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Orthopaedics Instructions: To best navigate the list, first download this PDF file to your computer. Then navigate the document using the bookmarks feature in the left column. The bookmarks expand and collapse. Finally, ensure that you look at the top of each category and work down to review notes or specific instructions. Bookmarks: Bookmarks: notes or specific with expandable instructions and collapsible topics As you start using the codes, it is recommended that you also check in Index and Tabular lists to ensure there is not a code with more specificity or a different code that may be more appropriate for your patient. Copyright APTA 2016, ALL RIGHTS RESERVED. Last Updated: 09/14/16 Contact: [email protected] Orthopaedics Disorder by site: Ankle Achilles tendinopathy ** Achilles tendinopathy is not listed in ICD10 M76.6 Achilles tendinitis Achilles bursitis M76.61 Achilles tendinitis, right leg M76.62 Achilles tendinitis, left leg ** Tendinosis is not listed in ICD10 M76.89 Other specified enthesopathies of lower limb, excluding foot M76.891 Other specified enthesopathies of right lower limb, excluding foot M76.892 Other specified enthesopathies of left lower limb, excluding foot Posterior tibialis dysfunction **Posterior Tibial Tendon Dysfunction (PTTD) is not listed in ICD10 M76.82 Posterior tibial tendinitis M76.821 Posterior tibial tendinitis, right leg M76.822 Posterior tibial tendinitis, left leg M76.89 Other specified enthesopathies of lower limb, excluding foot M76.891 Other specified enthesopathies of right lower limb, excluding foot M76.892 Other specified enthesopathies of left lower limb, excluding foot Ligament sprain The appropriate 7th character is to be added to each code from category S93 A ‐ initial encounter D ‐ subsequent encounter S ‐ sequela S86.0 Injury of Achilles tendon S86.00 Unspecified injury of Achilles tendon S86.001 Unspecified injury of right Achilles tendon S86.002 Unspecified injury of left Achilles tendon S86.01 Strain of Achilles tendon S86.011 Strain of right Achilles tendon S86.012 Strain of left Achilles tendon S93.4 Sprain of ankle Excludes2: injury of Achilles tendon (S86.0‐) S93.40 Sprain of unspecified ligament of ankle Sprain of ankle NOS Sprained ankle NOS S93.401 Sprain of unspecified ligament of right ankle S93.402 Sprain of unspecified ligament of left ankle S93.41 Sprain of calcaneofibular ligament S93.411 Sprain of calcaneofibular ligament of right ankle S93.412 Sprain of calcaneofibular ligament of left ankle S93.42 Sprain of deltoid ligament S93.421 Sprain of deltoid ligament of right ankle ©Copyright APTA 2017, ALL RIGHTS RESERVED. Last Updated: 09/21/17 Contact: [email protected] Orthopaedics S93.422 Sprain of deltoid ligament of left ankle S93.43 Sprain of tibiofibular ligament S93.431 Sprain of tibiofibular ligament of right ankle S93.432 Sprain of tibiofibular ligament of left ankle S93.49 Sprain of other ligament of ankle Sprain of internal collateral ligament Sprain of talofibular ligament S93.491 Sprain of other ligament of right ankle S93.492 Sprain of other ligament of left ankle Idiopathic toe walking R26.89 Other abnormalities of gait and mobility Disorder by site: Elbow Tendinopathies M77.0 Medial epicondylitis M77.01 Medial epicondylitis, right elbow M77.02 Medial epicondylitis, left elbow M77.1 Lateral epicondylitis Tennis elbow M77.11 Lateral epicondylitis, right elbow M77.12 Lateral epicondylitis, left elbow Humeroulnar dislocation S53 Dislocation and sprain of joints and ligaments of elbow Includes: avulsion of joint or ligament of elbow laceration of cartilage, joint or ligament of elbow sprain of cartilage, joint or ligament of elbow traumatic hemarthrosis of joint or ligament of elbow traumatic rupture of joint or ligament of elbow traumatic subluxation of joint or ligament of elbow traumatic tear of joint or ligament of elbow Code also any associated open wound Excludes2: strain of muscle, fascia and tendon at forearm level (S56.‐) The appropriate 7th character is to be added to each code from category S53 A ‐ initial encounter D ‐ subsequent encounter S ‐ sequela S53.0 Subluxation and dislocation of radial head Dislocation of radiohumeral joint Subluxation of radiohumeral joint Excludes1: Monteggia's fracture‐dislocation (S52.27‐) S53.00 Unspecified subluxation and dislocation of radial head S53.001 Unspecified subluxation of right radial head S53.002 Unspecified subluxation of left radial head S53.004 Unspecified dislocation of right radial head ©Copyright APTA 2017, ALL RIGHTS RESERVED. Last Updated: 09/21/17 Contact: [email protected] Orthopaedics S53.005 Unspecified dislocation of left radial head S53.01 Anterior subluxation and dislocation of radial head Anteriomedial subluxation and dislocation of radial head S53.011 