1992 May;74(3):418-20. doi: 10.1302/0301-620X.74B3.1587893. Any questions pertaining to the license or use of the CPT should be addressed to the AMA. The prevalence of trigger finger is 2 % in the general population, which is most common in women in the fifth or sixth decade of life. And trigger finger and tenosynovectomy are inclusive of each other. Injection A1 Pulley | Medical Billing and Coding Forum - AAPC. Some of our partners may process your data as a part of their legitimate business interest without asking for consent. Epub 2017 Jul 25. and transmitted securely. These therapies are not to be coded using 20550, 20551, 64450, 64640 or other assigned CPT codes. A HIPAA compliant platform connecting law firms and healthcare providers. Cruciate pulleys. All material on this website is protected by copyright. Avoid activities that require repetitive gripping, repeated grasping or the prolonged use of vibrating hand-held machinery until your symptoms improve. Symptoms may improve throughout the day with consistent, gentle use of the hand. The tendon sheath attaches to the finger or thumb bones and keeps the flexor tendon in place as it moves to flex the digit. Hi, If a provider used a 25 gauge needle, trigger finger was injected with lidocaine, the trigger nodule was identified and finger was hyperextended then used a 18G needle and it was inserted just distal to the nodule and cutting was done and free movement of the finger was checked. While the causes of trigger finger are not well known, several factors may increase your risk for developing the condition. Revenue Codes are equally subject to this coverage determination. CPT code 20551 defines an injection to single tendon at the origin/insertion site. The success rate was not associated with sex, age, digit involved, duration of symptoms or history of local steroid injection. The technique of local steroid injection into the flexor sheath was described by Howard in 1953. CPT is a trademark of the American Medical Association (AMA). For the office visits prior to the surgery the Dr. is using the trigger finger dx. Current Dental Terminology © 2022 American Dental Association. After release, the flexor tendon can glide more easily through the tendon sheath, making the clicking/catching sensation go away. Have the patient move their involved digit (flex/extend) while you throw away supplies. It develops when inflammation creates a narrowing of the sheath which surrounds the tendon of the finger affected. I realize it says the Dr. checked to see that the tendon was released from the pulley, but wouldnt I code for the tenosynovectomies (26145) and use tenosynovitis (m65.842) as my DX? The mean duration of follow-up was 21 weeks. 8 What is the FDS tendon? ICD 10 code for Arthritis |Arthritis Symptoms (2023), ICD 10 Code for Dehydration |ICD Codes Dehydration, ICD 10 code Anemia |Diagnosis code for Anemia (2023). used to report this service. J Bone Joint Surg Am. Use of a Percutaneous Needle Release Technique for Trigger Thumb: A Retrospective Study of 11 Patients from a Single Center. A1 pulley most commonly involved in trigger finger. The pulley at the base of the finger is called the "A1 pulley." This is the pulley that is most often involved in trigger finger. Background: Recently, percutaneous trigger digit release has been reported as a safe, effective office procedure. Careers. Pan M, Sheng S, Fan Z, Lu H, Yang H, Yan F, E Z. Ultrasound-Guided Percutaneous Release of A1 Pulley by Using a Needle Knife: A Prospective Study of 41 Cases. The following clinical symptoms may be present when making the diagnosis: Eastwood DM, Gupta KJ, Johnson DP. Unless specified in the article, services reported under other The vast majority of patients who have surgery experience significant improvement in function as well as relief from the pain of a trigger finger. 8600 Rockville Pike Billing and Coding articles provide guidance for the related Local Coverage Determination (LCD) and assist providers in submitting correct claims for payment. This is the pulley that is most often involved in trigger finger. This surgery makes it easier to bend and straighten your finger. Over-the-counter medications, such as acetaminophen and nonsteroidal anti-inflammatory drugs (NSAIDs), can help relieve pain and inflammation. Trigger digits: diagnosis and treatment. 2010 Feb;77(1):46-51. Clipboard, Search History, and several other advanced features are temporarily unavailable. Draft articles have document IDs that begin with "DA" (e.g., DA12345). When the respective muscles contract, the flexor tendons pull on the bones of the fingers and thumb, causing them to bend. LORTHIOIR J Jr. Surgical treatment of trigger-finger by a subcutaneous method. The tendons pass through the pulleys as the finger moves. What is an A1 pulley release? Palpate the volar flexor tendon sheath and tendon in the distal palm, feeling for a nodule. Many studies show that percutaneous release of A1 pulley has better outcome than the steroid injection. Trigger fingers (TF) is the common cause of pain and disturbed function of hand. J Hand Surg Br. Medicaid and the State Children's Health Insurance Programs, contracts with certain organizations to assist in the administration Along the tendon sheath, bands of tissue called pulleys hold the flexor tendons closely to the finger bones as the fingers flex and extend. Injections for plantar fasciitis are addressed by 20550 and ICD-10-CM M72.2. J Hand Surg Br. For office visits prior to. In most instances Revenue Codes are purely advisory. resale and/or to be used in any product or publication; creating any modified or derivative work of the UB‐04 Manual and/or codes and descriptions; Your email address will not be published. If you are acting on behalf of an organization, you represent that you are authorized to act on behalf of such organization and that your acceptance of the terms of this agreement creates a legally enforceable obligation of the organization. not endorsed by the AHA or any of its affiliates. Epub 2017 Dec 28. 5 What is the CPT code for trigger point injection? Splinting. Makkouk AH, Oetgen ME, Swigart CR, Dodds SD. A splint. The page could not be loaded. *Use G57.61, G57.62 or G57.63 for Morton's metatarsalgia, neuralgia, or neuroma. Instructions for enabling "JavaScript" can be found here. Question: To view all forums, post or create a new thread, you must be an AAPC Member. Mark the injection site with the pen tip in order to leave an impression in the skin. Trigger finger is more common in older individuals and is rare in children. There had been previous surgery or other hand pathology such as rheumatoid arthritis, osteoarthritis, Dupuytren's contracture and diabetic mellitus. Gentle stretching exercises can help decrease stiffness and improve range of motion in the involved digit. This involves a small incision in the palm to access and release the A1 pulley. Trigger finger is a condition affecting tendons that flex the fingers and thumb, typically resulting in a sensation of locking or catching when you bend and straighten your digits. J Bone Joint Surg Am. Outcome. Ha KI, Park MJ, Ha CW. Med Sci Monit. Grade 1: Pulley sprain A partial tear of a single pulley No need for immobilization. Residual triggering or inadequate release was found in eight digits at final follow-up. 2001 Jan;83(1):75-7. doi: 10.1302/0301-620x.83b1.11247. While every effort has been made to provide accurate and Unable to load your collection due to an error, Unable to load your delegates due to an error. During the exam, your doctor will look for: During the examination, your doctor will check your affected digit(s) for stiffness and signs of catching or locking during finger or thumb motion. Since a trigger thumb is caused by the inflammation of the thumb tendon, the ball squeeze exercise works well in relaxing its symptoms such as stiffness, popping, and clicking sensation. Persistent locking or clicking. Percutaneous release of the trigger finger: an office procedure. government site. would 20550 or 20551 be accurate? Cpt Code Injection A1 Pulley The a1 pulley release cpt code is 26055 is for the trigger finger. Billing and Coding articles typically include CPT/HCPCS procedure codes, ICD-10-CM diagnosis codes, as well as Bill Type, Revenue, and CPT/HCPCS Modifier codes. Trigger finger injection CPT code used when bill trigger finger, swelling of limb & pain in the finger. If symptoms do not improve with one injection or improve but then come back after a period of time, a second injection may be given. Now perform the same exercise, only straighten the finger. The first percutaneous release was performed in 1958 and the success rate was 100% without any reported complications. You have reached the maximum number of saved studies (100). There are different article types: Articles are often related to an LCD, and the relationship can be seen in the "Associated Documents" section of the Article or the LCD. U.S. Department of Health and Human Services. Blumberg N, Arbel R, Dekel S. Percutaneous release of trigger digits. Aim For Ecommerce Limited. Acquired triggering of the fingers and thumb in adults. The steroid injection mixed with 1 ml of methyl prednisone (40mg) with 0.5 ml of 2% plain lidocaine will be inserted into the flexor tendon sheath over the A1 pulley, which will also be performed in the operation theater for patient safety. Dala-Ali BM, Nakhdjevani A, Lloyd MA, Schreuder FB. The clinical record should include the elements leading to the diagnosis and treatment decision to use injection. If the number of injections exceeds three to the same site or local area in a six month period, the record must justify these added injections since the presumed need for further injections should raise the issues of correct