Common Hand Surgery diagnoSiS CodeS – iCd-10
This is a list of common codes for diagnoses about the hand and wrist. This is not an exhaustive list of all upper extremity codes.
FormaT of iCd-10:
ICD-10 codes have 3-7 digits (varies per code/diagnosis)
Format is XXX.XXXX
First is letter, second is number, remainder are letter or number; not case-sensitive
Some codes require a seventh character but not a fifth or sixth, so a ‘placeholder’ “X” is used (example: T84.9xxA)
FormaT oF THiS LiST:
For each ICD-10 code, use the list immediately below the code to “complete” the code (“fill in the blanks”). One must carry each code to the last character listed, unless otherwise
stated. The leftmost column lists the similar ICD-9 Code. This is not always a direct translation so read the description and use the correct code.
abbreviations for Fingers: r=right, L=left; 1=thumb, 2=index, 3=long/middle, 4=ring, 5=small/little.
example: initial encounter for a grade 3 open left Colles’ fracture = S52.5
S52.5_ _ _ Fracture of lower end of radius
FIFTH CHARACTER 0=unspecified, 1=radial styloid, 2=torus, 4=Smith’s, 5=Other Extraarticular, 6=Barton’s, 7=Other Intraarticular, 9=Other Fracture
SIXTH CHARACTER 1=right, 9=unspecified; FOR RADIAL STYLOID: 1=displaced right, 2=displaced left, 3=displaced unspecified, 4=nondisplaced right, 5=nondisplaced left, 6=nondisplaced unspecified SEVENTH CHARACTER Initial fracture encounter (a=closed, B=open grade 1 or 2, ); Subsequent encounters: Routine Healing (d=closed, e=open 1 or 2, F=open 3),
Delayed Healing (g=closed, H=open 1 or 2, J=open 3), Nonunion (K=closed, m=open 1 or 2, n=open 3), Malunion (P=closed, Q=open 1 or 2, r=open 3); S=Sequela for torus: Initial fracture encounter (a=closed); Subsequent encounters: d=Routine Healing, g=Delayed Healing, K=Nonunion, P=Malunion; S=Sequela
For some fractures, the SevenTH CHaraCTer list is lengthy as seen here; for other fractures the list is more concise; use the list shown with each code.
A - initial encounter for closed fracture
B - initial encounter for open fracture type I or II
C - initial encounter for open fracture type IIIA, IIIB, or IIIC
D - subsequent encounter for closed fracture with routine healing
E - subsequent encounter for open fracture type I or II with routine healing
F - subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
G - subsequent encounter for closed fracture with delayed healing
H - subsequent encounter for open fracture type I or II with delayed healing
J - subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
K - subsequent encounter for closed fracture with nonunion
M - subsequent encounter for open fracture type I or II with nonunion
N - subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
P - subsequent encounter for closed fracture with malunion
Q - subsequent encounter for open fracture type I or II with malunion
R - subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
S - sequela
3=Colles’, 2=left,
32C
Fractures
iCd-9 Code iCd-10 Codes
d istal r adius F rac tur es
813 S52.5_ _ _ Fracture of lower end of radius
FIFTH CHARACTER 0=unspecified, 1=radial styloid, 2=torus, 3=Colles’, 4=Smith’s, 5=Other Extraarticular, 6=Barton’s, 7=Other Intraarticular, 9=Other Fracture
SIXTH CHARACTER 1=right, 2=left, 9=unspecified; FOR RADIAL STYLOID: 1=displaced right, 2=displaced left, 3=displaced unspecified, 4=nondisplaced right, 5=nondisplaced left, 6=nondisplaced unspecified
