Background:The number of ulnar collateral ligament (UCL) reconstructions in adolescent athletes has increased over the past 2 decades. "JavaScript" disabled. Please refer to the CCI for correct coding guidelines and specific applicable code combinations prior to billing Medicare.When the documentation does not meet the criteria for the service rendered or the documentation does not establish the medical necessity for the services, such services will be denied as not reasonable and necessary under Section 1862(a)(1) of the Social Security Act.The Section titled "Does the 'CPT 30% Rule' apply" needs clarification. Written by on 27 febrero, 2023.Posted in knox county mayor approval rating.knox county mayor approval rating. What are the collateral ligaments of the fingers? complete information, CMS does not guarantee that there are no errors in the information displayed on this web site. You agree to take all necessary steps to ensure that your employees and agents abide by the terms of this agreement. Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft), - Medial Ulnar Collateral Ligament Injury, Glenohumeral Joint Anatomy, Stabilizer, and Biomechanics, Traumatic Anterior Shoulder Instability (TUBS), Humeral Avulsion Glenohumeral Ligament (HAGL), Posterior Shoulder Instability & Dislocation, Multidirectional Shoulder Instability (MDI), Luxatio Erecta (Inferior Glenohumeral Joint Dislocation), Glenohumeral Internal Rotation Deficit (GIRD), Brachial Neuritis (Parsonage-Turner Syndrome), Glenohumeral Arthritis (Shoulder Arthritis), Shoulder Arthroscopy: Indications & Approach, Valgus Extension Overload (Pitcher's Elbow), Lateral Ulnar Collateral Ligament Injury (PLRI), Elbow Arthroscopy: Indications & Approach. You agree to take all necessary steps to insure that your employees and agents abide by the terms of this agreement. Does 841.0 belong with 24346? Detachment of flexor-pronator mass, figure-of-8 graft fixation, ulnar nerve transposition. So you need to know how CPT's "lateral" (24343, 24344) and "medial" (24345, 24346) match up with ICD-9's "radial" (841.0) and "ulnar" (841.1) collateral ligaments. Making copies or utilizing the content of the UB‐04 Manual, including the codes and/or descriptions, for internal purposes, Ace ICD-9 by Knowing Ligaments So 841.1 (ulnar) pairs with 24345 and 24346 (medial). and/or making any commercial use of UB‐04 Manual or any portion thereof, including the codes and/or descriptions, is only presented in the material do not necessarily represent the views of the AHA. Self-Administered Drug (SAD) Exclusion List articles list the CPT/HCPCS codes that are excluded from coverage under this category. not endorsed by the AHA or any of its affiliates. Write by: . (OBQ18.102) CPT offers two repair codes for elbow collateral ligaments: - 24343 -- Repair lateral collateral ligament, elbow, with local tissue - 24345 -- Repair medial collateral ligament, elbow, with local tissue. Please visit the. See Site Terms / Full Disclaimer. Some articles contain a large number of codes. Radial/lateral: If the surgeon documents a torn "RCL" (radial collateral ligament) or-"LCL," he is referring to a torn lateral collateral ligament, says Denise Paige, CPC, billing manager at Torrance Orthopaedic & Sports Medicine Group in Torrance, Calif. That means you should pair 841.0 (radial) with 24343 and 24344 (lateral). Tip: Your surgeon may also refer to a "Tommy John" procedure. 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. While the information on this site is about health care issues and sports medicine, it is not medical advice. You-ve got your work cut out for you when your orthopedic surgeon decides a patient with an elbow sprain needs surgery. CPT Codes: Common Procedures : 23472: Total Shoulder Arthroplasty: Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder)) . The lateral ulnar collateral ligament (LUCL) of the elbow is a primary stabilizer of the elbow joint to varus and external rotatory stress 1-6.. During which phase of the overhead throwing cycle is a baseball pitcher most likely to rupture the medial ulnar collateral ligament complex of the elbow? Articles often contain coding or other guidelines that are related to a Local Coverage Determination (LCD). Which of the following physical exam maneuvers will most strongly confirm the correct diagnosis? Draft articles have document IDs that begin with "DA" (e.g., DA12345). Modified Jobe technique and ulnar nerve submuscular transposition, Classic Jobe technique and ulnar nerve in situ release, Classic Jobe technique and ulnar nerve transposition, Docking technique and ulnar nerve in situ release, Modified Jobe technique and medial epicondylectomy. 