain
Effusion
Contusion

E/M Coding
Modifiers 

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 

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 

Bennett's Fracture S62.213A

Bennett's Fracture ORIF 26665

CPT Coding

S62.211A Bennett's fracture, right hand, initial closed

S62.212A Bennett's fracture, left hand, initial closed

Carpal Boss M25.739 

Carpal Boss Excision 25130

CPT Coding

M25.741 - Osteophyte, right hand

M25.742 - Osteophyte, left hand

Carpal Tunnel syndrome (CTS) G56.00 

Carpal Tunnel Release 64721

CPT Coding

G56.01 - Carpal tunnel syndrome, right upper limb

G56.02 - Carpal tunnel syndrome, left upper limbw

Carpometacarpal Fracture - Dislocation S63.056A S62.109A S62.309A

Carpometacarpal Fracture-Dislocation CRPP 26676

CPT Coding

S63.054A - Dislocation of other carpometacarpal joint of right hand, initial encounter

S63.055A - Dislocation of other carpometacarpal joint of left hand, initial encounter

DeQuervain's Tenosynovitis M65.4 

deQuervain Release 25000

CPT Coding

M65.4

M65.4

DIP Arthritis M19.049 

DIP Arthrodesis 26860

CPT Coding

M19.041 - Primary osteoarthritis, right hand

M19.042 - Primary osteoarthritis, left hand

Distal Phalanx Fracture S62.523A 

Distal Phalanx Fracture Open Treatment 26765

CPT Coding

Distal Phalanx Fracture -  right

Distal Phalanx fracture - left

Distal Radius Fracture S52.539A

Distal Radius External Fixation 20690

Distal Radius Fracture CRPP 25606

Distal Radius ORIF 25607

CPT Coding

 

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

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

DRUJ Instability / Dislocation S63.016A

DRUJ Reconstruction 25676

CPT Coding

S63.011A - Subluxation of distal radioulnar joint of right wrist, initial encounter

S63.014A - Dislocation of distal radioulnar joint of right wrist, initial encounter

S63.012A - Subluxation of distal radioulnar joint of left wrist, initial encounter

S63.015A - Dislocation of distal radioulnar joint of left wrist, initial encounter

Dupuytren's Contracture M72.0

Dupuytren's Contracture Excision CPT 26123

CPT Coding

M72.0 - Palmar fascial fibromatosis [Dupuytren]

M72.0 - Palmar fascial fibromatosis [Dupuytren]

Extensor Tendon Injuries M66.249 S61.409A S66.929A

Extensor Tendon Repair 26410

CPT Coding

S66.22_A - Laceration of extensor at wrist and hand level, right
S56.42_A - Laceration of extensor at forearm level, right

S66.22_A - Laceration of extensor at wrist and hand level, left  

S56.42_A - Laceration of extensor at forearm level, left

Felon L03.019

 

L03.011 Cellulitis right finger

L03.012 Cellulitis left finger

Flexor Tendon Tenosynovitis M65.849

Flexor tendon sheath Irrigation and debridement 26020

CPT Coding

M65.041 - Abscess of tendon sheath, right hand

M65.841 Other synovitis and tenosynovitis, right hand

M65.042 - Abscess of tendon sheath, left hand

M65.842 Other synovitis and tenosynovitis, left hand

Ganglion Cyst M67.439

Ganglion Cyst Excision 25111

CPT Coding

M67.431 Ganglion, right wrist

M67.432 Ganglion, left wrist

Ganglion of Tendon Sheath M67.40

Ganglion of Tendon Sheath Excision 26160

CPT Coding

M67.441 Ganglion, right hand

M67.442 Ganglion, left hand

Jersey Finger S63.629A

 

S63.63_A Sprain interphalangeal joint right __finger, initial

S63.63_A Sprain interphalangeal joint left __ finger, initial

Mallet Finger M20.019

Mallet Finger Repair 26433  

Extension Block Pinning 26756

CPT Coding

M20.011 Mallet finger right finger(s)

M20.012 Mallet finger left finger(s)

Metacarpal Neck Fracture S62.339A

Metacarpal Neck Fracture ORIF / CRPP 26615

 

CPT Coding

Metacarpal neck fracture right ICD-10

S62.336A - Displaced fracture of neck of fifth metacarpal bone, right hand, initial encounter for closed fracture

Metacarpal neck fracture left ICD-10

S62.337A - Displaced fracture of neck of fifth metacarpal bone, left hand, initial encounter for closed fracture

Metacarpal Shaft Fracture S62.329A

Metacarpal Shaft Fracture ORIF 26615

CPT Coding

Metacarpal shaft fractrue right  ICD-10

Metacarpal shaft fractrue left  ICD-10

Mucous Cyst M19.049

Mucous Cyst Excision 26160

CPT Coding

M19.041 - Primary osteoarthritis, right hand

M19.042 - Primary osteoarthritis, left hand

Nail Bed Injury S61.229A

Nailbed Repair 11760

CPT Coding

with damage to nail, right ICD-10

with damage to nail, left ICD-10

Pain in finger(s)

 

M79.644

M79.645

Pain in hand

 

M79.641

M79.642

Pain in wrist

 

M25.531

M25.532

Phalangeal Shaft Fracture S62.509A S62.609A

Phalanx Fracture ORIF 26735

CPT Coding

Distal Phalanx Fracture - Right ICD-10
Middle Phalanx Fracture - Right ICD-10
Proximal Phalanx Fracture - Right ICD-10

Distal Phalanx Fracture - Left ICD-10

Middle Phalanx Fracture - Left ICD-10 

Proximal Phalanx Fracture - Left ICD-10

PIP Arthritis M19.049

 

M19.041 - Primary osteoarthritis, right hand

M19.042 - Primary osteoarthritis, left hand

Scaphoid Fracture S62.009A

Scaphoid ORIF 25628 

 

CPT Coding

Scaphoid Fracture - Right ICD-10

Scaphoid Fracture - Left ICD-10

Scapholunate Instability S63.519A

Scapholunate Ligament Repair 25320

CPT Coding

S63.511A Sprain carpal joint right wrist, initial

S63.512A Sprain carpal joint left wrist, initial

Thumb Basilar Joint Arthritis M19.049 

LRTI 25447

CPT Coding

M19.041 - Primary osteoarthritis, right hand

M19.042 - Primary osteoarthritis, left hand

Thumb MCP Dislocation S63.116A

Thumb MCP Reduction 26705

CPT Coding

S63.114A Dislocation metacarpophalangeal joint right thumb, initial

S63.115A Dislocation metacarpophalangeal joint left thumb, initial

Thumb Ulnar Collateral Ligament Injury S63.649A

 

S63.641A Sprain metacarpophalangeal joint right thumb, initial

S63.642A Sprain metacarpophalangeal joint left thumb, initial

Trigger Finger / Thumb M65.30 

Trigger Finger Release 26055

CPT Coding

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

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

Wrist Arthritis M19.039

Proximal Row Carpectomy 25215

4 Corner Fusion 25825

M19.031 Primary osteoarthritis, right wrist

M19.032 Primary osteoarthritis, left wrist

 

 

see 7th Character Coding

A=initial encounter, D=subsequent encounter, S=sequela