SEVENTH CHARACTER Initial fracture encounter (a=closed, B=open grade 1 or 2, C= open grade 3); Subsequent encounters: Routine Healing (d=closed, e=open 1 or 2, F=open 3) Delayed Healing (g=closed, H=open 1 or 2, J=open 3), Nonunion (K=closed, m=open 1 or 2, n=open 3), Malunion (P=closed, Q=open 1 or 2, r=open 3); S=Sequela for torus: Initial fracture encounter (a=closed); Subsequent encounters: d=Routine Healing, g=Delayed Healing, K=Nonunion, P=Malunion; S=Sequela
S59.2_ _ _ Physeal fracture of lower end of radius
FIFTH CHARACTER 0=unspecified, 1=Salter-Harris I, 2=S-H II, 3=S-H III, 4=S-H IV, 9=other
SIXTH CHARACTER 1=right, 2=left, 9=unspecified
SEVENTH CHARACTER a=Initial fracture encounter; Subsequent encounters: d=Routine Healing, g=Delayed Healing, K=Nonunion, P=Malunion; S=Sequela
S52.6_ _ _ Fracture of lower end of ulna
FIFTH CHARACTER 0=unspecified, 1=ulnar styloid, 2=torus, 9=other
SIXTH CHARACTER 1=right, 2=left, 9=unspecified; FOR ULNAR STYLOID: 1=displaced right, 2=displaced left, 3=displaced unspecified, 4=nondisplaced right, 5=nondisplaced left, 6=nondisplaced unspecified
SEVENTH CHARACTER Initial fracture encounter (a=closed, B=open grade 1 or 2, C= open grade 3); Subsequent encounters: Routine Healing (d=closed, e=open 1 or 2, F=open 3) Delayed Healing (g=closed, H=open 1 or 2, J=open 3), Nonunion (K=closed, m=open 1 or 2, n=open 3), Malunion (P=closed, Q=open 1 or 2, r=open 3); S=Sequela for torus: Initial fracture encounter (a=closed); Subsequent encounters: d=Routine Healing, g=Delayed Healing, K=Nonunion, P=Malunion; S=Sequela
r adial Head/ n eck Fr ac tur es
813.05 S52.12_ _ Fracture of head of radius
SIXTH CHARACTER 1=displaced right, 2=displaced left, 3=displaced unspecified, 4=nondisplaced right, 5=nondisplaced left, 6=nondisplaced unspecified
SEVENTH CHARACTER Initial fracture encounter (a=closed, B=open grade 1 or 2, C= open grade 3); Subsequent encounters: Routine Healing (d=closed, e=open 1 or 2, F=open 3) Delayed Healing (g=closed, H=open 1 or 2, J=open 3), Nonunion (K=closed, m=open 1 or 2, n=open 3), Malunion (P=closed, Q=open 1 or 2, r=open 3); S=Sequela
S52.13_ _ Fracture of neck of radius
SIXTH CHARACTER 1=displaced right, 2=displaced left, 3=displaced unspecified, 4=nondisplaced right, 5=nondisplaced left, 6=nondisplaced unspecified
SEVENTH CHARACTER Initial fracture encounter (a=closed, B=open grade 1 or 2, C= open grade 3); Subsequent encounters: Routine Healing (d=closed, e=open 1 or 2, F=open 3) Delayed Healing (g=closed, H=open 1 or 2, J=open 3), Nonunion (K=closed, m=open 1 or 2, n=open 3), Malunion (P=closed, Q=open 1 or 2, r=open 3); S=Sequela
Sc
aphoid F
rac
tur
es 814.01 S62.00_ _ unspecified fracture of navicular [scaphoid] bone of wrist
SIXTH CHARACTER 1=right, 2=left, 9=unspecified
SEVENTH CHARACTER Initial fracture encounter (a=closed, B=open); Subsequent encounters: d=Routine Healing, g=Delayed Healing, K=Nonunion, P=Malunion; S=Sequela
S62.0_ _ _ Specific Fracture of navicular [scaphoid] bone of wrist
FIFTH CHARACTER 1=distal pole, 2=middle third, 3=proximal third
SIXTH CHARACTER 1=displaced right, 2=displaced left, 3=displaced unspecified side; 4=nondisplaced R, 5=nondisplaced L, 6=nondisplaced unspecified side
SEVENTH CHARACTER Initial fracture encounter (a=closed, B=open); Subsequent encounters: d=Routine Healing, g=Delayed Healing, K=Nonunion, P=Malunion; S=Sequela
o ther C arpal B one Fr ac tur es
814 S62.10_ _ Fracture of unspecified carpal bone of wrist (not scaphoid)
SIXTH CHARACTER 1=right, 2=left, 9=unspecified
