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Diagnosis Code ICD-10 CM - Diagnosis Description Comment D48.1 Neoplasm of uncertain behavior of connective and other soft tissue G56.00 Carpal tunnel syndrome, unspecified upper limb G56.01 Carpal tunnel syndrome, right upper limb G56.02 Carpal tunnel syndrome, left upper limb G57.50 Tarsal tunnel syndrome, unspecified lower limb G57.51 Tarsal tunnel syndrome, right lower limb G57.52 Tarsal tunnel syndrome, left lower limb M08.1 Juvenile ankylosing spondylitis M20.10 Hallux valgus (acquired), unspecified foot M24.19 Other articular cartilage disorders, other specified site Effective 10/1/2020 M24.20 Disorder of ligament, unspecified site M24.211 Disorder of ligament, right shoulder M24.212 Disorder of ligament, left shoulder M24.219 Disorder of ligament, unspecified shoulder M24.221 Disorder of ligament, right elbow M24.222 Disorder of ligament, left elbow M24.229 Disorder of ligament, unspecified elbow M24.231 Disorder of ligament, right wrist M24.232 Disorder of ligament, left wrist M24.239 Disorder of ligament, unspecified wrist M24.241 Disorder of ligament, right hand M24.242 Disorder of ligament, left hand M24.249 Disorder of ligament, unspecified hand M24.251 Disorder of ligament, right hip M24.252 Disorder of ligament, left hip M24.259 Disorder of ligament, unspecified hip M24.271 Disorder of ligament, right ankle M24.272 Disorder of ligament, left ankle M24.273 Disorder of ligament, unspecified ankle M24.274 Disorder of ligament, right foot M24.275 Disorder of ligament, left foot M24.276 Disorder of ligament, unspecified foot M24.28 Disorder of ligament, vertebrae M24.29 Disorder of ligament, other specified site Effective 10/1/2020 M25.511 Pain in right shoulder M25.512 Pain in left shoulder M25.519 Pain in unspecified shoulder M25.561 Pain in right knee M25.562 Pain in left knee M25.569 Pain in unspecified knee M25.70 Osteophyte, unspecified joint M25.711 Osteophyte, right shoulder M25.712 Osteophyte, left shoulder M25.719 Osteophyte, unspecified shoulder M25.721 Osteophyte, right elbow M25.722 Osteophyte, left elbow M25.729 Osteophyte, unspecified elbow M25.731 Osteophyte, right wrist M25.732 Osteophyte, left wrist M25.739 Osteophyte, unspecified wrist M25.741 Osteophyte, right hand M25.742 Osteophyte, left hand M25.749 Osteophyte, unspecified hand M25.751 Osteophyte, right hip M25.752 Osteophyte, left hip Internal Use Only M25.759 Osteophyte, unspecified hip M25.761 Osteophyte, right knee M25.762 Osteophyte, left knee M25.769 Osteophyte, unspecified knee M25.771 Osteophyte, right ankle M25.772 Osteophyte, left ankle M25.773 Osteophyte, unspecified ankle M25.774 Osteophyte, right foot M25.775 Osteophyte, left foot M25.776 Osteophyte, unspecified foot M35.4 Diffuse (eosinophilic) fasciitis M35.7 Hypermobility syndrome M45.0 Ankylosing spondylitis of multiple sites in spine M45.1 Ankylosing spondylitis of occipito-atlanto-axial region M45.2 Ankylosing spondylitis of cervical region M45.3 Ankylosing spondylitis of cervicothoracic region M45.4 Ankylosing spondylitis of thoracic region M45.5 Ankylosing spondylitis of thoracolumbar region M45.6 Ankylosing spondylitis lumbar region M45.7 Ankylosing spondylitis of lumbosacral region M45.8 Ankylosing spondylitis sacral and sacrococcygeal region M45.9 Ankylosing spondylitis of unspecified sites in spine M46.00 Spinal enthesopathy, site unspecified M46.01 Spinal enthesopathy, occipito-atlanto-axial region M46.02 Spinal enthesopathy, cervical region M46.03 Spinal enthesopathy, cervicothoracic region M46.04 Spinal enthesopathy, thoracic region M46.05 Spinal enthesopathy, thoracolumbar region M46.06 Spinal enthesopathy, lumbar region M46.07 Spinal enthesopathy, lumbosacral region M46.08 Spinal enthesopathy, sacral and