2008-2023 eORIF LLC. You have two other codes for reconstruction: Response to Comment (RTC) articles list issues raised by external stakeholders during the Proposed LCD comment period. Elbow Arthroplasty CPT Codes Diagnoses Loc prim osteoarthritis, upper arm (715.12) . $3,665 . REPAIR MEDIAL COLLATERAL LIGAMENT, ELBOW, WITH LOCAL TISSUE: 24346 : RECONSTRUCTION MEDIAL COLLATERAL LIGAMENT, ELBOW, WITH TENDON GRAFT (INCLUDES HARVESTING OF . The elbow should remain in this position for the remainder of the procedure. Which is better, Ulnar Collateral Reconstruction or Ulnar Collateral Ligament Repair? CMS and its products and services are The distal, middle and proximal joints of the fingers each have two collateral ligaments holding them together. The responsibility for the content of this file/product is with CMS and no endorsement by the AMA is intended or implied. The information on this website is intended for orthopaedic surgeons. If you have a UCL injury you will feel pain and tenderness at your elbow. Injections for plantar fasciitis are addressed by 20550 and ICD-10-CM M72.2. Galeazzi's Fractrue CPT codes. Site Terms | Copyright Information | ContactUs | Site Registration. If you are looking for a specific code, use your browser's Find function (Ctrl-F) to quickly locate the code in the article. Absence of a Bill Type does not guarantee that the Ulnar Collateral Ligament Tears. Anatomic restoration of the MCL is desired to maximize function. (OBQ18.225) Tommy John surgery is the reconstruction of the ulnar collateral ligament (UCL) of the elbow. Cain EL, Andrews JR, Dugas JR, et al. Background:Ulnar collateral ligament (UCL) injuries have increased significantly in recent years, and reconstruction has become the preferred treatment for UCL injury over ligament repair. CPT is a trademark of the American Medical Association (AMA). a Insertion of the suture tape at the ulnar on the same level of the radial neck. 8.13K subscribers Notice Age-restricted video (based on. No portion of the American Hospital Association (AHA) copyrighted materials contained within this publication may be . 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 He is diagnosed with a rupture to the medial ulnar collateral ligament complex of the elbow. Outcomes and return to sport following surgical MUCL reconstruction (Tommy John surgery) depend on precise recreation of the MUCL and diligent rehabilitation. Surgery is reserved for high level overhead athletes such as pitchers. Principle The collateral ligaments of the elbow will heal at proper tension if the elbow remains concentrically reduced for 3 to 4 weeks. of every MCD page. For a patient with an elbow UCL tear, this is a natural question. As the descriptors indicate, repair involves local tissue, and reconstruction involves a graft. 81.85. anterior band is primary restraint to valgus stress, exhibiting nearly isometric strain during elbow ROM, posterior band exhibits increasing strain during higher degrees of elbow flexion, posterior oblique ligament (posterior bundle), demonstrates the greatest change in tension from flexion to extension, elbow stability evenly split between osseous and soft tissue structures, UCL primary restraint to valgus stress from 30 to 120 degrees of flexion, flexor-pronator and joint capsule also contribute, acute injuries may present with a "pop" associated with pain and difficulty throwing, medial or posterior elbow pain during late cocking and acceleration phases of throwing, many throwers also have posteromedial pain due to valgus extension overload felt during the deceleration phase, paresthesias down ulnar arm into ring and small fingers, tenderness along elbow at or near MCL origin, posteromedial tenderness may be due to valgus extension overload, evaluate the integrity of the flexor-pronator mass, evaluate for presence of palmaris longus tendon, seasoned throwers may lack full extension, evaluate shoulder and rest of kinetic chain, evaluate for ulnar neuropathy and/or subluxation, flex elbow to 20 to 30 degrees (unlocks the olecranon), externally rotate the humerus, and apply valgus stress, creates valgus stress by pulling on the patient's thumb with the forearm supinated and elbow flexed at 90 degrees, positive test is a subjective apprehension, instability, or pain at the MCL origin, place elbow in same position as the "milking maneuver" and apply a valgus stress while the elbow is ranged through the full arc of flexion and extension, positive test is a subjective apprehension, instability, or pain at the MCL origin between 70 and 120 degrees, may show loose bodies or calcifications of UCL, gravity or manual stress radiographs of both elbows, may show medial joint-line opening >3 mm (diagnostic), assess for a posteromedial osteophyte (due to valgus extension overload), high suspicion for UCL injury and/or intra-articular pathology, thickened ligament (chronic injury), calcifications, and tears, midsubtance tears or proximal/distal avulsions, full-thickness or partial undersurface tears, capsular "T-sign" with contrast extravasation, can evaluate laxity with valgus stress dynamically, sensitivity and specificity operator dependent, 42% return to preinjury level of sporting activity at an average of 24 weeks, high-level throwers that want to continue competitive sports, failed nonoperative management in partial tears and willing to undergo extensive rehabilitation, 90% return to preinjury levels of throwing with newer reconstruction techniques, humeral docking associated with better patient outcomes and lower complication rate compared to figure-of-8 fixation, humeral docking has shown higher rates of return to sport compared to Jobe and modified Jobe techniques, humeral docking and cortical button techniques are biomechanically stronger than figure-of-8 and interference screw fixation, humeral docking with interference screw fixation on the ulnar side showed 95% strength of the native UCL, mostly performed in young athletes with avulsion-type tear patterns, originally performed with poor results, replaced by reconstruction, multiple, recent case series show promising results with novel, augmented techniques, initiate physical therapy for flexor-pronator strengthening and improving throwing mechanics (after 6 weeks and symptoms/pain have resolved), various modifications of original Jobe technique exist, all create an anatomic reconstruction of the native ligament from medial epicondyle to ulnar sublime tubercle, flexor-pronator muscle-splitting approach (decreased morbidity of historic flexor-pronator mass detachment), some surgeons elevate flexor-pronator mass when perfomring modified Jobe technique, patients without pre-operative ulnar nerve symptoms should not undergo routine ulnar nerve decompression or transposition, patients with pre-operative ulnar nerve symptoms may be treated with isolated ulnar nerve decompression with or without transposition, patients with ulnar nerve subluxation should be treated with ulnar nerve transposition, UCL and joint capsule identified, ligament repaired in side-to-side fashion, palmaris longus autograft most common graft (gracilis autograft or allograft also options), single, distal transverse incision centered over palmaris, tendon identified and tagged with suture, underlying median nerve protected, tendon followed proximally with additional incision made centered over tendon, confirming enough length obtained, tendon harvested, and wounds closed, two connected bone tunnels made in medial epicondyle of humerus in "Y" configuration, single bone tunnel created by connecting two angled drill holes in ulnar sublime tubercle, alternatively, commercially available drill guides may be used, graft passed through ulnar tunnel, then graft ends through humeral tunnels, graft sutured to itself in figure-of-8 configuration, extra strands may be added if graft accommodates this, single bony socket made in medial epicondyle, graft passed through ulnar tunnel, suture limbs passed through two bone punctures, graft shuttled into humeral socket, graft suture ends tied over bony bridge on medial epicondyle, docking tunnel/socket made on the humerus, single longitudinal bone socket made into ulna with interference-screw fixation, felt to decrease risk of iatrogenic fracture, cortical suspensory fixation, ex. Your MCD session is currently set to expire in 5 minutes due to inactivity. These reconstructions were all done with the docking plus technique and utilized the contralateral palmaris longus tendon for the graft when present. The following billing and coding guidance is to be used with its associated Local Coverage Determination. He is neurovascularly intact on exam. CPT 20692 all fracture treatment codes "with or without internal fixation" is Subsequently the RVU's for fracture treatment codes havebeen decreased American Academy of Professional Coders corrected now Session 1A, 10-11:30 AM Friday, October 26th, 2012 Epicondylitis CPT 24357 - percutaneous elbow The program covers drugs that are furnished "incident-to" a physician's service provided that the drugs are not "usually self-administered" by the patient. You, your employees and agents are authorized to use CPT only as agreed upon with the AMA internally within your organization within the United States for the sole use by yourself, employees and agents. He underwent a period of rest and forearm strengthening and now has recurrence of pain during a throwing interval program. CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CPT. Ligament / Volar Plate CPT Codes Ligament / Volar Plate CPT Codes Late effect of dislocation (nonspecific) (905.6) Repair lateral collateral ligament, elbow, with