SEVENTH CHARACTER Initial fracture encounter (a=closed, B=open); Subsequent encounters: d=Routine Healing, g=Delayed Healing, K=Nonunion, P=Malunion; S=Sequela
S62.1_ _ _ Fracture of specific carpal bone of wrist (not scaphoid)
FIFTH CHARACTER 1=triquetrum, 2=lunate, 3=capitate, 4=hamate body, 5=hamate hook, 6=pisiform, 7=trapezium, 8=trapezoid
SIXTH CHARACTER 1=displaced right, 2=displaced left, 3=displaced unspecified, 4=nondisplaced right, 5=nondisplaced left, 6=nondisplaced unspecified
Fractures
iCd-9 Code iCd-10 Codes
m etac arpal F rac tur es
815 S62.20_ _ unspecified fracture of first metacarpal bone
SIXTH CHARACTER 1=right, 2=left, 9=unspecified
SEVENTH CHARACTER Initial fracture encounter (a=closed, B=open); Subsequent encounters: d=Routine Healing, g=Delayed Healing, K=Nonunion, P=Malunion; S=Sequela
S62.21_ _ Bennett’s fracture
SIXTH CHARACTER 1=right, 2=left, 3=unspecified
SEVENTH CHARACTER Initial fracture encounter (a=closed, B=open); Subsequent encounters: d=Routine Healing, g=Delayed Healing, K=Nonunion, P=Malunion; S=Sequela
S62.2_ _ _ Fracture of first metacarpal bone
FIFTH CHARACTER 2=Rolando’s, 3=base, 4=shaft, 5=neck
SIXTH CHARACTER 1=displaced right, 2=displaced left, 3=displaced unspecified side, 4=nondisplaced right, 5=nondisplaced left, 6=nondisplaced unspecified side
SEVENTH CHARACTER Initial fracture encounter (a=closed, B=open); Subsequent encounters: d=Routine Healing, g=Delayed Healing, K=Nonunion, P=Malunion; S=Sequela
S62.29_ _ other fracture of first metacarpal bone
SIXTH CHARACTER 1=right, 2=left, 9=unspecified
SEVENTH CHARACTER Initial fracture encounter (a=closed, B=open); Subsequent encounters: d=Routine Healing, g=Delayed Healing, K=Nonunion, P=Malunion; S=Sequela
S62.3_ _ _ Fracture of other and unspecified metacarpal bone
FIFTH CHARACTER 0=unspecified, 1=displaced base, 2=displaced shaft, 3=displaced neck, 4=nondisplaced base, 5=nondisplaced shaft, 6=nondisplaced neck, 9=other
SIXTH CHARACTER 0=R2, 1=L2, 2=R3, 3=L3, 4=R4, 5=L4, 6=R5, 7=L5, 8=OTHER, 9=UNSPECIFIED
SEVENTH CHARACTER Initial fracture encounter (a=closed, B=open); Subsequent encounters: d=Routine Healing, g=Delayed Healing, K=Nonunion, P=Malunion; S=Sequela
Phalanx F
rac
tur
es
816 S62.50_ _ Fracture of unspecified phalanx of thumb
SIXTH CHARACTER 1=right, 2=left, 9=unspecified
SEVENTH CHARACTER Initial fracture encounter (a=closed, B=open); Subsequent encounters: d=Routine Healing, g=Delayed Healing, K=Nonunion, P=Malunion; S=Sequela
S62.5_ _ _ Fracture of specific phalanx of thumb
FIFTH CHARACTER 1=proximal phalanx, 2=distal phalanx
SIXTH CHARACTER 1=displaced right, 2=displaced left, 3=displaced unspecified side, 4=nondisplaced right, 5=nondisplaced left, 6=nondisplaced unspecified side
SEVENTH CHARACTER Initial fracture encounter (a=closed, B=open); Subsequent encounters: d=Routine Healing, g=Delayed Healing, K=Nonunion, P=Malunion; S=Sequela
S62.60_ _ Fracture of unspecified phalanx of finger
SIXTH CHARACTER 0=R2, 1=L2, 2=R3, 3=L3, 4=R4, 5=L4, 6=R5, 7=L5, 8=OTHER, 9=UNSPECIFIED
SEVENTH CHARACTER Initial fracture encounter (a=closed, B=open); Subsequent encounters: d=Routine Healing, g=Delayed Healing, K=Nonunion, P=Malunion; S=Sequela
S62.6_ _ _ Fracture of specific phalanx of finger
FIFTH CHARACTER 1=displaced proximal phalanx, 2=displaced middle phalanx, 3=displaced distal phalanx, 4=nondisplaced proximal phalanx, 5=nondisplaced middle phalanx, 6=nondisplaced distal phalanx
SIXTH CHARACTER 0=R2, 1=L2, 2=R3, 3=L3, 4=R4, 5=L4, 6=R5, 7=L5, 8=OTHER, 9=UNSPECIFIED
Joints/Sprains
iCd-9 Code iCd-10 Codes