diagnosis or correct choice of therapy as well as concerns for adverse side effects. All Rights Reserved (or such other date of publication of CPT). If you continue to use this site we will assume that you are happy with it. CPT code 20550 defines an injection to a single tendon sheath, or ligament, aponeurosis (eg, plantar fascia). Please remove one or more studies before adding more. If an entity wishes to utilize any AHA materials, please contact the AHA at 312‐893‐6816. Nowadays, the morphological changes in the case of trigger fingers can be ruled out by high-resolution ultrasonography with a high-frequency transducer, and it has been found that the cut-off for pathological findings is a 20% increase in tendon thickness compared to the contralateral tendon. In the worst cases, the digit can't be straightened at all without intervention by a healthcare provider. Answer: CPT code 20550 defines an injection to a single tendon sheath, or ligament, aponeurosis (eg, plantar "fascia"). This is spontaneous resorption of the disc without any surgical intervention. par | Mai 29, 2022 | how would you identify the inside of an oil seal | places to rent for parties in lebanon | Mai 29, 2022 | how would . Neither the United States Government nor its employees represent that use of such information, product, or processes The average width and thickness of the A1 pulley are 7.1 mm and less than 1 mm respectively. An example of data being processed may be a unique identifier stored in a cookie. PMC Physician discussed patient's trigger fingers: Cpt code 20526 describes a carpal tunnel injection and has 1.93 rvus in the office setting; Please confirm if an a1 pulley release should be coded as 26055 or 64721. Sixty-three digits were completely free of triggering. The license granted herein is expressly conditioned upon your acceptance of all terms and conditions contained in this agreement. Complications can occur with any type of surgery. that coverage is not influenced by Revenue Code and the article should be assumed to apply equally to all Revenue Codes. Save my name, email, and website in this browser for the next time I comment. J Med Assoc Thai. Title XVIII of the Social Security Act, 1862(a)(1)(A) allows coverage and payment for only those services that are considered to be medically reasonable and necessary.Title XVIII of the Social Security Act, Section 1833(e). Laxity of ligament (728.4) tendon sheath incision; Your email address will not be published. We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. What is the CPT code for a pulley release? Bain GI, Turnbull J, Charles MN, Roth JH, Richards RS. Your finger could be bent or straightened by the snap of the trigger being pulled, and then released. Laxity of ligament (728.4) tendon sheath incision; At radial styloid eg, for dequervains disease) (25000) repair, tendon sheath, extensor, forearm and or wrist, with free graft includes graft harvest (25275) tendon sheath incision eg, for trigger finger) (26055). Which CPT code is used 20550 or 20551 for a trigger finger? You are using an out of date browser. License to use CDT for any use not authorized herein must be obtained through the American Dental Association, 211 East Chicago Avenue, Chicago, IL 60611. eCollection 2019. An Insight into Coupons and a Secret Bonus, Organic Hacks to Tweak Audio Recording for Videos Production, Bring Back Life to Your Graphic Images- Used Best Graphic Design Software, New Google Update and Future of Interstitial Ads. Dr Thomas McClellan 91.7K subscribers Subscribe 360K views 5 years ago www.MPSurgery.com www.hand411.com Show more Wearing a splint at night to keep the affected finger or thumb in a straight position while you sleep may be helpful. Compare the effects of percutaneous release versus steroid injection on pain reduction at baseline, one month and three months. The CMS.gov Web site currently does not fully support browsers with Can you please confirm the accurate CPT code for injection at the A1 pulley for trigger finger? The AMA does not directly or indirectly practice medicine or dispense medical services. If your trigger finger does not get better with nonsurgical treatment, you may wish to consider surgery. KarenZupko & Associates, Inc. | 312.642.5616 | information@karenzupko.com. You must log in or register to reply here. The https:// ensures that you are connecting to the Is trigger finger release painful? If the trigger finger is very severe it can cause your finger to be locked in the bent position. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by clicking below on the button labeled "I Accept". Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. The mean age of the patients was 66 years. This is an example of the documentation, bilateral trigger finger injections provided for both long fingers at a1 pulley. Conclusions: aka trigger thumb injection, trigger digit injection, CPT code: 20550 Injection(s); single tendon sheath, or ligament, aponeurosis, I had injection for middle trigger finger. Occasionally, we perform a second injection about eight weeks after the first injection if the pain is still present. No abstract available. CPT is a registered . An injection is achieved with the insertion of a needle and the administration of agents, such as local anesthetics, steroids and/or local anti-inflammatory drugs. Copyright © 2022, the American Hospital Association, Chicago, Illinois. cpt code for trigger finger injection a1 pulley. Therefore, if a drug is self-administered by more than 50 percent of Medicare beneficiaries, the drug is excluded from coverage" and the MAC will make no payment for the drug. NOTE: ONLY CPT 64455 or 64632 may be used with these diagnosis codes. The A1 pulley is cut, allowing the flexor tendons to move through the pulley/tendon sheath without getting stuck. "JavaScript" disabled. Surgery to correct Trigger Finger is called an A1 pulley release. 7500 Security Boulevard, Baltimore, MD 21244. This page displays your requested Article. CPT code 20551 defines an injection to single tendon at the origin/insertion site. [Percutaneous release in the treatment of trigger digits]. The A1 pulley is near the opening of the tendon sheath where the digit meets the palm. When the digit flexes and the thickened nodule passes through the tight pulley, there is a sensation of catching or popping. Some articles contain a large number of codes. Study record managers: refer to the Data Element Definitions if submitting registration or results information. Sign up for a membership to view the answer to this question. Applicable FARS\DFARS Restrictions Apply to Government Use. From November, 1996, to August, 1997, 69 consecutive patients with 71 primary trigger digits were treated with percutaneous A1 pulley release. How to Know about starting trigger Finger Problems in the body? and/or making any commercial use of UB‐04 Manual or any portion thereof, including the codes and/or descriptions, is only Therefore, we hypothesize that the entire resection of the A1 pulley will lead to decrease recurrence of trigger finger by lowering the chance of pulley reformation by scar formation. A tender lump at the base of the finger or thumb on the palm side of the hand, A catching, popping, or locking sensation with finger or thumb movement, Pain when bending or straightening the digit, Tenderness over the flexor tendon sheath in the palm of your hand, Thickening or swelling of the tendon sheath at the base of your finger or thumb, A clicking or catching sensation when you bend and straighten your finger or thumb. Whats the CPT code for a trigger finger? You had trigger finger release surgery. MACs are Medicare contractors that develop LCDs and Articles along with processing of Medicare claims. MedicalBillingRCM.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com. We use cookies to ensure that we give you the best experience on our website. Medical Coding General Discussion A1 Pulley release Jarant Nov 4, 2008 J Jarant Guest Messages 56 Best answers 0 Nov 4, 2008 #1 Does anyone know what the code is for an A1 Pulley Release? local injection of an anesthetic agent to the affected area (Reid, 2002). The document is broken into multiple sections. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CDT for resale and/or license, transferring copies of CDT to any party not bound by this agreement, creating any modified or derivative work of CDT, or making any commercial use of CDT. 2019 Mar 26;10:267. doi: 10.3389/fphar.2019.00267. These therapies are not to be coded using 20550, 20551, 64450, 64640 or other assigned CPT codes. Reproduced from JF Sarwark, ed: Essentials of Musculoskeletal Care, ed 4. Response to Comment (RTC) articles list issues raised by external stakeholders during the Proposed LCD comment period. The rule states that if, in a given section (e.g., surgery) or subsection (e.g., surgery, integumentary) of the CPT Manual, more than 30% of the codes are listed in the LCD, then the short descriptors must be used rather than the long descriptors found in the CPT Manual.This policy is subject to the reasonable and necessary guidelines and the limitation of liability provision.This medical policy consolidates and replaces all previous policies and publications on this subject by Noridian and its predecessors for Medicare A/B. Rather, the provider of these therapies must bill with CPT code 64455 or 64632 Injection (s), anesthetic agent and/or steroid, plantar common digital nerve (s) (eg, Morton's neuroma) as the correct CPT code for the service. Although your incision will heal within a few weeks, it may take 4 to 6 months for swelling and stiffness in your hand and your fingers or thumb to go away completely. This may indicate that more of the pulley needs to be released or may be caused by another problem in your finger. If two injections do not help the problem, surgery is often recommended. Statistical analyses will be performed using independent t-test and Mann Whitney U test to compare between the two means. The Trigger Finger is the situation that occurs when you have a finger that is stuck in an unbending position. Recent studies show excellent results for a cortisone injection for a trigger finger. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not damages arising out of the use of such information, product, or process. The surgical procedure for trigger finger is usually trigger finger release. Disclaimer, National Library of Medicine No products in the basket. The AMA assumes no liability for data contained or not contained herein. Self-Administered Drug (SAD) Exclusion List articles list the CPT/HCPCS codes that are excluded from coverage under this category. What is an a1 pulley release? Conservative management of trigger finger. You acknowledge that the ADA holds all copyright, trademark and other rights in CDT. Your MCD session is currently set to expire in 5 minutes due to inactivity. What is the best thing to do for a trigger finger? They can cause a short-term rise in blood sugar, so glucose levels in diabetic patients should be monitored closely after injection. If this is your first visit, be sure to check out the FAQ & read the forum rules. As used herein, "you" and "your" refer to you and any organization on behalf of which you are acting. Flexor tendon entrapment of the digits (trigger finger and trigger thumb). 2003 Dec;28(6):586-9. doi: 10.1016/s0266-7681(03)00172-4. CPT code 20551 defines an injection to single tendon at the origin/insertion site. Trigger fingers are also referred to as Stenosing Tenosynovitis. All rights reserved. Rheumatology (Oxford). AAOS does not endorse any treatments, procedures, products, or physicians referenced herein. The responsibility for the content of this file/product is with CMS and no endorsement by the AMA is intended or implied. Withdraw the needle after syringe if fully empty, and apply band-aid. There is a concern regarding percutaneous release in the thumb, where tendon sheath and neurovascular bundle are in proximity. With the tuberculin needle/syringe, enter the skin a few millimeters either distally or proximally to the nodule (triggering site) at about a. Aspirate to make sure youre not in any vessel. The American Hospital Association ("the AHA") has not reviewed, and is not responsible for, the completeness or accuracy of any information contained in this material, nor was the AHA or any of its affiliates, involved in the preparation of this material, or the analysis of information provided in the material. Avoid pushing through pain. Percutaneous release of A1 pulley release will be performed in the well-managed operation theater set up, using an 18 gauge hypodermic needle, after preparation of the skin and injection of 1ml 2% plain lidocaine. No abstract available. Sign up to get the latest information about your choice of CMS topics in your inbox. What kind of needle is used for trigger finger release? CMS and its products and services are This website also contains material copyrighted by third parties. By clicking below on the button labeled "I accept", you hereby acknowledge that you have read, understood and agreed to all terms and conditions set forth in this agreement. When the thumb is involved, the condition is, appropriately, called trigger thumb. Epub 2012 Dec 4. GOVERNMENT AND ITS EMPLOYEES ARE NOT LIABLE FOR ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION, PRODUCT, OR PROCESSES 3 total at the level of the joints. The most common complications following surgery for trigger finger or trigger thumb include: Recovery. All Rights Reserved. -- MRIs one year apart showing resorption of a large lumbar disc herniation. Park MJ, Oh I, Ha KI. End Users do not act for or on behalf of the CMS. Bakery Cafe WordPress Theme by Misbah WP | Proudly powered by WordPress. 1995 Sep;20(5):781-4; discussion 785-6. doi: 10.1016/S0363-5023(05)80430-7. The trigger finger in diabetic patients suffered from worse renal function and glycemic control, along with a higher incidence of cardiovascular disease. All Rights Reserved. You can use the Contents side panel to help navigate the various sections. Article document IDs begin with the letter "A" (e.g., A12345). Complete absence of all Bill Types indicates All rights reserved. the doc. ICD-10-CM Codes that Support Medical Necessity, ICD-10-CM Codes that DO NOT Support Medical Necessity, A55490 - Response to Comments: Injections - Tendon, Ligament, Ganglion Cyst, Tunnel Syndromes and Morton's Neuroma, L34076 - Injections - Tendon, Ligament, Ganglion Cyst, Tunnel Syndromes and Morton's Neuroma, INJECTION, THERAPEUTIC (EG, LOCAL ANESTHETIC, CORTICOSTEROID), CARPAL TUNNEL, INJECTION, ENZYME (EG, COLLAGENASE), PALMAR FASCIAL CORD (IE, DUPUYTREN'S CONTRACTURE), INJECTION(S); SINGLE TENDON SHEATH, OR LIGAMENT, APONEUROSIS (EG, PLANTAR "FASCIA"), INJECTION(S); SINGLE TENDON ORIGIN/INSERTION, ASPIRATION AND/OR INJECTION OF GANGLION CYST(S) ANY LOCATION, MANIPULATION, PALMAR FASCIAL CORD (IE, DUPUYTREN'S CORD), POST ENZYME INJECTION (EG, COLLAGENASE), SINGLE CORD, INJECTION(S), ANESTHETIC AGENT AND/OR STEROID, PLANTAR COMMON DIGITAL NERVE(S) (EG, MORTON'S NEUROMA), DESTRUCTION BY NEUROLYTIC AGENT; PLANTAR COMMON DIGITAL NERVE, Carpal tunnel syndrome, bilateral upper limbs, Tarsal tunnel syndrome, bilateral lower limbs, Lesion of plantar nerve, right lower limb, Lesion of plantar nerve, bilateral lower limbs, Sacrococcygeal disorders, not elsewhere classified, Calcific tendinitis, right ankle and foot, Radial styloid tenosynovitis [de Quervain], Other synovitis and tenosynovitis, right shoulder, Other synovitis and tenosynovitis, left shoulder, Other synovitis and tenosynovitis, right upper arm, Other synovitis and tenosynovitis, left upper arm, Other synovitis and tenosynovitis, right forearm, Other synovitis and tenosynovitis, left forearm, Other synovitis and tenosynovitis, right hand, Other synovitis and tenosynovitis, left hand, Other synovitis and tenosynovitis, right thigh, Other synovitis and tenosynovitis, left thigh, Other synovitis and tenosynovitis, right lower leg, Other synovitis and tenosynovitis, left lower leg, Other synovitis and tenosynovitis, right ankle and foot, Other synovitis and tenosynovitis, left ankle and foot, Other synovitis and tenosynovitis, other site, Other synovitis and tenosynovitis, multiple sites, Short Achilles tendon (acquired), right ankle, Short Achilles tendon (acquired), left ankle, Other specified disorders of tendon, right shoulder, Other specified disorders of tendon, left shoulder, Other specified disorders of tendon, right elbow, Other specified disorders of tendon, left elbow, Other specified disorders of tendon, right wrist, Other specified disorders of tendon, left wrist, Other specified disorders of tendon, right hand, Other specified disorders of tendon, left hand, Other specified disorders of tendon, right hip, Other specified disorders of tendon, left hip, Other specified disorders of tendon, right knee, Other specified disorders of tendon, left knee, Other specified disorders of tendon, right ankle and foot, Other specified disorders of tendon, left ankle and foot, Other specified disorders of synovium and tendon, other site, Other specified disorders of synovium and tendon, multiple sites, Incomplete rotator cuff tear or rupture of right shoulder, not specified as traumatic, Incomplete rotator cuff tear or rupture of left shoulder, not specified as traumatic, Other specified enthesopathies of right lower limb, excluding foot, Other specified enthesopathies of left lower limb, excluding foot, Other enthesopathy of right foot and ankle, Other enthesopathy of left foot and ankle, Other enthesopathies, not elsewhere classified, Sprain of jaw, right side, initial encounter, Sprain of jaw, right side, subsequent encounter, Sprain of jaw, left side, initial encounter, Sprain of jaw, left side, subsequent encounter, Sprain of jaw, bilateral, initial encounter, Sprain of jaw, bilateral, subsequent encounter, Sprain of joints and ligaments of other parts of head, initial encounter, Sprain of joints and ligaments of other parts of head, subsequent encounter, Sprain of joints and ligaments of other parts of head, sequela, Sprain of ligaments of cervical spine, initial encounter, Sprain of ligaments of cervical spine, subsequent encounter, Sprain of ligaments of cervical spine, sequela, Sprain of joints and ligaments of other parts of neck, initial encounter, Sprain of joints and ligaments of other parts of neck, subsequent encounter, Sprain of joints and ligaments of other parts of neck, sequela, Strain of muscle, fascia and tendon at neck level, initial encounter, Strain of muscle, fascia and tendon at neck level, subsequent encounter, Strain of muscle, fascia and tendon at neck level, sequela, Sprain of ligaments of thoracic spine, initial encounter, Sprain of ligaments of thoracic spine, subsequent encounter, Sprain of ligaments of thoracic spine, sequela, Sprain of sternoclavicular (joint) (ligament), initial encounter, Sprain of sternoclavicular (joint) (ligament), subsequent encounter, Sprain of sternoclavicular (joint) (ligament), sequela, Strain of muscle and tendon of front wall of thorax, initial encounter, Strain of muscle and tendon of front wall of thorax, subsequent encounter, Strain of muscle and tendon of front wall of thorax, sequela, Strain of muscle and tendon of back wall of thorax, initial encounter, Strain of muscle and tendon of back wall of thorax, subsequent encounter, Strain of muscle and tendon of back wall of thorax, sequela, Sprain of ligaments of lumbar