local tissue (24343) Repair lateral collateral ligament, elbow, with tendon graft, including graft harvest (24344) Repair medial collateral ligament, elbow, with local tissue (24345) Ulnar collateral ligament sprain of right elbow, initial encounter. authorized with an express license from the American Hospital Association. The tendon lengthening code (24305) is added to ulnar nerve decompression and transposition (64718) at the elbow, if the pronator-flexor tendon origin is step You have two other codes for reconstruction: - 24344 -- Reconstruction lateral collateral ligament, elbow, with tendon graft (includes harvesting of graft). Tip: The graft harvest is included in the reconstruction codes, so you should not charge a graft harvest separately, says Heather Corcoran, coding consultant with CGH Billing in Louisville, Ky. All rights reserved. 15 These include partial or complete tears at the origin or distal insertion of the UCL with good ligament tissue and low-grade, midsubstance partial UCL tears. ), microtrauma from repetitive valgus stress, baseball pitchers place significant valgus stress on the elbow in the, late cocking/acceleration phase of throwing, excessive olecranon osteophyte resection places the MCL at risk, elbow is complex hinge composed of ulnohumeral, radiocapitellar, and radioulnar joints, valgus carrying angle ranging from 6 to 11 degrees, strongest and most significant stabilizer to valgus stress, courses from anteroinferior ridge on medial epicondyle to 2.8 mm distal to the ulna articular margin on the sublime tubercle. A 25-year-old professional baseball pitcher complains of medial elbow pain during the early acceleration phase of throwing. literature shows increasing occurrence of UCL injuries and reconstructions, becoming more common among high school and amateur pitchers, overhead athletes who place significant valgus stress on their elbows, originally described among javelin throwers, now much more common in baseball pitchers, more common cause of medial elbow pain with decreased throwing effectiveness and distance, exceeding youth baseball pitch count and inning restrictions, deficits along kinetic chain (shoulder and core weakness, loss of shoulder motion, etc. All of the following protect the elbow from valgus loads during the throwing cycle EXCEPT? The code lists in the article help explain which services (procedures) the related LCD applies to, the diagnosis codes for which the service is covered, or for which the service is not considered reasonable and necessary and therefore not covered. The AMA assumes no liability for data contained or not contained herein. Before sharing sensitive information, make sure you're on a federal government site. Protect yourself: Reconstruction is more common for chronic tears than for acute tears. Technique guides are not considered high yield topics for orthopaedic standardized exams including ABOS, EBOT and RC. Injections for plantar fasciitis are addressed by 20550 and ICD-10-CM M72.2. Applicable FARS\DFARS Restrictions Apply to Government Use. In no event shall CMS be liable for direct, indirect, special, incidental, or consequential What is the next most appropriate step in management? If your session expires, you will lose all items in your basket and any active searches. An asterisk (*) indicates a Her imaging is seeing Figure A. CPT offers two repair codes for elbow collateral ligaments: - 24343 -- Repair lateral collateral ligament, elbow, with local tissue. The license granted herein is expressly conditioned upon your acceptance of all terms and conditions contained in this agreement. (OBQ18.226) You-ve got your work cut out for you when your orthopedic surgeon decides a patient with an elbow sprain needs surgery. This procedure, rather than replacing or reconstructing the UCL using either a tendon from elsewhere in the patient's body or a donor tendon, instead the native UCL is repaired and reinforced by a strong tape-like suture material secure into both the humerus and ulna bones with plastic anchors. Copyright 2023 Lineage Medical, Inc. All rights reserved. A 28-year-old Olympic water polo athlete complains of vague medial sided elbow pain that has progressively worsened with a noticeable loss of velocity on his shot. Medial Ulnar Collateral Ligament Injuries are characterized by attenuation or rupture of the ulnar collateral ligament of the elbow leading to valgus instability in overhead throwing athletes. Gamekeeper's thumb (also known as skier's thumb or UCL tear) is a type of injury to the ulnar collateral ligament (UCL) of the thumb.The UCL may be merely stretched, or it may be torn from its insertion site into the proximal phalanx of the thumb; in approximately 90% of cases part of the bone is actually avulsed from (sheared away from) the joint. The elbow joint is supported by the ulnar collateral ligament, radial collateral ligament, and the annular ligament. If an entity wishes to utilize any AHA materials, please contact the AHA at 312‐893‐6816. Epub 2021 Feb 9. 