Subluxa tions , d isloc ations , Spr ains of d igits
834 S63.2_ _ _ Subluxation and dislocation of other finger(s) (not thumb)
FIFTH CHARACTER SUBLUXATION: 0=unspecified, 1=MPJ, 2=any IPJ, 3=PIP, 4=DIP; DISLOCATION: 5=unspecified, 6=MPJ, 7=any IPJ, 8=PIP, 9=DIP SIXTH CHARACTER 0=R2, 1=L2, 2=R3, 3=L3, 4=R4, 5=L4, 6=R5, 7=L5, 8=OTHER, 9=UNSPECIFIED
SEVENTH CHARACTER a=initial encounter, d=subsequent encounter, S=sequela
S63.4_ _ _ Traumatic rupture of ligament of finger at metacarpophalangeal and interphalangeal joint(s) (mP or iP is not specified)
FIFTH CHARACTER 0=unspecified ligament, 1=collateral ligament, 2=palmar ligament, 3=volar plate, 9=other ligament
SIXTH CHARACTER 0=R2, 1=L2, 2=R3, 3=L3, 4=R4, 5=L4, 6=R5, 7=L5, 8=OTHER, 9=UNSPECIFIED
SEVENTH CHARACTER a=initial encounter, d=subsequent encounter, S=sequela
842.1 S63.6_ _ _ other and unspecified sprain of thumb/finger(s)
FIFTH CHARACTER THUMB: 0=unspecified, 2=IP, 4=MP, 8=other; FINGER: 1=unspecified, 3=IP, 5=MP, 9=other
SIXTH CHARACTER THUMB: 1=R1, 2=L1, 9=unspecified; FINGER: 0=R2, 1=L2, 2=R3, 3=L3, 4=R4, 5=L4, 6=R5, 7=L5, 8=OTHER, 9=UNSPECIFIED SEVENTH CHARACTER a=initial encounter, d=subsequent encounter, S=sequela
Join
t d
er
angemen
t 718 m24._ _ _ other specific joint derangements of elbow, wrist, handFOURTH CHARACTER 0=loose body, 1=other articular cartilage disorders, 2=disorder of ligament, 3=pathologic dislocation, 4=recurrent dislocation, 5=contracture, 6=ankylosis, 8=other
FIFTH CHARACTER 2=elbow, 3=wrist, 4=hand
SIXTH CHARACTER 1=right, 2=left, 9=unspecified 716.13 m12.53_ Traumatic arthropathy, wrist
SIXTH CHARACTER 1=right, 2=left, 9=unspecified 733.49 m93.1 Kienbock’s disease of adults
(no additional characters)
W rist Subluxa tion/ d isloc ation
833 S63.0_ _ _ Subluxation and dislocation of wrist joints
FIFTH CHARACTER 0=unspecified, 1=DRUJ, 2=radiocarpal, 3=midcarpal, 4=thumb CMC, 5=other CMC, 6=proximal metacarpal, 7=distal ulna, 9=other
SIXTH CHARACTER Subluxation: 1=right, 2=left, 3=unspecified; Dislocation: 4=right, 5=left, 6=unspecified SEVENTH CHARACTER a=initial encounter, d=subsequent encounter, S=sequela
Shoulder
impingemen
t 726.1 m75.4_ impingement syndrome of shoulder
FIFTH CHARACTER 0=unspecified, 1=right, 2=left
masses
m
asses
215.2 d21.1_ Benign neoplasm of connective and other soft tissue of upper limb
FIFTH CHARACTER 0=unspecified, 1=right. 2=left
239.2 d49.2 neoplasm of unspecified behavior of bone, soft tissue, and skin
(no additional characters)
727.41 727.42
m67.4_ _ ganglion (joint or tendon)
arthritis
iCd-9 Code iCd-10 Codes
Thumb Cm
C 715.14 m18._ _ osteoarthritis of first carpometacarpal joint
FOURTH CHARACTER 0=bilateral primary, 1=unilateral primary, 2=bilateral post-traumatic, 3=unilateral post-traumatic, 4=other bilateral secondary, 5=other unilateral secondary, 9=unspecified FIFTH CHARACTER use only for unilateral FOURTH character: 0=unspecified, 1=right, 2=left
o
st
eoar
thritis
715.14 m19.0_ _ _ Primary osteoarthritis, elbow, wrist, hand
FOURTH CHARACTER 0=primary, 1=post-traumatic FIFTH CHARACTER 2=elbow, 3=wrist, 4=hand
SIXTH CHARACTER 1=right, 2=left, 9=unspecified 715.04 m15._ Polyosteoarthritis
FOURTH CHARACTER 0=primary generalized osteoarthritis, 1=Heberden’s nodes, 2=Bouchard’s nodes, 3=secondary multiple arthritis (post-traumatic), 4=erosive, 5=other, 9=unspecified
r heuma toid a rthritis 714.0 rheumatoid arthritis
m05.4_ _ Rheumatoid myopathy with rheumatoid arthritis
FIFTH CHARACTER 0=unspecified site, 9= multiple sites, 1=shoulder, 2=elbow, 3=wrist, 4=hand.