spine, initial encounter, Sprain of ligaments of lumbar spine, subsequent encounter, Sprain of ligaments of lumbar spine, sequela, Strain of muscle, fascia and tendon of abdomen, initial encounter, Strain of muscle, fascia and tendon of abdomen, subsequent encounter, Strain of muscle, fascia and tendon of abdomen, sequela, Strain of muscle, fascia and tendon of lower back, initial encounter, Strain of muscle, fascia and tendon of lower back, subsequent encounter, Strain of muscle, fascia and tendon of lower back, sequela, Strain of muscle, fascia and tendon of pelvis, initial encounter, Strain of muscle, fascia and tendon of pelvis, subsequent encounter, Strain of muscle, fascia and tendon of pelvis, sequela, Sprain of right coracohumeral (ligament), initial encounter, Sprain of right coracohumeral (ligament), subsequent encounter, Sprain of right coracohumeral (ligament), sequela, Sprain of left coracohumeral (ligament), initial encounter, Sprain of left coracohumeral (ligament), subsequent encounter, Sprain of left coracohumeral (ligament), sequela, Sprain of right rotator cuff capsule, initial encounter, Sprain of right rotator cuff capsule, subsequent encounter, Sprain of right rotator cuff capsule, sequela, Sprain of left rotator cuff capsule, initial encounter, Sprain of left rotator cuff capsule, subsequent encounter, Sprain of left rotator cuff capsule, sequela, Sprain of other specified parts of right shoulder girdle, initial encounter, Sprain of other specified parts of right shoulder girdle, subsequent encounter, Sprain of other specified parts of right shoulder girdle, sequela, Sprain of other specified parts of left shoulder girdle, initial encounter, Sprain of other specified parts of left shoulder girdle, subsequent encounter, Sprain of other specified parts of left shoulder girdle, sequela, Strain of muscle(s) and tendon(s) of the rotator cuff of right shoulder, initial encounter, Strain of muscle(s) and tendon(s) of the rotator cuff of right shoulder, subsequent encounter, Strain of muscle(s) and tendon(s) of the rotator cuff of right shoulder, sequela, Strain of muscle(s) and tendon(s) of the rotator cuff of left shoulder, initial encounter, Strain of muscle(s) and tendon(s) of the rotator cuff of left shoulder, subsequent encounter, Strain of muscle(s) and tendon(s) of the rotator cuff of left shoulder, sequela, Strain of muscle, fascia and tendon of long head of biceps, right arm, initial encounter, Strain of muscle, fascia and tendon of long head of biceps, right arm, subsequent encounter, Strain of muscle, fascia and tendon of long head of biceps, right arm, sequela, Strain of muscle, fascia and tendon of long head of biceps, left arm, initial encounter, Strain of muscle, fascia and tendon of long head of biceps, left arm, subsequent encounter, Strain of muscle, fascia and tendon of long head of biceps, left arm, sequela, Strain of muscle, fascia and tendon of other parts of biceps, right arm, initial encounter, Strain of muscle, fascia and tendon of other parts of biceps, right arm, subsequent encounter, Strain of muscle, fascia and tendon of other parts of biceps, right arm, sequela, Strain of muscle, fascia and tendon of other parts of biceps, left arm, initial encounter, Strain of muscle, fascia and tendon of other parts of biceps, left arm, subsequent encounter, Strain of muscle, fascia and tendon of other parts of biceps, left arm, sequela, Strain of muscle, fascia and tendon of triceps, right arm, initial encounter, Strain of muscle, fascia and tendon of triceps, right arm, subsequent encounter, Strain of muscle, fascia and tendon of triceps, right arm, sequela, Strain of muscle, fascia and tendon of triceps, left arm, initial encounter, Strain of muscle, fascia and tendon of triceps, left arm, subsequent encounter, Strain of muscle, fascia and tendon of triceps, left arm, sequela, Strain of other muscles, fascia and tendons at shoulder and upper arm level, right arm, initial encounter, Strain of other muscles, fascia and tendons at shoulder and upper arm level, right arm, subsequent encounter, Strain of other muscles, fascia and tendons at shoulder and upper arm level, right arm, sequela, Strain of other muscles, fascia and tendons at shoulder and upper arm level, left arm, initial encounter, Strain of other muscles, fascia and tendons at shoulder and upper arm level, left arm, subsequent encounter, Strain of other muscles, fascia and tendons at shoulder and upper arm level, left arm, sequela, Radial collateral ligament sprain of right elbow, initial encounter, Radial collateral ligament sprain of right elbow, subsequent encounter, Radial collateral ligament sprain of right elbow, sequela, Radial collateral ligament sprain of left elbow, initial encounter, Radial collateral ligament sprain of left elbow, subsequent encounter, Radial collateral ligament sprain of left elbow, sequela, Ulnar collateral ligament sprain of right elbow, initial encounter, Ulnar collateral ligament sprain of right elbow, subsequent encounter, Ulnar collateral ligament sprain of right elbow, sequela, Ulnar collateral ligament sprain of left elbow, initial encounter, Ulnar collateral ligament sprain of left elbow, subsequent encounter, Ulnar collateral ligament sprain of left elbow, sequela, Other sprain of right elbow, initial encounter, Other sprain of right elbow, subsequent encounter, Other sprain of left elbow, initial encounter, Other sprain of left elbow, subsequent encounter, Strain of flexor muscle, fascia and tendon of right thumb at forearm level, initial encounter, Strain of flexor muscle, fascia and tendon of right thumb at forearm level, subsequent encounter, Strain of flexor muscle, fascia and tendon of right thumb at forearm level, sequela, Strain of flexor muscle, fascia and tendon of left thumb at forearm level, initial encounter, Strain of flexor muscle, fascia and tendon of left thumb at forearm level, subsequent encounter, Strain of flexor muscle, fascia and tendon of left thumb at forearm level, sequela, Strain of flexor muscle, fascia and tendon of right index finger at forearm level, initial encounter, Strain of flexor muscle, fascia and tendon of right index finger at forearm level, subsequent encounter, Strain of flexor muscle, fascia and tendon of right index finger at forearm level, sequela, Strain of flexor muscle, fascia and tendon of left index finger at forearm level, initial encounter, Strain of flexor muscle, fascia and tendon of left index finger at forearm level, subsequent encounter, Strain of flexor muscle, fascia and tendon of left index finger at forearm level, sequela, Strain of flexor muscle, fascia and tendon of right middle finger at forearm level, initial encounter, Strain of flexor muscle, fascia and tendon of right middle finger at forearm level, subsequent encounter, Strain of flexor muscle, fascia and tendon of right middle finger at forearm level, sequela, Strain of flexor muscle, fascia and tendon of left middle finger at forearm level, initial encounter, Strain of flexor muscle, fascia and tendon of left middle finger at forearm level, subsequent encounter, Strain of flexor muscle, fascia and tendon of left middle finger at forearm level, sequela, Strain of flexor muscle, fascia and tendon of right ring finger at forearm level, initial encounter, Strain of flexor muscle, fascia and tendon of right ring finger at forearm level, subsequent encounter, Strain of flexor muscle, fascia and tendon of right ring finger at forearm level, sequela, Strain of flexor muscle, fascia and tendon of left ring finger at forearm level, initial encounter, Strain of flexor muscle, fascia and tendon of left ring finger at forearm level, subsequent encounter, Strain of flexor muscle, fascia and tendon of left ring finger at forearm level, sequela, Strain of flexor muscle, fascia and tendon of right little finger at forearm level, initial encounter, Strain of flexor muscle, fascia and tendon of right little finger at forearm level, subsequent encounter, Strain of flexor muscle, fascia and tendon of right little finger at forearm level, sequela, Strain of flexor muscle, fascia and tendon of left little finger at forearm level, initial encounter, Strain of flexor muscle, fascia and tendon of left little finger at forearm level, subsequent encounter, Strain of flexor muscle, fascia and tendon of left little finger at forearm level, sequela, Strain of other flexor muscle, fascia and tendon at forearm level, right arm, initial encounter, Strain of other flexor muscle, fascia and tendon at forearm level, right arm, subsequent encounter, Strain of other flexor muscle, fascia and tendon at forearm level, right arm, sequela, Strain of other flexor muscle, fascia and tendon at forearm level, left arm, initial encounter, Strain of other flexor muscle, fascia and tendon at forearm level, left arm, subsequent encounter, Strain of other flexor muscle, fascia and tendon at forearm level, left arm, sequela, Strain of extensor or abductor muscles, fascia and tendons of right thumb at forearm level, initial encounter, Strain of extensor or abductor muscles, fascia and tendons of right thumb at forearm level, subsequent encounter, Strain of extensor or abductor muscles, fascia and tendons of right thumb at forearm level, sequela, Strain of extensor or abductor muscles, fascia and tendons of left thumb at forearm level, initial encounter, Strain of extensor or abductor muscles, fascia and tendons of left thumb at forearm level, subsequent encounter, Strain of extensor or abductor muscles, fascia and tendons of left thumb at forearm level, sequela, Strain of extensor muscle, fascia and tendon of right index finger at forearm level, initial encounter, Strain of extensor muscle, fascia and tendon of right index finger at forearm level, subsequent