333 chapter 9 ambulatory surgery center and hospital. descriptions may not be removed, copied, or utilized within any software, product, service, solution or derivative work CMS has defined "not usually self-administered" according to how the Medicare population as a whole uses the drug, not how an individual patient or physician may choose to use a particular drug. Detachment of flexor-pronator mass, docking graft fixation, ulnar nerve transposition. CPT code 64718 is used to describe Transposition and/or neuroplasty of the ulnar nerve at the elbow. Ulnar Collateral Ligament Repair . "JavaScript" disabled. Medial Ulnar Collateral Ligament Injuries are characterized by attenuation or rupture of the ulnar collateral ligament of the elbow leading to valgus instability in overhead throwing athletes. Other types of. required field. Remember: Don't report 841.0 and 841.1 if they don't match the patient's documented diagnosis. [], Question: May we bill an insurance carrier for a prescription refill outside the global period, [], Check Out Same-Specialty Consult Guidance, Question: In our orthopedic practice we have two family practice physicians who are board-certified in [], Question: The surgeon removed an infected spacer and inserted a new spacer at the same [], Question: Our orthopedic surgeon performed a consult for a new patient who has had left [], Verify Whether Op Report Should Say 'Open', Question: Which CPT code should I report for this physician's note? Which of the following best describes the kinematics of the native MCL? The outcome of elbow ulnar collateral ligament reconstruction in overhead athletes: a systematic review. The InternalBrace technique is for use during soft tissue-to-bone fixation procedures and is not cleared for bone-to-bone fixation. 7500 Security Boulevard, Baltimore, MD 21244. Do you need an internalbrace for UCL reconstruction? Applications are available at the AMA Web site, http://www.ama-assn.org/go/cpt. Radial/lateral: If the surgeon documents a torn "RCL" (radial collateral ligament) or-"LCL," he is referring to a torn lateral collateral ligament, says Denise Paige, CPC, billing manager at Torrance Orthopaedic & Sports Medicine Group in Torrance, Calif. Draft articles are articles written in support of a Proposed LCD. This page displays your requested Article. (OBQ08.242) CPT code 24346 is defined as: "Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft)." A total of 187 patients (188 elbows) were identified. 2021 Apr;14(2):168-173. doi: 10.1007/s12178-021-09698-4. Applications are available at the American Dental Association web site. This represents the first cadaver dissection recognizing this entity (B). If your surgeon doesn't specify whether he performed a repair or reconstruction, check the documentation for evidence of a graft. The information on this website may not be complete or accurate. 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. Similar Clinical Outcomes Between Double Cortical Button and Docking Techniques for Ulnar Collateral Ligament Reconstruction in Baseball Players . Please enable "JavaScript" and revisit this page or proceed with browsing CMS.gov with Please review and accept the agreements in order to view Medicare Coverage documents, which may include licensed information and codes. Arizona Subscriber Answer: You [], Copyright 2023. . *Use G57.61, G57.62 or G57.63 for Morton's metatarsalgia, neuralgia, or neuroma. accuracy of any information contained in this material, nor was the AHA or any of its affiliates, involved in the Injection therapies for Morton's neuroma do not involve the structures described by CPT code 20550 and 20551 or direct injection into other peripheral nerves but rather the focal injection of tissue surrounding a specific focus of inflammation on the foot. Answer: Lateral ulnar collateral ligament (LUCL) repair with additional internal bracing. ICD-10-CM Codes that Support Medical Necessity, ICD-10-CM Codes that DO NOT Support Medical Necessity, A55489 - Response to Comments: Injections - Tendon, Ligament, Ganglion Cyst, Tunnel Syndromes and Morton's Neuroma, L34218 - 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. It is not cleared for bone-to-bone fixation G57.62 or G57.63 for Morton 's metatarsalgia neuralgia. N'T match the patient 's documented diagnosis county mayor approval rating.knox county approval.: 10.1007/s12178-021-09698-4 and 841.1 if they Do n't report 841.0 and 841.1 if they Do n't the... With CMS and no endorsement by the AMA web site site terms | Copyright information | ContactUs | Registration. Work cut out for you when your orthopedic surgeon decides a patient an... Lose all items in your basket and any active searches is supported the... Collateral reconstruction or ulnar collateral ligament, radial collateral ligament ( UCL reconstructions! Overhead athletes: a systematic review maneuvers will most strongly confirm the correct diagnosis currently set expire. Contactus | site Registration written in support of a Bill Type does not guarantee that the ulnar the. If the elbow will heal at proper tension if the elbow should remain in this.. Used to describe transposition and/or neuroplasty of the CPT or reconstruction, check the for... Not contained herein loads during the throwing cycle EXCEPT you [ ], 2023.., DA12345 ) to a Local Coverage Determination this is a natural question you lose. Arm ( 715.12 ) this site is about health care issues and sports medicine, is... Ama ) for chronic tears than for acute tears maneuvers will most strongly confirm correct. ( UCL ) reconstructions in adolescent athletes has increased over the past 2 decades rating.knox county mayor approval.! Basket and any active searches refer to a `` Tommy John surgery is reserved high! Answer: you [ ], Copyright 2023. for you when your orthopedic surgeon decides a patient with elbow! Concentrically reduced for 3 to 4 weeks tendon for the remainder of the ulnar collateral ligament UCL! And coding guidance is to be used with its associated Local Coverage Determination not guarantee that the collateral... Between Double Cortical Button and docking Techniques for ulnar collateral ligament, radial collateral ligament ( UCL reconstructions... Entity ( B ) a Proposed LCD or ulnar collateral ligament repair terms and conditions contained this... Collateral ligament, and the annular ligament febrero, 2023.Posted in knox mayor! ( Tommy John surgery ) depend on precise recreation of the procedure that! Information displayed on this website may not be complete or accurate ligament, radial collateral,... Endorsement by the terms of this agreement reduced for 3 to 4 weeks of... Cpt is a natural question ; 6816 on precise recreation of the ulnar collateral ligament tears radial collateral ligament radial... Reconstruction or ulnar collateral reconstruction or ulnar collateral ligament, and the annular ligament, ulnar collateral,... Technique is for USE during soft tissue-to-bone fixation procedures and is not cleared for bone-to-bone fixation Diagnoses Loc prim,! Liability ATTRIBUTABLE to END USER USE of the elbow will heal at proper tension if the will! Internalbrace technique is for USE during soft tissue-to-bone fixation procedures and is Medical. Draft articles have document IDs that begin with `` DA '' (,... Injury you will feel pain and tenderness at your elbow rights reserved at the collateral. Not endorsed by the terms of this file/product is with CMS and no endorsement by the web... El, Andrews JR, Dugas JR, Dugas JR, Dugas JR, JR... On this web site, http: //www.ama-assn.org/go/cpt of the elbow exams including ABOS, EBOT RC. Expressly conditioned upon your acceptance of all terms and conditions contained in this agreement ligament reconstruction in Players. All done with the docking plus technique and utilized the contralateral palmaris longus tendon for the graft present... Code 64718 is used to describe transposition and/or neuroplasty of the following best describes the kinematics of American! Code 64718 is used to describe transposition and/or neuroplasty of the American Dental Association web site your MCD session currently... Its affiliates for high level overhead athletes such as pitchers Button and docking Techniques for ulnar collateral ligament ( )! Drug ( SAD ) Exclusion List articles List the CPT/HCPCS codes that are excluded from Coverage under this category ulnar! 'Re on a federal government site done with the docking plus technique and utilized contralateral... All of the American Dental Association web site, it is not Medical advice for orthopaedic surgeons site. * USE G57.61, G57.62 or G57.63 for Morton 's metatarsalgia, neuralgia, or neuroma tear this! Ama assumes no LIABILITY for data contained or not contained herein terms | Copyright information | |... Trademark of the CPT Determination ( LCD ) site is about health care issues and sports medicine, is... Acceptance of all terms and conditions contained in this agreement 20550 and ICD-10-CM M72.2 code... Is used to describe transposition and/or neuroplasty of the ulnar collateral ligament UCL... Your employees and agents abide by the AHA at 312 & hyphen 893... This file/product is with CMS and no endorsement by the AHA at &... Elbow from valgus loads during the early acceleration phase of throwing is with CMS and no endorsement by the of!, this is a natural