SIXTH CHARACTER ONLY IF FIFTH CHARACTER IS 1, 2, 3 or 4, must use SIXTH CHARACTER: 1=right, 2=left, 9=unspecified
m05.5_ _ Rheumatoid polyneuropathy with rheumatoid arthritis
FIFTH CHARACTER 0=unspecified site, 9= multiple sites, 1=shoulder, 2=elbow, 3=wrist, 4=hand.
SIXTH CHARACTER ONLY IF FIFTH CHARACTER IS 1, 2, 3 or 4, must use SIXTH CHARACTER: 1=right, 2=left, 9=unspecified
m05.7_ _ Rheumatoid arthritis with rheumatoid factor without organ or systems involvement FIFTH CHARACTER 0=unspecified site, 9= multiple sites, 1=shoulder, 2=elbow, 3=wrist, 4=hand.
SIXTH CHARACTER ONLY IF FIFTH CHARACTER IS 1, 2, 3 or 4, must use SIXTH CHARACTER: 1=right, 2=left, 9=unspecified
m05.8_ _ Other rheumatoid arthritis with rheumatoid factor
FIFTH CHARACTER 0=unspecified site, 9= multiple sites, 1=shoulder, 2=elbow, 3=wrist, 4=hand.
SIXTH CHARACTER ONLY IF FIFTH CHARACTER IS 1, 2, 3 or 4, must use SIXTH CHARACTER: 1=right, 2=left, 9=unspecified
m05.9 Rheumatoid arthritis with rheumatoid factor, unspecified (no additional characters)
m06.0_ _ Rheumatoid arthritis without rheumatoid factor
FIFTH CHARACTER 0=unspecified site, 9= multiple sites, 1=shoulder, 2=elbow, 3=wrist, 4=hand.
SIXTH CHARACTER ONLY IF FIFTH CHARACTER IS 1,2,3 or 4, must use SIXTH CHARACTER: 1=right, 2=left, 9=unspecified
m06.2_ _ Rheumatoid bursitis
FIFTH CHARACTER 0=unspecified site, 9= multiple sites, 1=shoulder, 2=elbow, 3=wrist, 4=hand.
SIXTH CHARACTER ONLY IF FIFTH CHARACTER IS 1, 2, 3 or 4, must use SIXTH CHARACTER: 1=right, 2=left, 9=unspecified
m06.3_ _ Rheumatoid nodule
FIFTH CHARACTER 0=unspecified site, 9= multiple sites, 1=shoulder, 2=elbow, 3=wrist, 4=hand.
SIXTH CHARACTER ONLY IF FIFTH CHARACTER IS 1, 2, 3 or 4, must use SIXTH CHARACTER: 1=right, 2=left, 9=unspecified
m06.80_ _ Other specified rheumatoid arthritis
FIFTH CHARACTER 0=unspecified site, 9= multiple sites, 1=shoulder, 2=elbow, 3=wrist, 4=hand.
