Understand various changes in coding for common upper extremity conditions under ICD 10.

1. ICD-10-CM Coding for the Upper Extremity
Presenter
Lynn Anderanin
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ICD 10 guidelines for common upper extremity conditions and injuries that involve different
organ systems involved in the upper extremity.

2. Pain in Upper Extremity
Right Left
Unspecified M79.601 M79.602
Upper Arm M79.621 M79.622
Forearm M79.631 M79.632
Hand M79.641 M79.642
Fingers M79.644 M79.645

3. Pain and Stiffness in Joints
Pain Stiffness
Shoulder M25.51* M25.61*
Elbow M25.52* M25.62*
Wrist M25.53* M25.63*
Hand M79.64 M25.64*
6th Character laterality: 1 Right
2 Left
9 Unspecified

4. Osteoarthritis
• Chapter 13, Musculoskeletal System
• Primary, Post-traumatic, Secondary
• Shoulder, elbow, wrist, and hand

5. Osteoarthritis
Primary Post-traumatic Secondary
Shoulder M19.01 M19.11 M19.21
Elbow M19.02 M19.12 M19.22
Wrist M19.03 M19.13 M19.23
Hand M19.04 M19.14 M19.24
6th Character laterality: 1 Right
2 Left
9 Unspecified

6. Shoulder Conditions
Right Left
Incomplete rotator
cuff tear
M75.111 M75.112
Complete rotator cuff
tear
M75.121 M75.122
Bicipital Tendonitis M75.21 M75.22
Impingement
Syndrome
M75.41 M75.42
Bursitis M75.51 M75.52

7. Epicondylitis
Right Left
Lateral M77.11 M77.12
Medial M77.01 M77.02

8. Carpal Tunnel Syndrome
• ICD-9- 354.0
• ICD-10- G56.00 Unspecified
G56.01 Right
G56.02 Left
20526- injection
64721 and 29848- surgery

9. Injuries
• Chapter 19 Injuries
• Code range S00-S99
• 7th character extension to describe treatment status

10. Hands and Wrist CPT Codes
• Wrist codes 25xxx
• Hand and fingers 26xxx
• Blood Vessels 352xx
• Nerves 648xx

11. Injuries of the Upper Extremity
Code Range
shoulder and upper
arm
S40-S49
elbow and forearm S50-S59
wrist,hand,fingers S60-S69

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2014.html