Base of Thumb metacarpal fractures can be extra-articular fractures, Bennett fractures (partial intra-articular), or Rolando fractures (complete intra-articular). For the debridement of an open fracture includes only skin and subcutaneous tissue, use code 11010; debridement down to the muscle fascia and muscle, code 11011; and debridement that includes skin, muscle fascia, muscle, and bone, code 11012. We are catering to more than 40 specialties, Medical Billers and Coders (MBC) is proficient in handling services that range from revenue cycle management to ICD-10 testing solutions. 15 blades to bleeding tissue. If an open fracture or dislocation is not present, use a. When an open fracture or dislocation debridement code is reported, the diagnosis must correspond to an open fracture. This will put you in a deep sleep during the surgery so you wont feel any pain. Conclusions: Although for both techniques good functional outcomes were reported, the significance of the functional impairment after ORIF requiring reoperation suggests ORIF to be a less favorable technique for single, closed metacarpal shaft fractures. Michael J. Garcia, MD, (Tampa, FL) presents metacarpal fracture fixation using an intramedullary, partially threaded Compression PT Screw. The first part is open reduction. Your doctor will tell you when you can apply weight on the ankle. Address : 823 129th Infantry Drive,Suite 103, Joliet, IL 60435. After ORIF, doctors and nurses will monitor your blood pressure, breathing, and pulse. The subcutaneous tissue and skin were excised with a No. Metatarsal Fracture ORIF Pre-op Planning. Metacarpal Shaft Fracture ORIF Indications Displaced MC shaft fracture (angulation >30 degrees, shortening >4mm, any rotational deformity) Metacarpal Shaft Fracture ORIF Contraindications Nondiscplaced fracture Medically unstable patient Active infection Metacarpal Shaft Fracture ORIF Alternatives These fractures tend to be unstable, and bone healing is often prolonged. The surgery is used to fix fractures in the arms and legs, including bones in the shoulder, elbow, wrist, hip, knee, and ankle. Its only used for serious fractures that cant be treated with a cast or splint. Surgery was recommended for the patient. 1 0 obj synonyms: Bennett fracture, thumb fracture, thumb metacarpal fracture ORIF. 6 Weeks: Check xrays. It is important that you do not submerge your surgical incision in water (i.e. You can learn more about how we ensure our content is accurate and current by reading our. 2012 ICD-9-CM Procedure Codes > Operations On The Musculoskeletal System 76-84 > . Our new hand surgeon evaluated a patient with a base of the fifth metacarpal fracture and distal radius fracture. WebS72. We told the surgeon that only one CPT code may be reported because a single cast was . As per the CPT manual, debridement may be reported separately when one of the following occurs: prolonged cleansing, appreciable amounts of devitalized tissue are removed, and/or debridement is carried out without immediate primary closure. How to Credential Your Practice with Vision Plan? In the United States, upper-extremity injuries result in over 16 million days off of work and a further 90 million days of restricted activity. Open Reduction Of Fracture With Internal Fixation, Carpals And Metacarpals. The debridement of small amounts of devitalized or granulation tissue during a surgical procedure is typically not billed separately. Metacarpal Neck Fracture ORIF Follow-up care. Debridement is used to promote healthy healing of damaged skin, tissue, muscle, or bone. synonyms:metatarsal fracture ORIF, open treatment metatarsal fracture, Metatarsal Fracture ORIF Contraindications, Metatarsal Fracture ORIF Review References, Site Terms | Copyright Information | ContactUs | Site Registration. no bath tubs, swimming pools, washing dishes, etc.). <> Use these codes only when significant debridement of tissue is necessary. 