SIXTH CHARACTER ONLY IF FIFTH CHARACTER IS 1, 2, 3 or 4, must use SIXTH CHARACTER: 1=right, 2=left, 9=unspecified
m06.9 Rheumatoid arthritis, unspecified
injury/Crush
iCd-9 Code iCd-10 Codes
Tendon
injur
y 883 S66._ _ _ _ injury of muscle, fascia and tendon at wrist and hand level
FOURTH CHARACTER 0=thumb flexor, 1=finger flexor, 2=thumb extensor, 3=finger extensor, 4=thumb intrinsic, 5=finger intrinsic, 8=other, 9=unspecified FIFTH CHARACTER 0=unspecified, 1=strain, 2=laceration, 9=other
SIXTH CHARACTER THUMB: 1=R1, 2=L1, 9=unspecified; FINGER: 0=R2, 1=L2, 2=R3, 3=L3, 4=R4, 5=L4, 6=R5, 7=L5, 8=OTHER, 9=UNSPECIFIED SEVENTH CHARACTER a=initial encounter, d=subsequent encounter, S=sequela
C
on
tusion
923 S60._ _ _ _ Contusion of wrist, hand and fingers
FOURTH CHARACTER 0=finger without nail damage, 1=finger with nail damage, 2=wrist/hand
FIFTH CHARACTER FINGERS: 0=unspecified, 1=thumb, 2=index, 3=middle, 4=ring, 5=small; WRIST/HAND: 1=wrist, 2=hand SIXTH CHARACTER 1=right, 2=left, 9=unspecified
SEVENTH CHARACTER a=initial encounter, d=subsequent encounter, S=sequela
injur
y
S60._ _ _ _ abrasion/Foreign Body/Bite of wrist, hand and fingers
FOURTH CHARACTER 3=thumb, 4=fingers, 5=hand
FIFTH CHARACTER 1=abrasion, 2=blister, 5=foreign body, 6=nonvenomous insect bite, 7=other bite
SIXTH CHARACTER THUMB or HAND: 1=right, 2=left, 9=unspecified; FINGER: 0=R2, 1=L2, 2=R3, 3=L3, 4=R4, 5=L4, 6=R5, 7=L5, 8=OTHER, 9=UNSPECIFIED SEVENTH CHARACTER a=initial encounter, d=subsequent encounter, S=sequela
C
rush
927.3 S67._ _ _ _ Crushing injury of wrist, hand and fingers
FOURTH CHARACTER 0=thumb, 1=fingers, 2=hand, 3=wrist, 4=wrist & hand, 9=unspecified
FIFTH CHARACTER FINGERS: 0=unspecified, 9=specific finger clarified with Sixth Character; THUMB, WRIST, HAND: 0=unspecified, 1=right, 2=left SIXTH CHARACTER FINGERS: 0=R2, 1=L2, 2=R3, 3=L3, 4=R4, 5=L4, 6=R5, 7=L5, 8=other; THUMB, WRIST, HAND: no Sixth Character used
SEVENTH CHARACTER a=initial encounter, d=subsequent encounter, S=sequela
W
ounds
882/883 S61._ _ _ _ open wound of wrist, hand and fingers
FOURTH CHARACTER 0=thumb, no nail; 1=thumb with nail; 2=finger, no nail; 3=finger with nail; 4=hand; 5=wrist
FIFTH CHARACTER 0=unspecified, 1=laceration without FB, 2=laceration with FB, 3=puncture without FB, 4=puncture with FB, 5=bite
SIXTH CHARACTER FINGERS: 0=R2, 1=L2, 2=R3, 3=L3, 4=R4, 5=L4, 6=R5, 7=L5, 8=other, 9=unspecified; THUMB, WRIST, HAND: 1=right, 2=left, 9=unspecified SEVENTH CHARACTER a=initial encounter, d=subsequent encounter, S=sequela
a
mputa
tion
886 S68._ _ _ _ Traumatic amputation
FOURTH CHARACTER 0=thumb MP, 1=finger MP, 4=wrist, 5=thumb transphalangeal, 6=finger transphalangeal 7=hand transmetacarpal FIFTH CHARACTER 1=complete, 2=partial
SIXTH CHARACTER FINGERS: 0=R2, 1=L2, 2=R3, 3=L3, 4=R4, 5=L4, 6=R5, 7=L5, 8=other, 9=unspecified; THUMB, WRIST, HAND: 1=right, 2=left, 9=unspecified SEVENTH CHARACTER a=initial encounter, d=subsequent encounter, S=sequela
Spon
taneous
Tendon
r
uptur
e 727.63 m66.2_ _ Spontaneous rupture of extensor tendons
FIFTH CHARACTER 0=unspecified, 1=shoulder, 2=upper arm, 3=forearm, 4=hand
SIXTH CHARACTER 1=right, 2=left, 9=unspecified (Sixth character not used if Fifth character is 0) 727.64 m66.3_ _ Spontaneous rupture of flexor tendons
FIFTH CHARACTER 0=unspecified, 1=shoulder, 2=upper arm, 3=forearm, 4=hand
Tendonitis
iCd-9 Code iCd-10 Codes
epic
ondylitis
726.3 m77._ _ epicondylitis
FOURTH CHARACTER 0=medial, 1=lateral
FIFTH CHARACTER 0=unspecified, 1=right, 2=left
Trigger Finger
727.03 m65.3_ _ Trigger finger
FIFTH CHARACTER 0=unspecified, 1=thumb, 2=index, 3=middle, 4=ring, 5=small
SIXTH CHARACTER ONLY IF FIFTH CHARACTER IS 1, 2, 3, 4, or 5 must use SIXTH CHARACTER: 1=right, 2=left, 9=unspecified
deQ
uer
vain
’s 727.04 m65.4 radial styloid tenosynovitis [de Quervain]
(no additional characters)
Syno vitis , T enosyno vitis , a dhesions
727.05 m65.8_ _ other synovitis and tenosynovitis
FIFTH CHARACTER 0=unspecified site, 1=shoulder, 2=upper arm, 3=forearm, 4=hand, 8=other, 9=multiple sites
SIXTH CHARACTER FOR SHOULDER, ARM, FOREARM, HAND: 1=right, 2=left, 9=unspecified
m67.8_ _ other specified disorders of synovium and tendon (adhesions, etc.)
