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1 Common Hand Surgery Diagnosis Codes ICD-10

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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

(2)

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

(3)

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

(4)

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)

(5)

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

(6)

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

(7)

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

(8)

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

(9)

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)

References

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