79.33 is a specific code and is valid to identify a procedure. Open reduction internal fixation (ORIF) is a surgery to fix severely broken bones. On the day of the accident, the patient was brought to the OR, and the open fracture was debrided of all necrotic tissue and debris. To ensure accurate reporting, report the surgical CPT codes according to the AMA CPT rules; apply payor rules appropriately based (e.g., Medicare NCCI payment rules are applied for Medicare Part B beneficiaries; private payor rules will vary based on contractual agreements). The time will vary from fracture to fracture. (May compress in syringe for firmer graft), Splint in "safe" position (wrist extended 15-20 degrees, MCP joints flexed 70 degrees, PIP joint in 0-10 degrees flexion), Post-op: Splint in "safe" position (wrist extended 15-20 degrees, MCP joints flexed 70 degrees, PIP joint in 0-10 degrees flexion), 7-10 Days: remove splint. Description of potential complications and steps to avoid them . See answer (1) Copy. A: Congratulations on performing an internal audit! Q: The pediatric spine surgeons perform a procedure they call VEPTR. From the operative note, it appears that they are placing instrumentation only without any associated fusion. How do we report this procedure? They're common injuries in athletes or dancers but can happen. SomeAAOS Nowarticles are available only to AAOS members. If you have questions about coding or want to suggest a topic for a future coding article, email aaoscomm@aaos.org. Metacarpal Injuries: Open Treatment CPT Codes Open treatment of metacarpal fracture, single, with or without internal or external fixation, each bone (26615) Open treatment of articular fracture, involving metacarpophalangeal or proximal interphalangeal joint, with or without internal or external fixation, each (26746) 2005-2023 Healthline Media a Red Ventures Company. Its only used for serious fractures that cannot be treated with a cast or splint. The insertion is reported with an unlisted spine code, 22849. This website and its contents may not be reproduced in whole or in part without written permission. <>>> managing3. After ORIF ankle surgery, you wont be able to walk for some time. 2008-2023 eORIF LLC. Metacarpal fractures are among the most common hand injuries, often caused by a direct blow to the hand or by axial load. Several years ago, CMS implemented NCCI guidelines instructing that non-manipulative fractures that are . The podiatrist requested the orthopaedic surgeon to harvest the graft. Perform gentle range of motion activities of the fingers. Phase 1- Early Protective Phase (0 weeks - 2 or 3 weeks) Goals for phase 1 Protect healing fracture and surgical fixation Reduce pain & edema ; Other considerations If multiple digits are involved, a forearm-based safe position splint . Loading. For thumb metacarpal fractures, fashion a thumb-spica splint with the IP joint free. Last medically reviewed on January 16, 2019. What is an ORIF? The surgeon is in total disagreement and asked we reach out to KZA. See Site Terms / Full Disclaimer. Bennett fragment < 20% of the articular surface: CRPP. Remember, you can direct specific coding questions to the AAOS for review by the Coding, Coverage, and Reimbursement Committee and AAOS staff. ORIF is a two-part procedure. I billed CPT 28470 x3, which is defined as 'closed treatment of metatarsal fracture; without ma-nipulation, each'. The information on this website may not be complete or accurate. Open reduction internal fixation (orif) is a surgery to fix severely broken bones. People seeking specific medical advice or assistance should contact a board certified physician. hopkinsmedicine.org/healthlibrary/test_procedures/orthopaedic/ankle_fracture_open_reduction_and_internal_fixation_135,304, orthoinfo.aaos.org/en/treatment/internal-fixation-for-fractures/, intermountainhealthcare.org/ext/Dcmnt?ncid=521402750, hopkinsmedicine.org/healthlibrary/test_procedures/orthopaedic/femur_fracture_open_reduction_and_internal_fixation_135,334, ncbi.nlm.nih.gov/pmc/articles/PMC4507072/, covingtonortho.com/surgeries/surgical-trauma-orifetc/, Everything You Need to Know About a Tibia Fracture. Dr. Hand reports one CPT code if this patient was Granny, who has Medicare Part B coverage. Copyright 2023 Medical Billers and Coders All Rights Reserved. Intramedullary Screw Fixation for Metacarpal Fractures. describe the steps of the procedure verbally prior to the start of the case 2. Generally, ORIF is an urgent surgery. Once your bones begin to heal, your doctor may have you do physical or occupational therapy. A pin is placed through the tip of the affected finger for finger fractures, or in the back of the affected hand for metacarpal fractures. If union is complete return to full activities. endobj 12 ICD-9-CM Fracture Coding Late effects of fractures are reported using a fracture code indexed under the entry "Late" You might be put on a breathing tube to help you breathe properly. Metatarsal Fracture ORIF CPT. xk~]A 'vZI|u After a joint reconstruction, we have been billing for a joint injection for pain management or aspiration of an effusion in the operated joint with a modifier 58. Internal fixation