Anterior subluxation of right radial head S53.012 Anterior subluxation of left radial head S53.014 Anterior dislocation of right radial head S53.015 Anterior dislocation of left radial head S53.02 Posterior subluxation and dislocation of radial head Posteriolateral subluxation and dislocation of radial head S53.021 Posterior subluxation of right radial head S53.022 Posterior subluxation of left radial head S53.024 Posterior dislocation of right radial head S53.025 Posterior dislocation of left radial head S53.026 Posterior dislocation of unspecified radial head S53.03 Nursemaid's elbow S53.031 Nursemaid's elbow, right elbow S53.032 Nursemaid's elbow, left elbow S53.09 Other subluxation and dislocation of radial head S53.091 Other subluxation of right radial head S53.092 Other subluxation of left radial head S53.094 Other dislocation of right radial head S53.095 Other dislocation of left radial head S53.1 Subluxation and dislocation of ulnohumeral joint Subluxation and dislocation of elbow NOS Excludes1: dislocation of radial head alone (S53.0‐) S53.10 Unspecified subluxation and dislocation of ulnohumeral joint S53.101 Unspecified subluxation of right ulnohumeral joint S53.102 Unspecified subluxation of left ulnohumeral joint S53.104 Unspecified dislocation of right ulnohumeral joint S53.105 Unspecified dislocation of left ulnohumeral joint S53.11 Anterior subluxation and dislocation of ulnohumeral joint S53.111 Anterior subluxation of right ulnohumeral joint S53.112 Anterior subluxation of left ulnohumeral joint S53.114 Anterior dislocation of right ulnohumeral joint S53.115 Anterior dislocation of left ulnohumeral joint S53.12 Posterior subluxation and dislocation of ulnohumeral joint S53.121 Posterior subluxation of right ulnohumeral joint S53.122 Posterior subluxation of left ulnohumeral joint S53.124 Posterior dislocation of right ulnohumeral joint S53.125 Posterior dislocation of left ulnohumeral joint S53.13 Medial subluxation and dislocation of ulnohumeral joint S53.131 Medial subluxation of right ulnohumeral joint S53.132 Medial subluxation of left ulnohumeral joint S53.134 Medial dislocation of right ulnohumeral joint ©Copyright APTA 2017, ALL RIGHTS RESERVED. Last Updated: 09/21/17 Contact: [email protected] Orthopaedics S53.135 Medial dislocation of left ulnohumeral joint S53.14 Lateral subluxation and dislocation of ulnohumeral joint S53.141 Lateral subluxation of right ulnohumeral joint S53.142 Lateral subluxation of left ulnohumeral joint S53.144 Lateral dislocation of right ulnohumeral joint S53.145 Lateral dislocation of left ulnohumeral joint S53.19 Other subluxation and dislocation of ulnohumeral joint S53.191 Other subluxation of right ulnohumeral joint S53.192 Other subluxation of left ulnohumeral joint S53.194 Other dislocation of right ulnohumeral joint S53.195 Other dislocation of left ulnohumeral joint Cubital tunnel syndrome G56 Mononeuropathies of upper limb Excludes1: current traumatic nerve disorder ‐ see nerve injury by body region G56.2 Lesion of ulnar nerve Tardy ulnar nerve palsy G56.21 Lesion of ulnar nerve, right upper limb G56.22 Lesion of ulnar nerve, left upper limb S54 Injury of nerves at forearm level Code also any associated open wound (S51.‐) Excludes2: injury of nerves at wrist and hand level (S64.‐) The appropriate 7th character is to be added to each code from category S54 A ‐ initial encounter D ‐ subsequent encounter S ‐ sequela S54.0 Injury of ulnar nerve at forearm level Injury of ulnar nerve NOS S54.01 Injury of ulnar nerve at forearm level, right arm S54.02 Injury of ulnar nerve at forearm level, left arm S54.1 Injury of median nerve at forearm level Injury of median nerve NOS S54.11 Injury of median nerve at forearm level, right arm S54.12 Injury of median nerve at forearm level, left arm S54.2 Injury of radial nerve at forearm level Injury of radial nerve NOS S54.21 Injury of radial nerve at forearm level, right arm S54.22 Injury of radial nerve at forearm level, left arm Disorder by site: Foot Plantar fasciitis M72.2 Plantar fascial fibromatosis Plantar fasciitis ©Copyright APTA 2017, ALL RIGHTS RESERVED. Last Updated: 09/21/17 Contact: [email protected] Orthopaedics Hallux valgus (acquired) M20.1 Hallux valgus (acquired) Excludes2: bunion (M21.6‐) M20.10 Hallux valgus (acquired), unspecified foot M20.11 Hallux valgus (acquired), right foot M20.12 Hallux valgus (acquired), left foot Bunion M21.61 Bunion M21.611 Bunion of right foot M21.612 Bunion of left foot M21.619 Bunion of unspecified foot In‐toeing Q66.6 Other congenital valgus deformities of feet Congenital metatarsus valgus Club foot M21.54 Acquired clubfoot M21.541 Acquired clubfoot, right foot M21.542 Acquired clubfoot, left foot Q66.0 Congenital talipes equinovarus Q66.89 Other specified
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