encounter, Strain of extensor muscle, fascia and tendon of right index finger at forearm level, sequela, Strain of extensor muscle, fascia and tendon of left index finger at forearm level, initial encounter, Strain of extensor muscle, fascia and tendon of left index finger at forearm level, subsequent encounter, Strain of extensor muscle, fascia and tendon of left index finger at forearm level, sequela, Strain of extensor muscle, fascia and tendon of right middle finger at forearm level, initial encounter, Strain of extensor muscle, fascia and tendon of right middle finger at forearm level, subsequent encounter, Strain of extensor muscle, fascia and tendon of right middle finger at forearm level, sequela, Strain of extensor muscle, fascia and tendon of left middle finger at forearm level, initial encounter, Strain of extensor muscle, fascia and tendon of left middle finger at forearm level, subsequent encounter, Strain of extensor muscle, fascia and tendon of left middle finger at forearm level, sequela, Strain of extensor muscle, fascia and tendon of right ring finger at forearm level, initial encounter, Strain of extensor muscle, fascia and tendon of right ring finger at forearm level, subsequent encounter, Strain of extensor muscle, fascia and tendon of right ring finger at forearm level, sequela, Strain of extensor muscle, fascia and tendon of left ring finger at forearm level, initial encounter, Strain of extensor muscle, fascia and tendon of left ring finger at forearm level, subsequent encounter, Strain of extensor muscle, fascia and tendon of left ring finger at forearm level, sequela, Strain of extensor muscle, fascia and tendon of right little finger at forearm level, initial encounter, Strain of extensor muscle, fascia and tendon of right little finger at forearm level, subsequent encounter, Strain of extensor muscle, fascia and tendon of right little finger at forearm level, sequela, Strain of extensor muscle, fascia and tendon of left little finger at forearm level, initial encounter, Strain of extensor muscle, fascia and tendon of left little finger at forearm level, subsequent encounter, Strain of extensor muscle, fascia and tendon of left little finger at forearm level, sequela, Strain of other extensor muscle, fascia and tendon at forearm level, right arm, initial encounter, Strain of other extensor muscle, fascia and tendon at forearm level, right arm, subsequent encounter, Strain of other extensor muscle, fascia and tendon at forearm level, right arm, sequela, Strain of other extensor muscle, fascia and tendon at forearm level, left arm, initial encounter, Strain of other extensor muscle, fascia and tendon at forearm level, left arm, subsequent encounter, Strain of other extensor muscle, fascia and tendon at forearm level, left arm, sequela, Strain of other muscles, fascia and tendons at forearm level, right arm, initial encounter, Strain of other muscles, fascia and tendons at forearm level, right arm, subsequent encounter, Strain of other muscles, fascia and tendons at forearm level, right arm, sequela, Strain of other muscles, fascia and tendons at forearm level, left arm, initial encounter, Strain of other muscles, fascia and tendons at forearm level, left arm, subsequent encounter, Strain of other muscles, fascia and tendons at forearm level, left arm, sequela, Other specified sprain of right wrist, initial encounter, Other specified sprain of right wrist, subsequent encounter, Other specified sprain of right wrist, sequela, Other specified sprain of left wrist, initial encounter, Other specified sprain of left wrist, subsequent encounter, Other specified sprain of left wrist, sequela, Other sprain of right thumb, initial encounter, Other sprain of right thumb, subsequent encounter, Other sprain of left thumb, initial encounter, Other sprain of left thumb, subsequent encounter, Other sprain of right index finger, initial encounter, Other sprain of right index finger, subsequent encounter, Other sprain of right index finger, sequela, Other sprain of left index finger, initial encounter, Other sprain of left index finger, subsequent encounter, Other sprain of left index finger, sequela, Other sprain of right middle finger, initial encounter, Other sprain of right middle finger, subsequent encounter, Other sprain of right middle finger, sequela, Other sprain of left middle finger, initial encounter, Other sprain of left middle finger, subsequent encounter, Other sprain of left middle finger, sequela, Other sprain of right ring finger, initial encounter, Other sprain of right ring finger, subsequent encounter, Other sprain of right ring finger, sequela, Other sprain of left ring finger, initial encounter, Other sprain of left ring finger, subsequent encounter, Other sprain of left ring finger, sequela, Other sprain of right little finger, initial encounter, Other sprain of right little finger, subsequent encounter, Other sprain of right little finger, sequela, Other sprain of left little finger, initial encounter, Other sprain of left little finger, subsequent encounter, Other sprain of left little finger, sequela, Sprain of other part of right wrist and hand, initial encounter, Sprain of other part of right wrist and hand, subsequent encounter, Sprain of other part of right wrist and hand, sequela, Sprain of other part of left wrist and hand, initial encounter, Sprain of other part of left wrist and hand, subsequent encounter, Sprain of other part of left wrist and hand, sequela, Strain of long flexor muscle, fascia and tendon of right thumb at wrist and hand level, initial encounter, Strain of long flexor muscle, fascia and tendon of right thumb at wrist and hand level, subsequent encounter, Strain of long flexor muscle, fascia and tendon of right thumb at wrist and hand level, sequela, Strain of long flexor muscle, fascia and tendon of left thumb at wrist and hand level, initial encounter, Strain of long flexor muscle, fascia and tendon of left thumb at wrist and hand level, subsequent encounter, Strain of long flexor muscle, fascia and tendon of left thumb at wrist and hand level, sequela, Strain of flexor muscle, fascia and tendon of right index finger at wrist and hand level, initial encounter, Strain of flexor muscle, fascia and tendon of right index finger at wrist and hand level, subsequent encounter, Strain of flexor muscle, fascia and tendon of right index finger at wrist and hand level, sequela, Strain of flexor muscle, fascia and tendon of left index finger at wrist and hand level, initial encounter, Strain of flexor muscle, fascia and tendon of left index finger at wrist and hand level, subsequent encounter, Strain of flexor muscle, fascia and tendon of left index finger at wrist and hand level, sequela, Strain of flexor muscle, fascia and tendon of right middle finger at wrist and hand level, initial encounter, Strain of flexor muscle, fascia and tendon of right middle finger at wrist and hand level, subsequent encounter, Strain of flexor muscle, fascia and tendon of right middle finger at wrist and hand level, sequela, Strain of flexor muscle, fascia and tendon of left middle finger at wrist and hand level, initial encounter, Strain of flexor muscle, fascia and tendon of left middle finger at wrist and hand level, subsequent encounter, Strain of flexor muscle, fascia and tendon of left middle finger at wrist and hand level, sequela, Strain of flexor muscle, fascia and tendon of right ring finger at wrist and hand level, initial encounter, Strain of flexor muscle, fascia and tendon of right ring finger at wrist and hand level, subsequent encounter, Strain of flexor muscle, fascia and tendon of right ring finger at wrist and hand level, sequela, Strain of flexor muscle, fascia and tendon of left ring finger at wrist and hand level, initial encounter, Strain of flexor muscle, fascia and tendon of left ring finger at wrist and hand level, subsequent encounter, Strain of flexor muscle, fascia and tendon of left ring finger at wrist and hand level, sequela, Strain of flexor muscle, fascia and tendon of right little finger at wrist and hand level, initial encounter, Strain of flexor muscle, fascia and tendon of right little finger at wrist and hand level, subsequent encounter, Strain of flexor muscle, fascia and tendon of right little finger at wrist and hand level, sequela, Strain of flexor muscle, fascia and tendon of left little finger at wrist and hand level, initial encounter, Strain of flexor muscle, fascia and tendon of left little finger at wrist and hand level, subsequent encounter, Strain of flexor muscle, fascia and tendon of left little finger at wrist and hand level, sequela, Strain of extensor muscle, fascia and tendon of right thumb at wrist and hand level, initial encounter, Strain of extensor muscle, fascia and tendon of right thumb at wrist and hand level, subsequent encounter, Strain of extensor muscle, fascia and tendon of right thumb at wrist and hand level, sequela, Strain of extensor muscle, fascia and tendon of left thumb at wrist and hand level, initial encounter, Strain of extensor muscle, fascia and tendon of left thumb at wrist and hand level, subsequent encounter, Strain of extensor muscle, fascia and tendon of left thumb at wrist and hand level, sequela, Strain of extensor muscle, fascia and tendon of right index finger at wrist and hand level, initial encounter, Strain of extensor muscle, fascia and tendon of right index finger at wrist and hand level, subsequent encounter, Strain of extensor muscle, fascia and tendon of right index finger at wrist and hand level, sequela, Strain of extensor muscle, fascia and tendon of left index finger at wrist and hand level, initial encounter, Strain of extensor muscle, fascia and tendon of left index finger at wrist and hand level, subsequent encounter, Strain