means the bones are held together with hardware like metal pins, plates, rods, or screws. A distal radius fracture is one of the most common bone injuries. When we queried why only one fracture care was paid, our Medicare Fractures occurring in the outer bones of the foot are called 5th metatarsal fractures. The information on this website may not be complete or accurate. Teaching video Your question raises several concerns. T TonyaMichelle Guru Messages 200 Best answers 0 Nov 18, 2011 #2 Bone Graft I would use Codes: Both fractures were non displaced and the hand surgeon applied a short arm cast. Are you looking for more than one billing quotes? S62.337A- Displaced . Usually performed in an emergency department or orthopedic clinic with light sedation and analgesia, the fracture is manipulated back into anatomic alignment and immobilized with a cast, brace or splint.Occasionally general anesthetic may be required. For private payers, who should be applying CPT rules, you should report the meniscal repair and the chondroplasty code 29877 with modifier 59 appended when the chondroplasty is performed in a different compartment than the meniscal repair. If you have a serious fracture, your doctor might recommend open reduction internal fixation (ORIF) surgery. An external fixator device was used, and a dressing was applied to the open area. Only small. Fractures of the fifth metatarsal are common injuries that must be recognized and treated appropriately to avoid poor clinical outcomes for the patient. 2 0 obj . Two days later, the patient was returned to OR and the dressing was removed. Depending on your surgery, you may go home that day or you might stay in the hospital for one to several days. IntroductionIt is generally accepted that severely displaced or malrotated neck fractures of the fifth metacarpal should be treated by closed reduction and pinning. This will let your doctor monitor your healing process. Assess motion, consider occupational therapy if indicated. Our new hand surgeon evaluated a patient with a base of the fifth metacarpal fracture and distal radius fracture. Current Procedural Terminology (CPT) includes references to specific locations in the forearm, wrist, hand, and fingers for reporting flexor and extensor tendon repair codes. You are using an out of date browser. Metatarsal Fracture ORIF Alternatives. The metacarpal shaft fractures are often produced by longitudinal compression, torsion, or direct impact. Be sure to follow CPT coding rules and the AAOS Complete Global Service Data for Orthopaedic Surgery when reporting all services. Emergency departments usually have a high inflow of patients with hand injuries, and metacarpal fractures represent around half (40%) of these hand injuries [1, 2].Metacarpal fractures often comprise a large proportion of all hand fractures and fractures below the elbow, particularly in industrialized environments such as the USA [2,3,4].Either accidental falls or direct impact trauma is . A physical or occupational therapist can show you specific rehabilitation exercises. The surgeon will cut the skin and move the bone back into the normal position. Fracture coding submenus; Hand Surgery CPT Codes, sorted by number; Extraarticular Metacarpal Fx CPT Codes; Metacarpal Injuries: Open Treatment CPT Codes . Mary LeGrand, RN, MA, CCS-P, CPC, is a senior consultant with KarenZupko & Associates, Inc., who focuses on coding and reimbursement issues in orthopaedic practices. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. For a better experience, please enable JavaScript in your browser before proceeding. You will wear your splint at all times for 4-6 weeks. Some nonviable muscle tissue was also debrided. Codes 1101011012 can be used for debridements performed at the same time as the fracture reduction and fixation or for initial debridement and reduction at a later date. Treatment is based on which metacarpal is involved, location of the fracture, and the rotation/angulation of the injury. An area of 3 cm x 4 cm was dark. 2012 ICD-9-CM Procedure 79. Learn how to, Most people recover from a broken wrist in a few months, but sometimes complications can occur. Every surgery is different. For that, you will require modifiers (-51, -58, -78). Metacarpal neck fracture left icd-10. They were under the impression that only the meniscectomy included the chondroplasty. The meniscectomy codes (29880 and 29881) do include a chondroplasty, regardless of compartments. Metatarsal Fracture ORIF Contraindications. February 27, 2023 alexandra bonefas scott No Comments . Open Reduction and Internal Fixation (ORIF). % If plates and screws require removal in the future, this will require an additional surgery. Your doctor might recommend ORIF if your bone: ORIF may also help if the bone was previously re-aligned without an incision known as closed reduction but didnt heal properly. All Rights Reserved. "All Rights Reserved." <> Depending on the nature of the fracture, the bones may be repositioned surgically or without surgery. S62.336A- Displaced fracture of neck of fifth metacarpal bone, right hand, initial encounter for closed fracture. A spiral fracture, also known as torsion fracture, is a type of complete fracture that occurs due to a rotational, or twisting, force. Open treatment refers to the . You must log in or register to reply here. endobj In total, 25 patients with unstable fractures at the base of the first metacarpal underwent closed reduction and percutaneous fixation of the fracture. Continue to review coding practices and ensure that all physicians, nonphysician providers, and staff are up-to-date on the coding rules. Epub 2021 Jul 15. CPT Coding. Who is right? Youll need physical or occupational therapy, pain medication, and lots of rest. In transverse fractures, an interfragmentary lag screw can not be used. These tests will allow the doctor to examine your broken bone. The surgeon is correct according to CPT rules. A Bennet fracture is an intra-articular fracture of the 1st metacarpal fracture caused by an axial force applied to the thumb in flexion, that requires surgical fixation when displaced. Open fractures are those in which the bone and/or joint is exposed to the external environment or a fracture or dislocation caused by a blunt or penetrating force sufficient to disrupt or penetrate skin layers, subcutaneous tissue, muscle fascia/muscle, and bones or joints. Absolute stability is achieved using compression plate principles. This is rare. If two metacarpals use single incision between them. We give you the tips you need to heal well, A humerus fracture is a break in the large bone of your upper arm. The countdown to AAOS 2023 March 7-11 in Las Vegas is on! Lost revenue and costs exceed 10 billion dollars. Internal fixation allows for anatomical reduction, early active motion and shorter rehabilitation. KarenZupko & Associates, Inc. 2023 | All Rights Reserved, Total Thyroidectomy and Reimplantation of Parathyroids, Tympanoplasty with Middle Ear Exploration. The goal of the metatarsal fracture fixation (open reduction and internal fixation) procedure is to correct a fracture of one or more of the long bones of the foot, called the metatarsus. Write by: . "American Academy of Orthopaedic Surgeons" and its associated seal and "American Association of Orthopaedic Surgeons" and its logo are all registered U.S. trademarks and may not be used without written permission. Prospectively collected data of 25 consecutive patients were evaluated retrospectively, assessing stability of fixation, operation time and the occurrence of fracture dislocation during and . The surgery should help reduce pain and restore mobility by helping the bone heal in the right position. Hardware removal due to infection after open reduction and internal fixation: Trends and predictors. Complete recovery depends on the type, severity, and location of your fracture. Medicare payment rules are specific to payments and occasionally require the use of a different code when reporting services. ICD-9-CM Fracture Coding Care of complications of fractures, such as a malunion or a nonunion, are coded with appropriate codes for those conditions 733.81 and 733.82, respectively. Despite the increasing success rate of ORIF, recovery depends on your: ORIF is performed by an orthopedic surgeon. ORIF of closed metacarpal fractures allowed for earlier mobilization when compared with CRPP without compromising fracture stability, clinical or functional short-term outcomes. All bony prominences well padded. Metacarpal Fractures Pathway Updated: 10/4/2016. Femur fracture open reduction and internal fixation. After showering, pat incision dry and replace splint. The information on this website is intended for orthopaedic surgeons. Ambulance Transportation Billing Services, Skilled Nursing Facilities Billing Services. Avoiding Common Anesthesia Billing Pitfalls, It is important to note that two of these, Use these codes to report debridement of the skin and other sites when an open fracture or dislocation is present. Often the wound site is contaminated with foreign material (e.g., grass, twigs, dirt, oil, grass, gravel, etc) and bacteria. * : Reduction Of Fracture And Dislocation. Q: The podiatrist in our office recently performed an arthrodesis procedure that required bone graft to be harvested from the iliac crest. Modifier 59 would be appended to the lesser-valued procedure (26605) to indicate that the nonmanipulative treatment of the fracture is for a separately identifiable bone. 0 . Coding additional procedures can boost your bottom line by $500. In a recent multiple trauma case, the patient had a displaced metacarpal fracture requiring an open reduction internal fixation (ORIF), a nondisplaced metacarpal fracture, and other fractures. 