sacrococcygeal region M46.09 Spinal enthesopathy, multiple sites in spine M46.1 Sacroiliitis, not elsewhere classified M46.50 Other infective spondylopathies, site unspecified M46.51 Other infective spondylopathies, occipito-atlanto-axial region M46.52 Other infective spondylopathies, cervical region M46.53 Other infective spondylopathies, cervicothoracic region M46.54 Other infective spondylopathies, thoracic region M46.55 Other infective spondylopathies, thoracolumbar region M46.56 Other infective spondylopathies, lumbar region M46.57 Other infective spondylopathies, lumbosacral region M46.58 Other infective spondylopathies, sacral and sacrococcygeal region M46.59 Other infective spondylopathies, multiple sites in spine M46.80 Other specified inflammatory spondylopathies, site unspecified M46.81 Other specified inflammatory spondylopathies, occipito-atlanto-axial region M46.82 Other specified inflammatory spondylopathies, cervical region M46.83 Other specified inflammatory spondylopathies, cervicothoracic region M46.84 Other specified inflammatory spondylopathies, thoracic region M46.85 Other specified inflammatory spondylopathies, thoracolumbar region M46.86 Other specified inflammatory spondylopathies, lumbar region M46.87 Other specified inflammatory spondylopathies, lumbosacral region M46.88 Other specified inflammatory spondylopathies, sacral and sacrococcygeal region M46.89 Other specified inflammatory spondylopathies, multiple sites in spine M46.90 Unspecified inflammatory spondylopathy, site unspecified M46.91 Unspecified inflammatory spondylopathy, occipito-atlanto-axial region M46.92 Unspecified inflammatory spondylopathy, cervical region Internal Use Only M46.93 Unspecified inflammatory spondylopathy, cervicothoracic region M46.94 Unspecified inflammatory spondylopathy, thoracic region M46.95 Unspecified inflammatory spondylopathy, thoracolumbar region M46.96 Unspecified inflammatory spondylopathy, lumbar region M46.97 Unspecified inflammatory spondylopathy, lumbosacral region M46.98 Unspecified inflammatory spondylopathy, sacral and sacrococcygeal region M46.99 Unspecified inflammatory spondylopathy, multiple sites in spine M48.8X1 Other specified spondylopathies, occipito-atlanto-axial region M48.8X2 Other specified spondylopathies, cervical region M48.8X3 Other specified spondylopathies, cervicothoracic region M48.8X4 Other specified spondylopathies, thoracic region M48.8X5 Other specified spondylopathies, thoracolumbar region M48.8X6 Other specified spondylopathies, lumbar region M48.8X7 Other specified spondylopathies, lumbosacral region M48.8X8 Other specified spondylopathies, sacral and sacrococcygeal region M48.8X9 Other specified spondylopathies, site unspecified M49.80 Spondylopathy in diseases classified elsewhere, site unspecified M49.81 Spondylopathy in diseases classified elsewhere, occipito-atlanto-axial region M49.82 Spondylopathy in diseases classified elsewhere, cervical region M49.83 Spondylopathy in diseases classified elsewhere, cervicothoracic region M49.84 Spondylopathy in diseases classified elsewhere, thoracic region M49.85 Spondylopathy in diseases classified elsewhere, thoracolumbar region M49.86 Spondylopathy in diseases classified elsewhere, lumbar region M49.87 Spondylopathy in diseases classified elsewhere, lumbosacral region M49.88 Spondylopathy in diseases classified elsewhere, sacral and sacrococcygeal region M49.89 Spondylopathy in diseases classified elsewhere, multiple sites in spine M53.2X8 Spinal instabilities, sacral and sacrococcygeal region M53.3 Sacrococcygeal disorders, not elsewhere classified M60.80 Other myositis, unspecified site M60.811 Other myositis, right shoulder M60.812 Other myositis, left shoulder M60.819 Other myositis, unspecified shoulder M60.821 