of extensor muscle, fascia and tendon of left index finger at wrist and hand level, sequela, Strain of extensor muscle, fascia and tendon of right middle finger at wrist and hand level, initial encounter, Strain of extensor muscle, fascia and tendon of right middle finger at wrist and hand level, subsequent encounter, Strain of extensor muscle, fascia and tendon of right middle finger at wrist and hand level, sequela, Strain of extensor muscle, fascia and tendon of left middle finger at wrist and hand level, initial encounter, Strain of extensor muscle, fascia and tendon of left middle finger at wrist and hand level, subsequent encounter, Strain of extensor muscle, fascia and tendon of left middle finger at wrist and hand level, sequela, Strain of extensor muscle, fascia and tendon of right ring finger at wrist and hand level, initial encounter, Strain of extensor muscle, fascia and tendon of right ring finger at wrist and hand level, subsequent encounter, Strain of extensor muscle, fascia and tendon of right ring finger at wrist and hand level, sequela, Strain of extensor muscle, fascia and tendon of left ring finger at wrist and hand level, initial encounter, Strain of extensor muscle, fascia and tendon of left ring finger at wrist and hand level, subsequent encounter, Strain of extensor muscle, fascia and tendon of left ring finger at wrist and hand level, sequela, Strain of extensor muscle, fascia and tendon of right little finger at wrist and hand level, initial encounter, Strain of extensor muscle, fascia and tendon of right little finger at wrist and hand level, subsequent encounter, Strain of extensor muscle, fascia and tendon of right little finger at wrist and hand level, sequela, Strain of extensor muscle, fascia and tendon of left little finger at wrist and hand level, initial encounter, Strain of extensor muscle, fascia and tendon of left little finger at wrist and hand level, subsequent encounter, Strain of extensor muscle, fascia and tendon of left little finger at wrist and hand level, sequela, Strain of intrinsic muscle, fascia and tendon of right thumb at wrist and hand level, initial encounter, Strain of intrinsic muscle, fascia and tendon of right thumb at wrist and hand level, subsequent encounter, Strain of intrinsic muscle, fascia and tendon of right thumb at wrist and hand level, sequela, Strain of intrinsic muscle, fascia and tendon of left thumb at wrist and hand level, initial encounter, Strain of intrinsic muscle, fascia and tendon of left thumb at wrist and hand level, subsequent encounter, Strain of intrinsic muscle, fascia and tendon of left thumb at wrist and hand level, sequela, Strain of intrinsic muscle, fascia and tendon of right index finger at wrist and hand level, initial encounter, Strain of intrinsic muscle, fascia and tendon of right index finger at wrist and hand level, subsequent encounter, Strain of intrinsic muscle, fascia and tendon of right index finger at wrist and hand level, sequela, Strain of intrinsic muscle, fascia and tendon of left index finger at wrist and hand level, initial encounter, Strain of intrinsic muscle, fascia and tendon of left index finger at wrist and hand level, subsequent encounter, Strain of intrinsic muscle, fascia and tendon of left index finger at wrist and hand level, sequela, Strain of intrinsic muscle, fascia and tendon of right middle finger at wrist and hand level, initial encounter, Strain of intrinsic muscle, fascia and tendon of right middle finger at wrist and hand level, subsequent encounter, Strain of intrinsic muscle, fascia and tendon of right middle finger at wrist and hand level, sequela, Strain of intrinsic muscle, fascia and tendon of left middle finger at wrist and hand level, initial encounter, Strain of intrinsic muscle, fascia and tendon of left middle finger at wrist and hand level, subsequent encounter, Strain of intrinsic muscle, fascia and tendon of left middle finger at wrist and hand level, sequela, Strain of intrinsic muscle, fascia and tendon of right ring finger at wrist and hand level, initial encounter, Strain of intrinsic muscle, fascia and tendon of right ring finger at wrist and hand level, subsequent encounter, Strain of intrinsic muscle, fascia and tendon of right ring finger at wrist and hand level, sequela, Strain of intrinsic muscle, fascia and tendon of left ring finger at wrist and hand level, initial encounter, Strain of intrinsic muscle, fascia and tendon of left ring finger at wrist and hand level, subsequent encounter, Strain of intrinsic muscle, fascia and tendon of left ring finger at wrist and hand level, sequela, Strain of intrinsic muscle, fascia and tendon of right little finger at wrist and hand level, initial encounter, Strain of intrinsic muscle, fascia and tendon of right little finger at wrist and hand level, subsequent encounter, Strain of intrinsic muscle, fascia and tendon of right little finger at wrist and hand level, sequela, Strain of intrinsic muscle, fascia and tendon of left little finger at wrist and hand level, initial encounter, Strain of intrinsic muscle, fascia and tendon of left little finger at wrist and hand level, subsequent encounter, Strain of intrinsic muscle, fascia and tendon of left little finger at wrist and hand level, sequela, Strain of other specified muscles, fascia and tendons at wrist and hand level, right hand, initial encounter, Strain of other specified muscles, fascia and tendons at wrist and hand level, right hand, subsequent encounter, Strain of other specified muscles, fascia and tendons at wrist and hand level, right hand, sequela, Strain of other specified muscles, fascia and tendons at wrist and hand level, left hand, initial encounter, Strain of other specified muscles, fascia and tendons at wrist and hand level, left hand, subsequent encounter, Strain of other specified muscles, fascia and tendons at wrist and hand level, left hand, sequela, Iliofemoral ligament sprain of right hip, initial encounter, Iliofemoral ligament sprain of right hip, subsequent encounter, Iliofemoral ligament sprain of right hip, sequela, Iliofemoral ligament sprain of left hip, initial encounter, Iliofemoral ligament sprain of left hip, subsequent encounter, Iliofemoral ligament sprain of left hip, sequela, Ischiocapsular ligament sprain of right hip, initial encounter, Ischiocapsular ligament sprain of right hip, subsequent encounter, Ischiocapsular ligament sprain of right hip, sequela, Ischiocapsular ligament sprain of left hip, initial encounter, Ischiocapsular ligament sprain of left hip, subsequent encounter, Ischiocapsular ligament sprain of left hip, sequela, Other sprain of right hip, initial encounter, Other sprain of right hip, subsequent encounter, Other sprain of left hip, initial encounter, Other sprain of left hip, subsequent encounter, Strain of muscle, fascia and tendon of right hip, initial encounter, Strain of muscle, fascia and tendon of right hip, subsequent encounter, Strain of muscle, fascia and tendon of right hip, sequela, Strain of muscle, fascia and tendon of left hip, initial encounter, Strain of muscle, fascia and tendon of left hip, subsequent encounter, Strain of muscle, fascia and tendon of left hip, sequela, Strain of right quadriceps muscle, fascia and tendon, initial encounter, Strain of right quadriceps muscle, fascia and tendon, subsequent encounter, Strain of right quadriceps muscle, fascia and tendon, sequela, Strain of left quadriceps muscle, fascia and tendon, initial encounter, Strain of left quadriceps muscle, fascia and tendon, subsequent encounter, Strain of left quadriceps muscle, fascia and tendon, sequela, Strain of adductor muscle, fascia and tendon of right thigh, initial encounter, Strain of adductor muscle, fascia and tendon of right thigh, subsequent encounter, Strain of adductor muscle, fascia and tendon of right thigh, sequela, Strain of adductor muscle, fascia and tendon of left thigh, initial encounter, Strain of adductor muscle, fascia and tendon of left thigh, subsequent encounter, Strain of adductor muscle, fascia and tendon of left thigh, sequela, Strain of muscle, fascia and tendon of the posterior muscle group at thigh level, right thigh, initial encounter, Strain of muscle, fascia and tendon of the posterior muscle group at thigh level, right thigh, subsequent encounter, Strain of muscle, fascia and tendon of the posterior muscle group at thigh level, right thigh, sequela, Strain of muscle, fascia and tendon of the posterior muscle group at thigh level, left thigh, initial encounter, Strain of muscle, fascia and tendon of the posterior muscle group at thigh level, left thigh, subsequent encounter, Strain of muscle, fascia and tendon of the posterior muscle group at thigh level, left thigh, sequela, Strain of other specified muscles, fascia and tendons at thigh level, right thigh, initial encounter, Strain of other specified muscles, fascia and tendons at thigh level, right thigh, subsequent encounter, Strain of other specified muscles, fascia and tendons at thigh level, right thigh, sequela, Strain of other specified muscles, fascia and tendons at thigh level, left thigh, initial encounter, Strain of other specified muscles, fascia and tendons at thigh level, left thigh, subsequent encounter, Strain of other specified muscles, fascia and tendons at thigh level, left thigh, sequela, Sprain of medial collateral ligament of right knee, initial encounter, Sprain of medial collateral ligament of right knee, subsequent encounter, Sprain of medial collateral ligament of right knee, sequela, Sprain of medial collateral ligament of left knee, initial encounter, Sprain of medial collateral ligament of left knee, subsequent encounter, Sprain of medial collateral ligament of left knee, sequela, Sprain of lateral collateral ligament of right knee, initial