FIFTH CHARACTER 0=unspecified site, 1=shoulder, 2=elbow, 3=wrist, 4=hand, 8=other, 9=multiple sites
SIXTH CHARACTER FOR SHOULDER, ELBOW, WRIST, HAND: 1=synovium right, 2=synovium left, 3=tendon right, 4=tendon left, 9=unspecified
Pediatrics
Ph
yseal
a
rr
est 733.91 m89.13_ Physeal arrest, forearm
SIXTH CHARACTER 1= complete right distal radius, 2=complete left distal radius, 3=partial right distal radius, 4=partial left distal radius, 8=other, 9=unspecified
C
ongenital
755.01 Q69._ Polydactyly
FOURTH CHARACTER 0=accessory finger(s), 1=accessory thumb(s), 9=unspecified
755.11 Q70._ _ Syndactyly
755.12 FOURTH CHARACTER 0=complex, 1=simple, 4=polysyndactyly unspecified, 9=symphalangy
FIFTH CHARACTER 0=unspecified, 1=right, 2=left, 3=bilateral; (Fifth character only used with Fourth character is 0 or 1) 755.53
755.54 755.56 755.57
Q74.0 other congenital malformations of upper limb(s), including shoulder girdle
(no additional character needed, includes Accessory carpal bones, Macrodactyly (fingers), Madelung’s deformity, Radioulnar synostosis, Triphalangeal thumb)
755.59 Q74.8 other specified congenital malformation of limb(s)
( no additional character needed, includes camptodactyly, clinodactyly, clasped thumb)
755.55 Q68.1 Congenital deformity of finger(s) and hand .vc
(no additional character needed, includes Spade like hand (Apert’s hand))
755.21 755.23 755.24
Q71._ _ reduction defects of upper limb
FOURTH CHARACTER 0=complete absence, 1=with hand present, 2=absence of forearm & hand, 3=absence of hand & finger, 4=longitudinal reduction defect of radius (clubhand),
5=longitudinal reduction defect of ulna, 6=lobster claw, 9=unspecified 755.25
755.26 755.27
FIFTH CHARACTER 0=unspecified, 1=right, 2=left, 3=bilateral Q71.8_ _ other reduction defects of upper limb
infections
iCd-9 Code iCd-10 Codes
a
bsc
ess/C
ellulitis
681.00 L02.51_ Cutaneous abscess of hand
SIXTH CHARACTER 1=right, 2=left, 9=unspecified 681.01 L03.01_ Cellulitis of finger (Felon, Paronychia)
SIXTH CHARACTER 1=right, 2=left, 9=unspecified L03.02_ acute lymphangitis of finger
SIXTH CHARACTER 1=right, 2=left, 9=unspecified 682.4 L03.11_ Cellulitis of other parts of limb (not fingers)
SIXTH CHARACTER 3=right, 4=left, 9=unspecified
L03.12_ acute lymphangitis of other parts of limb (not fingers)
SIXTH CHARACTER 3=right, 4=left, 9=unspecified 711.03 m00.03_ _ Staphylococcal arthritis, wrist or hand
FIFTH CHARACTER 3=wrist, 4=hand
SIXTH CHARACTER 1=right, 2=left, 9=unspecified
o
st
eom
yelitis
730 m86._ _ _ osteomyelitis
FOURTH CHARACTER 0=acute hematogenous 1=other acute 2=subacute 3=chronic multifocal 4=chronic multifocal with draining sinus, 5=other chronic hematogenous, 6=other chronic FIFTH CHARACTER 0=unspecified, 1=shoulder, 2=humerus, 3=radius/ulna, 4=hand, 8=other site, 9=multiple sites
SIXTH CHARACTER ONLY IF FIFTH CHARACTER IS 1, 2, 3 or 4, must use SIXTH CHARACTER: 1=right, 2=left, 9=unspecified
m86.8x_ other osteomyelitis (Brodie’s abscess) (keep x as Fifth character)
SIXTH CHARACTER 0=multiple sites, 1=shoulder, 2=upper arm, 3=forearm, 4=hand, 8=other, 9=unspecified m86.9 osteomyelitis, unspecified
(no additional characters)
implan
t i
nf
ec
tion