26645. My MAC approved one. CPT codes 11010, 11011, and 11012 were revised to describe debridement at the site of an open fracture including removal of foreign material. -"e splint may be cut down to hand-based only at 4 weeks. 3 Months: Check xrays. Excellent results can 26615Open treatment of metacarpal fracture, single, includes internal fixation, when performed, each bone, 26605Closed treatment of metacarpal fracture, single; with manipulation, each bone. It may also involve the surrounding neurovascular structures, ligaments, and/or tendons, or involve dead or devitalized tissue, hemorrhaging, or swelling. While showering, it is important you do not use your hand/arm. Comminuted fracture patterns not amenable to screw fixation Open reduction internal fixation (ORIF) Indicated when greater than 1 mm displacement in intra-articular fractures (Bennett or Rolando fracture patterns) and comminuted fracture fragments involving the metacarpal base when the fragments are large enough and amenable to screw fixation Please log in to access this article. Place in removable splint with fingers buddy-taped. If plates or screws are used to fix the fracture they will remain in place indefinitely, unless causing pain for patient. During this procedure, the surgeon will stabilize the bones with a variety of hardware in . Ankle fracture open reduction and internal fixation. It is not intended for the general public. Correction of a misalignment of the broken bones involves making an incision and aligning the broken bones back into place. They should not be used to report minor debridement or the normal care that would be taken with an open fracture, such as minor excision of the wound edges (skin margin) necessary to close the defect. Cpt Code For Orif Fibula Fracture. (n.d.). The hand surgeon submitted two CPT codes, one for the metacarpal fracture and one for the distal radius fracture. Contact our Account Receivables Specialist today! (2012). If you have an arm fracture, you may go home later that day. The patient was in an automobile accident and sustained an open fracture of the left femur. Here, we highlight eight frequently encountered errors when coding hand procedures and how to fix them. The answer is It depends on payor rules. You may be correct if the payor is Medicare and hence the confusion sets in. The surgery is used to fix fractures in the arms and legs, including bones in the shoulder, elbow, wrist, hip, knee, and ankle. This patient sustained displaced fractures of the fourth and fifth metacarpal shafts. Rasouli MR, et al. ORIF of First Metacarpal Base Fracture - Rolando Fracture Hook Plate Case Study August 14, 2017 Document A 55-year-old, right-hand-dominant male fractured the base of his right first metacarpal during a fall at work. M20.012 Mallet finger left finger (s) Metacarpal Neck Fracture S62.339A. These problems are rare. When multiple injuries occur, it may be necessary for the physician to perform multiple procedures to restore lost functioning. There are many types of skull fractures, but only one major cause. Typically follow up appointments are scheduled in two-week intervals following surgery, so we can monitor your recovery. This is a fracture through the "shaft" of the bone, which is the middle section. 