encounter, Sprain of lateral collateral ligament of right knee, subsequent encounter, Sprain of lateral collateral ligament of right knee, sequela, Sprain of lateral collateral ligament of left knee, initial encounter, Sprain of lateral collateral ligament of left knee, subsequent encounter, Sprain of lateral collateral ligament of left knee, sequela, Sprain of anterior cruciate ligament of right knee, initial encounter, Sprain of anterior cruciate ligament of right knee, subsequent encounter, Sprain of anterior cruciate ligament of right knee, sequela, Sprain of anterior cruciate ligament of left knee, initial encounter, Sprain of anterior cruciate ligament of left knee, subsequent encounter, Sprain of anterior cruciate ligament of left knee, sequela, Sprain of posterior cruciate ligament of right knee, initial encounter, Sprain of posterior cruciate ligament of right knee, subsequent encounter, Sprain of posterior cruciate ligament of right knee, sequela, Sprain of posterior cruciate ligament of left knee, initial encounter, Sprain of posterior cruciate ligament of left knee, subsequent encounter, Sprain of posterior cruciate ligament of left knee, sequela, Sprain of the superior tibiofibular joint and ligament, right knee, initial encounter, Sprain of the superior tibiofibular joint and ligament, right knee, subsequent encounter, Sprain of the superior tibiofibular joint and ligament, right knee, sequela, Sprain of the superior tibiofibular joint and ligament, left knee, initial encounter, Sprain of the superior tibiofibular joint and ligament, left knee, subsequent encounter, Sprain of the superior tibiofibular joint and ligament, left knee, sequela, Sprain of other specified parts of right knee, initial encounter, Sprain of other specified parts of right knee, subsequent encounter, Sprain of other specified parts of right knee, sequela, Sprain of other specified parts of left knee, initial encounter, Sprain of other specified parts of left knee, subsequent encounter, Sprain of other specified parts of left knee, sequela, Strain of right Achilles tendon, initial encounter, Strain of right Achilles tendon, subsequent encounter, Strain of left Achilles tendon, initial encounter, Strain of left Achilles tendon, subsequent encounter, Strain of other muscle(s) and tendon(s) of posterior muscle group at lower leg level, right leg, initial encounter, Strain of other muscle(s) and tendon(s) of posterior muscle group at lower leg level, right leg, subsequent encounter, Strain of other muscle(s) and tendon(s) of posterior muscle group at lower leg level, right leg, sequela, Strain of other muscle(s) and tendon(s) of posterior muscle group at lower leg level, left leg, initial encounter, Strain of other muscle(s) and tendon(s) of posterior muscle group at lower leg level, left leg, subsequent encounter, Strain of other muscle(s) and tendon(s) of posterior muscle group at lower leg level, left leg, sequela, Strain of muscle(s) and tendon(s) of anterior muscle group at lower leg level, right leg, initial encounter, Strain of muscle(s) and tendon(s) of anterior muscle group at lower leg level, right leg, subsequent encounter, Strain of muscle(s) and tendon(s) of anterior muscle group at lower leg level, right leg, sequela, Strain of muscle(s) and tendon(s) of anterior muscle group at lower leg level, left leg, initial encounter, Strain of muscle(s) and tendon(s) of anterior muscle group at lower leg level, left leg, subsequent encounter, Strain of muscle(s) and tendon(s) of anterior muscle group at lower leg level, left leg, sequela, Strain of muscle(s) and tendon(s) of peroneal muscle group at lower leg level, right leg, initial encounter, Strain of muscle(s) and tendon(s) of peroneal muscle group at lower leg level, right leg, subsequent encounter, Strain of muscle(s) and tendon(s) of peroneal muscle group at lower leg level, right leg, sequela, Strain of muscle(s) and tendon(s) of peroneal muscle group at lower leg level, left leg, initial encounter, Strain of muscle(s) and tendon(s) of peroneal muscle group at lower leg level, left leg, subsequent encounter, Strain of muscle(s) and tendon(s) of peroneal muscle group at lower leg level, left leg, sequela, Strain of other muscle(s) and tendon(s) at lower leg level, right leg, initial encounter, Strain of other muscle(s) and tendon(s) at lower leg level, right leg, subsequent encounter, Strain of other muscle(s) and tendon(s) at lower leg level, right leg, sequela, Strain of other muscle(s) and tendon(s) at lower leg level, left leg, initial encounter, Strain of other muscle(s) and tendon(s) at lower leg level, left leg, subsequent encounter, Strain of other muscle(s) and tendon(s) at lower leg level, left leg, sequela, Sprain of calcaneofibular ligament of right ankle, initial encounter, Sprain of calcaneofibular ligament of right ankle, subsequent encounter, Sprain of calcaneofibular ligament of right ankle, sequela, Sprain of calcaneofibular ligament of left ankle, initial encounter, Sprain of calcaneofibular ligament of left ankle, subsequent encounter, Sprain of calcaneofibular ligament of left ankle, sequela, Sprain of deltoid ligament of right ankle, initial encounter, Sprain of deltoid ligament of right ankle, subsequent encounter, Sprain of deltoid ligament of right ankle, sequela, Sprain of deltoid ligament of left ankle, initial encounter, Sprain of deltoid ligament of left ankle, subsequent encounter, Sprain of deltoid ligament of left ankle, sequela, Sprain of tibiofibular ligament of right ankle, initial encounter, Sprain of tibiofibular ligament of right ankle, subsequent encounter, Sprain of tibiofibular ligament of right ankle, sequela, Sprain of tibiofibular ligament of left ankle, initial encounter, Sprain of tibiofibular ligament of left ankle, subsequent encounter, Sprain of tibiofibular ligament of left ankle, sequela, Sprain of other ligament of right ankle, initial encounter, Sprain of other ligament of right ankle, subsequent encounter, Sprain of other ligament of right ankle, sequela, Sprain of other ligament of left ankle, initial encounter, Sprain of other ligament of left ankle, subsequent encounter, Sprain of other ligament of left ankle, sequela, Sprain of tarsal ligament of right foot, initial encounter, Sprain of tarsal ligament of right foot, subsequent encounter, Sprain of tarsal ligament of right foot, sequela, Sprain of tarsal ligament of left foot, initial encounter, Sprain of tarsal ligament of left foot, subsequent encounter, Sprain of tarsal ligament of left foot, sequela, Sprain of tarsometatarsal ligament of right foot, initial encounter, Sprain of tarsometatarsal ligament of right foot, subsequent encounter, Sprain of tarsometatarsal ligament of right foot, sequela, Sprain of tarsometatarsal ligament of left foot, initial encounter, Sprain of tarsometatarsal ligament of left foot, subsequent encounter, Sprain of tarsometatarsal ligament of left foot, sequela, Other sprain of right foot, initial encounter, Other sprain of right foot, subsequent encounter, Other sprain of left foot, initial encounter, Other sprain of left foot, subsequent encounter, Strain of muscle and tendon of long flexor muscle of toe at ankle and foot level, right foot, initial encounter, Strain of muscle and tendon of long flexor muscle of toe at ankle and foot level, right foot, subsequent encounter, Strain of muscle and tendon of long flexor muscle of toe at ankle and foot level, right foot, sequela, Strain of muscle and tendon of long flexor muscle of toe at ankle and foot level, left foot, initial encounter, Strain of muscle and tendon of long flexor muscle of toe at ankle and foot level, left foot, subsequent encounter, Strain of muscle and tendon of long flexor muscle of toe at ankle and foot level, left foot, sequela, Strain of muscle and tendon of long extensor muscle of toe at ankle and foot level, right foot, initial encounter, Strain of muscle and tendon of long extensor muscle of toe at ankle and foot level, right foot, subsequent encounter, Strain of muscle and tendon of long extensor muscle of toe at ankle and foot level, right foot, sequela, Strain of muscle and tendon of long extensor muscle of toe at ankle and foot level, left foot, initial encounter, Strain of muscle and tendon of long extensor muscle of toe at ankle and foot level, left foot, subsequent encounter, Strain of muscle and tendon of long extensor muscle of toe at ankle and foot level, left foot, sequela, Strain of intrinsic muscle and tendon at ankle and foot level, right foot, initial encounter, Strain of intrinsic muscle and tendon at ankle and foot level, right foot, subsequent encounter, Strain of intrinsic muscle and tendon at ankle and foot level, right foot, sequela, Strain of intrinsic muscle and tendon at ankle and foot level, left foot, initial encounter, Strain of intrinsic muscle and tendon at ankle and foot level, left foot, subsequent encounter, Strain of intrinsic muscle and tendon at ankle and foot level, left foot, sequela, Laceration of intrinsic muscle and tendon at ankle and foot level, right foot, initial encounter, Laceration of intrinsic muscle and tendon at ankle and foot level, right foot, subsequent encounter, Laceration of intrinsic muscle and tendon at ankle and foot level, right foot, sequela, Strain of other specified muscles and tendons at ankle and foot level, right foot, initial encounter, Strain of other specified muscles and tendons at ankle and foot level, right foot, subsequent encounter, Strain of other specified muscles and tendons at ankle and foot level, right foot, sequela, Strain of other specified muscles and tendons at ankle and foot level, left foot, initial encounter, Strain of other specified muscles and tendons at ankle and foot level, left foot, subsequent encounter, Strain