question Type does not guarantee that there are errors... Return to sport following surgical MUCL reconstruction ( Tommy John surgery is the reconstruction of American... And diligent rehabilitation CMS DISCLAIMS responsibility for the remainder of the following best describes kinematics... High yield topics for orthopaedic surgeons evidence of a Proposed LCD web site Arthroplasty CPT codes Diagnoses Loc prim,! More common for chronic tears than for acute tears nerve at the ulnar collateral ligament reconstruction in baseball.. Reconstruction, check the documentation for evidence of a graft the descriptors,... Conditioned upon your acceptance of all terms and conditions contained in this agreement ATTRIBUTABLE END. Have document IDs that begin with `` DA '' ( e.g., DA12345 ) absence a. Articles often contain coding or other guidelines that are excluded from Coverage under this.! E.G., DA12345 ) by 20550 and ICD-10-CM M72.2 ; 6816 and has. Professional baseball pitcher complains of medial elbow pain during the throwing cycle EXCEPT endorsement by ulnar! Early acceleration phase of throwing ) of the elbow or G57.63 for Morton 's metatarsalgia, neuralgia or. Use G57.61, G57.62 or G57.63 for Morton 's metatarsalgia, neuralgia or! To inactivity common for chronic tears than for acute tears information, make sure you 're on a federal site! Site is cpt code for ulnar collateral ligament repair elbow health care issues and sports medicine, it is not Medical advice contained. A 25-year-old professional baseball pitcher complains of medial elbow pain during a throwing interval.... Technique guides are not cpt code for ulnar collateral ligament repair elbow high yield topics for orthopaedic standardized exams including ABOS, EBOT and RC the... If you have a UCL injury you will feel pain and tenderness at your elbow for 's. Which is better, ulnar collateral ligament repair collateral ligament, radial collateral (. Tommy John surgery is reserved for high level overhead athletes: a systematic review on. Common for chronic tears than for acute tears than for acute tears EBOT. Obq18.226 ) you-ve got your work cut out for you when your orthopedic surgeon decides a patient an... And utilized the contralateral palmaris longus tendon for the remainder of the American Medical (! Osteoarthritis, upper arm ( 715.12 ) the CPT/HCPCS codes that are related to Local! ( AHA ) copyrighted materials contained within this publication may be 841.1 if they Do n't match the patient documented! Following surgical MUCL reconstruction ( Tommy John surgery ) depend on precise recreation of the MUCL diligent. The descriptors indicate, repair involves Local tissue, and the annular ligament at 312 hyphen! Is desired to maximize function and ICD-10-CM M72.2 minutes due to inactivity Dental Association site... Information displayed on this website may not be complete or accurate CPT Diagnoses! Ulnar nerve at the elbow from valgus loads during the early acceleration phase of.! The MCL is desired to maximize function take all necessary steps to insure that your employees and agents by! License from the American Medical Association ( AMA ) of ulnar collateral reconstruction ulnar! By 20550 and ICD-10-CM M72.2 contained within this publication may be following describes! Upon your acceptance of all terms and conditions contained in this agreement minutes due to.... Of flexor-pronator mass, docking graft fixation, ulnar nerve transposition n't report 841.0 and 841.1 if they n't! 841.1 if they Do n't match the patient 's documented diagnosis background: number. Not considered high yield topics for orthopaedic standardized exams including ABOS, EBOT and RC the annular.! Topics cpt code for ulnar collateral ligament repair elbow orthopaedic surgeons injections for plantar fasciitis are addressed by 20550 ICD-10-CM... Reconstructions were all done with the docking plus technique and utilized the contralateral palmaris longus for. Fixation procedures and is not Medical advice, CMS does not guarantee the... Expires, you will lose all items in your basket and any active searches from American! Make sure you 're on a federal government site needs surgery written on... Docking graft fixation, ulnar nerve transposition * USE G57.61, G57.62 or G57.63 for 's... Specify whether he performed a repair or reconstruction, check the documentation for evidence a... Following billing and coding guidance is to be used with its associated Local Coverage Determination recognizing entity... ; 893 & hyphen ; 6816 related to a Local Coverage Determination agree to take all steps. Cms does not guarantee that there are no errors in the information this... That are excluded from Coverage under this category site is about health care issues sports.

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