996.78 T84.60_ infection and inflammatory reaction due to internal fixation device of unspecified site
SEVENTH CHARACTER a=initial encounter, d=subsequent encounter, S=sequela
T84.61_ infection and inflammatory reaction due to internal fixation device of arm
SIXTH CHARACTER 0=right humerus, 1=left humerus, 2=right radius, 3=left radius, 4=right ulna, 5=left ulna, 9=unspecified bone of arm
SEVENTH CHARACTER a=initial encounter, d=subsequent encounter, S=sequela
T84.9xx_ unspecified complication of internal orthopedic prosthetic device, implant and graft (keep xx as Fifth and Sixth characters)
SEVENTH CHARACTER a=initial encounter, d=subsequent encounter, S=sequela (no fifth or sixth character so use xx)
T81.4xx_ infection following a procedure (keep xx as Fifth and Sixth characters)
SEVENTH CHARACTER a=initial encounter, d=subsequent encounter, S=sequela (no fifth or sixth character so use xx)
deformity
d
ef
orrmit
y 736.1 m20.0_ _ deformity of finger(s)
736.21 FIFTH CHARACTER 0=unspecified deformity, 1=mallet, 2=boutonniere, 3=swan-neck, 9=other deformity 736.22 SIXTH CHARACTER 1=right, 2=left, 9=unspecified
d
upy 728.6 m72.0 Palmar fascial fibromatosis [dupuytren] (no additional characters)
n
ails 703.8 L60._ nail disorders
nerves
iCd-9 Code iCd-10 Codes
m
edian nerve
354.0 g56.0_ Carpal tunnel syndrome
FIFTH CHARACTER 0=unspecified, 1=right, 2=left 354.1 g56.1_ other lesions of median nerve (pronator, etc.)
FIFTH CHARACTER 0=unspecified, 1=right, 2=left
u
lnar
n
er
ve 354.2 g56.2_ Lesion of ulnar nerve
FIFTH CHARACTER 0=unspecified, 1=right, 2=left
r
adial nerve
354.3 g56.3_ Lesion of radial nerve
FIFTH CHARACTER 0=unspecified, 1=right, 2=left
n
er
ve
injur
y
955 S64._ _ _ _ injury of nerves at wrist and hand level
FOURTH CHARACTER 0=ulnar nerve, 1=median nerve, 2=radial nerve, 3=digital nerve of thumb, 4=digital nerve of finger, 9=unspecified FIFTH CHARACTER 0=unspecified, 1=right, 2=left, 9=specific finger (MUST use 9 if FOURTH CHARACTER is 4)
SIXTH CHARACTER used for specific finger (SIXTH CHARACTER used ONLY if FIFTH CHARACTER is 9): 0=R2, 1=L2, 2=R3, 3=L3, 4=R4, 5=L4, 6=R5, 7=L5, 8=OTHER SEVENTH CHARACTER a=initial encounter, d=subsequent encounter, S=sequela
S64.8X_ _ injury of other nerves at wrist and hand level
SIXTH CHARACTER 1=right, 2=left, 9=unspecified
SEVENTH CHARACTER a=initial encounter, d=subsequent encounter, S=sequela
Pain
Pain
719 m79.6_ _ Pain in limb, hand, fingers
FIFTH CHARACTER 0=unspecified site, 2=upper arm, 3=forearm, 4=hand/fingers
SIXTH CHARACTER For unspecified site: 1=right arm, 2=left arm, 3=unspecified arm, 9=unspecified limb For upper arm or forearm: 1=right, 2=left, 9=unspecified
For hand/fingers: 1=right hand, 2=left hand, 3=unspecified hand, 4=right fingers, 5=left fingers, 6=unspecified fingers
m25.5_ _ Pain in joint
FIFTH CHARACTER 0=unspecified joint, 1=shoulder, 2=elbow, 3=wrist (for hand or fingers use M79.6)
SIXTH CHARACTER SIXTH CHARACTER used ONLY if FIFTH CHARACTER is 1, 2, 3: 1=right, 2=left, 9=unspecified
782.0 r20._ disturbances of skin sensation
FOURTH CHARACTER 0=anesthesia, 1=hypoesthesia, 2=paresthesia, 3=hyperesthesia, 8=other, 9=unspecified
C
r
PS 337.21 g90.51_ Complex regional pain syndrome i of upper Limb (CrPS i)