Other myositis, right upper arm M60.822 Other myositis, left upper arm M60.829 Other myositis, unspecified upper arm M60.831 Other myositis, right forearm M60.832 Other myositis, left forearm M60.839 Other myositis, unspecified forearm M60.841 Other myositis, right hand M60.842 Other myositis, left hand M60.849 Other myositis, unspecified hand M60.851 Other myositis, right thigh M60.852 Other myositis, left thigh M60.859 Other myositis, unspecified thigh M60.861 Other myositis, right lower leg M60.862 Other myositis, left lower leg M60.869 Other myositis, unspecified lower leg M60.871 Other myositis, right ankle and foot M60.872 Other myositis, left ankle and foot M60.879 Other myositis, unspecified ankle and foot M60.88 Other myositis, other site M60.89 Other myositis, multiple sites M60.9 Myositis, unspecified M62.20 Nontraumatic ischemic infarction of muscle, unspecified site M62.211 Nontraumatic ischemic infarction of muscle, right shoulder M62.212 Nontraumatic ischemic infarction of muscle, left shoulder Internal Use Only M62.219 Nontraumatic ischemic infarction of muscle, unspecified shoulder M62.221 Nontraumatic ischemic infarction of muscle, right upper arm M62.222 Nontraumatic ischemic infarction of muscle, left upper arm M62.229 Nontraumatic ischemic infarction of muscle, unspecified upper arm M62.231 Nontraumatic ischemic infarction of muscle, right forearm M62.232 Nontraumatic ischemic infarction of muscle, left forearm M62.239 Nontraumatic ischemic infarction of muscle, unspecified forearm M62.241 Nontraumatic ischemic infarction of muscle, right hand M62.242 Nontraumatic ischemic infarction of muscle, left hand M62.249 Nontraumatic ischemic infarction of muscle, unspecified hand M62.251 Nontraumatic ischemic infarction of muscle, right thigh M62.252 Nontraumatic ischemic infarction of muscle, left thigh M62.259 Nontraumatic ischemic infarction of muscle, unspecified thigh M62.261 Nontraumatic ischemic infarction of muscle, right lower leg M62.262 Nontraumatic ischemic infarction of muscle, left lower leg M62.269 Nontraumatic ischemic
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  • Acetabular Labral Tears and Femoroacetabular Impingement

    Acetabular Labral Tears and Femoroacetabular Impingement

    Michael J. Sileo, MD, FAAOS Sports Medicine Injuries Arthroscopic Shoulder, Knee & Hip Surgery December 7, 2018 NONE Groin and hip pain is common in athletes Especially hockey, soccer, and football 5% of all soccer injuries Renstrom et al: Br J Sports Med 1980. Complex anatomy and wide differential diagnoses that span multiple medical specialties make diagnosis difficult • Extra-articular causes: Muscle strain Snapping hip Adductor Trochanteric bursitis Iliopsoas Abductor tears Gluteus medius Compression neuropathies Hamstrings LFCN (meralgia paresthetica) Gracilis Sciatic nerve (Piriformis Avulsion injuries syndrome) Sports Hernia Ilioinguinal, Osteitis Pubis iliohypogastric, or genitofemoral nerve Intra-articular causes: Labral pathology Capsular laxity Femoroacetabular impingement Stress fracture Chondral pathology Septic arthritis Ligamentum teres injury Adhesive capsulitis Loose bodies Osteonecrosis Benign Intra-articular tumors SCFE PVNS Transient synovitis Synovial chondromatosis Soft-tissue injuries such as muscle strains and contusions are the most common causes of hip pain in the athlete It is important to be aware and suspicious of intra- articular causes of hip pain Up to 60% of athletes undergoing arthroscopy are initially misdiagnosed Delay to diagnosis is typically 7 months Labral pathology may not be diagnosed for up to 21 months Byrd et al: Clin Sports Med 2001. Burnett et al: JBJS 2006. Nature of discomfort Mechanical symptoms Stiffness Weakness Instability Location of discomfort