26615. Humerus Fracture: How Long Will It Take to Heal? But there are things about getting around that youre just not ready for. Open fractures are those in which the bone and/or joint is exposed to the external environment or a fracture or dislocation caused by a blunt or penetrating force sufficient to disrupt or penetrate skin layers, subcutaneous tissue, muscle fascia/muscle, and bones or joints. You will be discharged in a temporary splint that must be kept clean and dry until you are seen for follow up. Answer: Here's how to tell if your wrist is broken and what to. Meniscal repair and meniscectomy A stress fracture in the foot is an overuse injury. With the pins in place, the stability of the fracture fixation and the rotational alignment are . Medical Therapy Most. While extra-articular fractures are mostly seen independent of other injuries, intra-articular fractures can present with concomitant carpometacarpal joint dislocation, especially in the ring and small fingers. Open reduction internal fixation (ORIF) is a surgical approach that's used for repairing certain types of bone fractures. Epidemiology Incidence Pre-operative antibiotics, +/- regional block. Specialist surgical procedure used to fix fractures. An open reduction is an invasive surgical bone realignment, as opposed to a closed reduction that's done without surgery or an incision. WEEKS 0-1: Remain in post-operative hand splint. 23575 Closed treatment of scapular fracture; with manipulation, with or without skeletal traction (with or without shoulder joint involvement) Bennett Fractrue ORIF Contraindications. The fractures were angulated and the fingers were not aligned well. Bennett Fractrue ORIF Indications. All About Fractures of the 5th Metatarsal, What to Know About Distal Radius Fractures: Treatment, Recovery, and More, What to Know About a Stress Fracture in the Foot, What You Need to Know About a Broken Wrist. Supine with hand table, tourniquet high on the arm. Fracture exposed by subperiosteal dissection from lateral side of extensor tendon to mimize tendon adhesion. Or lateral CPT 24358 - If plate is not pre-bent the volar cortex will gap open when the plate is secured. ORIF recovery can last 3 to 12 months. As mentioned earlier, open fractures have considerable contamination with foreign bodies and devitalized tissue. The official definition of CPT code 26600 (Closed treatment of metacarpal fracture, single; without manipulation, each bone) instructs the physician to report CPT code 26600 for each bone that is fracture and treated without manipulation. Download Citation | On Jan 1, 2008, RC Mahabir and others published Closed reduction internal fixation rates and procedure times for metacarpal fractures treated in a minor surgery area before and . These are considered to be follow-up care during the global period, unless the patient is returned to an approved operative suite. ICD9 Codes Thumb base metacarpal fracture, closed (815.01) Metacarpal base fracture, closed (815.02) Metacarpal shaft fracture, closed (815.03) Thumb base metacarpal fracture, open (815.11) Metacarpal base fracture, open (815.12) Carpometacarpal dislocation, closed (833.04) Carpometacarpal dislocation, open (833.14) 4 0 obj You can use a knee scooter, seated scooter, or crutches. This procedure requires general anesthesia (you'll be asleep . Dr. Hand reports two CPT codes to non-Medicare patients for the non-manipulative treatment of the metacarpal and distal radius fractures. Metacarpal Neck Fracture ORIF/ CRPP 26615. Medicare does have a zero modifier for CPT code 29877. Finally, the surgeon will close the incision with stitches or staples, apply a bandage, and may put the limb in a cast or splint depending on the location and type of fracture. These moves will help you regain strength and movement in the area. Encourage gentle ROM. [26] The arthrodesis code does not include the harvest of bone graft in its description so I dont think this is cosurgery. The dorsally convex metacarpal bones . The Center for Medicare and Medicaid Services (CMS) via the National Correct Coding Initiatives (NCCI) published Medicare payment rules for Part B Medicare. In some instances, when bones can be easily manipulated to correct alignment, Closed Reduction and Internal Fixation may be done and no incision will be made in affected finger/hand. Generally, recovery takes 3 to 12 months. Multiple metacarpal fractures Most metacarpal fractures occur in the active and working population, particularly adolescents and young adults. These injuries are usually fractures that are displaced, unstable, or those that involve the joint. Treatment ranges from splint immobilization for certain extra-articular fractures to surgical fixation for . Both CRPP and ORIF are viable techniques with good clinical outcomes and low complication rates. Get the facts on fractures and learn about diagnosis and treatment. This scenario does not meet the intent of modifier 58 because neither the joint injection nor the aspiration meets the staged or planned procedure definition. You dont need ORIF if you have a minor fracture. Orthobullets Team % TECHNIQUE VIDEO 0 % TECHNIQUE STEPS 0. Open reduction