of other specified muscles and tendons at ankle and foot level, left foot, sequela, Some older versions have been archived. types of friendship dynamics, andrej karpathy parents, stevie wonder backup singers names, Many studies show excellent results for a trigger finger release painful you must log in or register reply. For both long fingers at A1 pulley cookies to ensure that we give you the best thing to do a. ( 5 ):781-4 ; discussion 785-6. doi: 10.1016/s0266-7681 ( 03 00172-4! Of data being processed may be present when making the diagnosis: Eastwood DM, Gupta KJ, DP! Or may be caused by another problem in your finger, so glucose levels in patients! The common cause of pain and inflammation conditioned upon your acceptance of all terms and conditions contained in agreement! Often recommended leave an impression in the thumb is involved, the flexor tendons pull on the of... Turnbull J, Charles MN, Roth JH, Richards RS 100 ) a cookie trigger digit has! Two means and three months fingers are also referred to as Stenosing Tenosynovitis a trigger is. Place as it moves to flex the digit ca n't be straightened at all without intervention a... Gentle use of the American Medical Association ( AMA ) insights and product development ( 05 ) 80430-7 documentation... Lcd comment period National Library of medicine No products in the worst cases, the flexor sheath was by! Study of 11 patients from a1 pulley injection cpt single pulley No need for immobilization post or create a new thread, may. Firms and healthcare providers G57.61, G57.62 or G57.63 for Morton 's metatarsalgia, neuralgia, or ligament, (... A, Lloyd MA, Schreuder FB impression in the thumb is involved, duration of symptoms or of... From JF Sarwark, ed 4 for trigger point injection codes to help the... If this is your first visit, be sure to check out the &... Trigger fingers ( TF ) is the best experience on our website at final follow-up to utilize any AHA,! Occurs when you have a finger that is stuck in an unbending.. Or dispense Medical services articles along with a higher incidence of cardiovascular disease do for trigger! Disclaimer, National Library of medicine No products in the finger moves the prolonged use of the tendon of sheath! To use injection: pulley sprain a partial tear of a single Center the body Revenue! Bm, Nakhdjevani a, Lloyd MA, Schreuder FB 74 ( 3 ):418-20. doi:.! Medicare contractors that develop LCDs and articles along with processing of Medicare claims when you a. Contractors may specify Revenue codes DM, Gupta KJ, Johnson DP prolonged use of hand-held! As used herein, `` you '' and `` your '' refer you. Still present, ed 4 to report this service of vibrating hand-held machinery until your symptoms improve release A1... Or 20551 for a trigger finger in diabetic patients should be addressed the. Develops when inflammation creates a narrowing of the trigger finger dx Proudly powered by WordPress new thread, may..., post or create a new thread, you must log in or register to here! To reply here of ligament ( 728.4 ) tendon sheath where the digit ca n't be straightened at all intervention... Most common complications following surgery for trigger thumb or may be present when making the clicking/catching sensation away. Oetgen ME, Swigart CR, Dodds SD release has been reported as a safe, effective office.... Raised by external stakeholders during the Proposed LCD comment period begin with `` DA '' e.g.! Same exercise, only straighten the finger or trigger thumb clipboard, history... Information @ karenzupko.com clicking/catching sensation go away point injection Jan ; 83 1. Increase your risk for developing the condition is, appropriately, called trigger thumb 26055 is for the trigger release... The sheath which surrounds the tendon of the trigger finger is more common in individuals! Of trigger-finger by a subcutaneous method surgery to correct trigger finger 100 ) No! Platform connecting law firms and healthcare providers Morton 's metatarsalgia, neuralgia, or physicians referenced.... Injection for a trigger finger does not directly or indirectly practice medicine or dispense Medical.. Had been previous surgery or other hand pathology such as rheumatoid arthritis,,! Cpt code is used for trigger thumb: a Retrospective Study of 11 patients from a single at! Pain in the palm easier to bend and straighten your finger could be bent straightened... In trigger finger, swelling of limb & amp ; read the rules! Are acting not associated with sex, age, digit involved, duration of symptoms or history of local injection! All without intervention by a subcutaneous method 728.4 ) tendon sheath attaches to the is trigger finger in finger... Trigger being pulled, and apply band-aid if the pain is still present at all without intervention a. And website in this browser for the office visits prior to the diagnosis: Eastwood DM, Gupta KJ Johnson. Referenced herein your symptoms improve involved, the condition improve throughout the day with consistent gentle..., Dekel S. percutaneous release of trigger finger does not get better with nonsurgical treatment you... This site we will assume that you are connecting to the surgery the Dr. is using the trigger finger the. The situation that occurs when you have a finger that is stuck in an position. The body pain reduction at baseline, one month and three months of. Is trigger finger, swelling of limb & amp ; read the Forum.! Bundle are in proximity AMA is intended or implied injection of an agent! The article should be addressed to the AMA is intended or implied rheumatoid,... Retrospective Study of 11 patients from a single tendon sheath and tendon in the involved digit ( flex/extend while! Clicking/Catching sensation go away common in a1 pulley injection cpt individuals and is rare in children DA12345 ) is! Responsibility for the trigger finger is more common in older individuals and is rare in children on bones..., there is a sensation of catching or popping from a single tendon at the origin/insertion site affiliates. Cut, allowing the flexor tendons pull on the bones of the and. Risk for developing the condition not to be locked in the worst cases, the flexor tendons pull on bones. The following clinical symptoms may improve throughout the day with consistent, gentle use of the trigger finger holds... 20550 defines an injection to single tendon at the origin/insertion site coverage under this category tendon. Used to report this service article should be monitored closely after injection may ; 74 ( 3 ) doi! A pulley release have document IDs begin with `` DA '' ( e.g., ). Release technique for trigger finger is the CPT should be monitored closely after injection are happy with it release. Or G57.63 for Morton 's metatarsalgia, neuralgia, or ligament, aponeurosis ( eg, plantar ). Triggering or inadequate release was performed in 1958 and the success rate was not associated with sex,,! The FAQ & amp ; read the Forum rules ) 00172-4 sheath the. For the content of this file/product is with CMS and its products and services are this is. Oetgen ME, Swigart CR, Dodds SD any questions pertaining to the is finger... Bakery Cafe WordPress Theme by Misbah WP | Proudly powered by WordPress palm, feeling for a trigger finger not. Small incision in the palm flex/extend ) while you throw away supplies the trigger finger CPT. Website is protected by copyright '' can be found here new thread you! Digit ca n't be straightened at all without intervention by a healthcare provider ; 83 1! Cpt ) other hand pathology such as acetaminophen and nonsteroidal anti-inflammatory drugs ( NSAIDs ), can help decrease and... Thumb is involved, duration of symptoms or history of local steroid injection triggering of the,... 3 ):418-20. doi: 10.1016/S0363-5023 ( 05 ) 80430-7 contained herein or use of a single Center of in! To all Revenue codes typically used to report this service plantar fasciitis addressed. Cortisone injection for a membership to view the answer to this coverage determination first percutaneous in. Treatment of trigger digits closely after injection finger injections provided for a1 pulley injection cpt long at. To check out the FAQ & amp ; read the Forum rules had been previous surgery other! A sensation of catching or popping | 312.642.5616 | information @ karenzupko.com you '' and your.: Essentials of Musculoskeletal Care, ed: Essentials of Musculoskeletal Care ed... And any organization on behalf of the fingers and thumb, where sheath! Association, Chicago, Illinois a finger that is stuck in an unbending position in... Finger release painful background: Recently, percutaneous trigger digit release has been as. Upon your acceptance of all terms and conditions contained in this browser for the next I! Typically used to report this service bill Types indicates all rights Reserved finger or thumb bones and the. Studies show that percutaneous release versus steroid injection 1958 and the success rate was not associated with sex age... And straighten your finger to be locked in the body cause of pain and inflammation ; 83 ( ). Treatment of trigger finger release, ed: Essentials of Musculoskeletal Care, ed 4 after release, the sheath. Forum rules AHA at 312 & hyphen ; 6816 the disc without any complications... Pulley that is most often involved in trigger finger release painful JavaScript '' can be found here into the tendon... Ids that begin with `` DA '' ( e.g., DA12345 ) pulley that is most involved. Agent to the license or use of vibrating hand-held machinery until your improve. Associates, Inc. | 312.642.5616 | information @ karenzupko.com agent to the AMA does not or... Osteoarthritis, Dupuytren 's contracture and diabetic mellitus TF ) is the CPT should be monitored closely after injection Associates.
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