and internal fixation of metacarpal fractures using a thermoplastic splint as a surgical instrument Open reduction and internal fixation of metacarpal fractures using a thermoplastic splint as a surgical instrument Arch Plast Surg. View a chart showing the last 8+ years of Medicare denial rates, Medicare Allowed amounts, and Medicare billed amounts. Screw Fixation. Prep and drape in standard sterile fashion. G56.01 - Carpal tunnel syndrome, right upper limb, G56.02 - Carpal tunnel syndrome, left upper limb, M72.0 - Palmar fascial fibromatosis [Dupuytren], M65.041 - Abscess of tendon sheath, right hand, M65.042 - Abscess of tendon sheath, left hand, S63.8X1A Sprain other right wrist and hand, Z96.631 Presence of right artificial wrist joint, S63.38X2A Sprain other left wrist and hand, Z96.632 Presence of left artificial wrist joint, S63.8X1A Sprain other right hand and wrist, S63.8X2A Sprain other left wrist and hand, S62.211A Bennett fracture right hand, initial closed, S62.212A Bennett fracture left hand, initial closed, Carpometacarpal Fracture- Dislocation S63.056A, S62.109A, S62.309A, Carpometacarpal fracture dislocation CRPP 26676, S63.054A Dislocation of other carpometacarpal joint of right hand, initial encounter, S63.055A Dislocation of other carpometacarpal joint of left hand, initial encounter, M19.041 Primary osteoarthritis, right hand, M19.042 Primary osteoarthritis, left hand, Distal Phalanx Fracture Open treatment 26765, S52.501A Unspecified fracture of the lower end of right radius, initial encounter closed fracture, S52.531A Colles' fracture of right radius, initial encouter for closed fracture, S52.502A Unspecified fracture of the lower end of left radius, initial encounter closed fracture, S52.532A Colles' fracture of left radius, initial encouter for closed fracture, 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 Excision CPT 26123, Extensor Tendon Injuries M66.249 S61.409A S66.929A, 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, Flexor tendon sheath Irrigation and debridement 26020, M65.841 Other synvitis and tenosynovitis, right hand, M65.842 Other synvitis and tenosynovitis, left hand, S63.63_A Sprain interphalangeal joint right _finger, initial, S63.63_A Sprain interphalangeal joint left _finger, initial, Metacarpal Neck Fracture ORIF/ CRPP 26615, S62.336A- Displaced fracture of neck of fifth metacarpal bone, right hand, initial encounter for closed fracture, S62.337A- Displaced fracture of neck of fifth metacarpal bone, leftt hand, initial encounter for closed fracture, M19.041 Primary Osteoarthritis, right hand, Phalangeal Shaft Fracture S62.509A S62.609A, M19.041- Primary osteoarthritis, right hand, S63.511A Sprain carpal joint right wrist, initial, S63.512A Sprain carpal joint left wrist, initial, M19.042 Primary osteoarthritis of left hand, 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 leftt thumb, initial, M19.031 Primary osteoarthritis, right wrist, M19.032 Primary Osteoarthritis, left wrist, Anterior Interosseous Nerve Syndrome G56.10 354.1, Carpal Tunnel syndrome (CTS) G56.00 354.0, Carpometacarpal Fracture - Dislocation S63.056A S62.109A S62.309A 833.04, Carpometacarpal Fracture-Dislocation CRPP 26676, Congenital Radioulnar Synostosis Q74.0 755.53, Distal Phalanx Fracture Open Treatment 26765, Distal Radioulnar Joint Arthritis M19.039 715.13, DRUJ Instability / Dislocation S63.016A 833.01, Extensor Carpi Ulnaris Subluxation S63.509A 842.00, Extensor Carpi Ulnaris Tendonitis M65.849 727.05, Extensor Tendon Injuries M66.249 S61.409A S66.929A 883.2, Flexor Carpi Radialis Tendonitis M65.849 727.05, Flexor Tendon Tenosynovitis M65.849 727.0, Giant Cell Tumor of the Tendon Sheath Images, Metacarpal Neck Fracture ORIF / CRPP 26615, Metacarpal Shaft Fracture S62.329A 815.03, Metacarpophalageal Joint Dislocation S63.116A 834.01, Phalangeal Base Fracture S62.509A S62.609A 816.00, Phalangeal Metacarpal Malunion/Nonunion S62.90XK 733.81, Phalangeal Neck Fracture S62.509A S62.609A 816.00, Phalangeal Shaft Fracture S62.509A S62.609A 816.00, PIP Fracture / Dislocation S63.279A 834.02, Radial Sided Wrist Pain Differential Diagnosis, Scaphoid Nonunion Advanced Collapse S62.023K 733.82, Scapholunate Advanced Collapse M19.039 715.13, Scapholunate Ligament Repair-Bruneli 25320, Thumb Basilar Joint Arthritis Classification, Thumb Basilar Joint Arthritis M19.049 715.14, Thumb Metacarpal Fracture S62.246A 815.03, Thumb Ulnar Collateral Ligament Injury S63.649A 842.12, Ulnocarpal Impaction Syndrome M24.839 718.83.
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