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Orthopaedics
Orthopaedics Disorder by site: Ankle Achilles tendinopathy ** Achilles tendinopathy is not listed in ICD10 M76.6 Achilles tendinitis Achilles bursitis M76.61 Achilles tendinitis, right leg M76.62 Achilles tendinitis, left leg ** Tendinosis is not listed in ICD10 M76.89 Other specified enthesopathies of lower limb, excluding foot M76.891 Other specified enthesopathies of right lower limb, excluding foot M76.892 Other specified enthesopathies of left lower limb, excluding foot Posterior tibialis dysfunction **Posterior Tibial Tendon Dysfunction (PTTD) is not listed in ICD10 M76.82 Posterior tibial tendinitis M76.821 Posterior tibial tendinitis, right leg M76.822 Posterior tibial tendinitis, left leg M76.89 Other specified enthesopathies of lower limb, excluding foot M76.891 Other specified enthesopathies of right lower limb, excluding foot M76.892 Other specified enthesopathies of left lower limb, excluding foot Ligament sprain The appropriate 7th character is to be added to each code from category S93 A - initial encounter D - subsequent encounter S - sequela S86.0 Injury of Achilles tendon S86.00 Unspecified injury of Achilles tendon S86.001 Unspecified injury of right Achilles tendon S86.002 Unspecified injury of left Achilles tendon S86.01 Strain of Achilles tendon S86.011 Strain of right Achilles tendon S86.012 Strain of left Achilles tendon S93.4 Sprain of ankle Excludes2: injury of Achilles tendon (S86.0-) S93.40 Sprain of unspecified ligament of ankle Sprain of ankle NOS Sprained ankle NOS S93.401 Sprain of unspecified ligament of right ankle S93.402 Sprain of unspecified ligament of left ankle S93.41 Sprain of calcaneofibular ligament S93.411 Sprain of calcaneofibular ligament of right ankle S93.412 Sprain of calcaneofibular ligament of left ankle S93.42 Sprain of deltoid ligament S93.421 Sprain of deltoid ligament of right ankle ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics S93.422 Sprain of deltoid ligament of left ankle S93.43 Sprain of tibiofibular ligament S93.431 Sprain of tibiofibular ligament of right ankle S93.432 Sprain of tibiofibular ligament of left ankle S93.49 Sprain of other ligament of ankle Sprain of internal collateral ligament Sprain of talofibular ligament S93.491 Sprain of other ligament of right ankle S93.492 Sprain of other ligament of left ankle Idiopathic toe walking R26.89 Other abnormalities of gait and mobility Disorder by site: Elbow Tendinopathies M77.0 Medial epicondylitis M77.01 Medial epicondylitis, right elbow M77.02 Medial epicondylitis, left elbow M77.1 Lateral epicondylitis Tennis elbow M77.11 Lateral epicondylitis, right elbow M77.12 Lateral epicondylitis, left elbow Humeroulnar dislocation S53 Dislocation and sprain of joints and ligaments of elbow Includes: avulsion of joint or ligament of elbow laceration of cartilage, joint or ligament of elbow sprain of cartilage, joint or ligament of elbow traumatic hemarthrosis of joint or ligament of elbow traumatic rupture of joint or ligament of elbow traumatic subluxation of joint or ligament of elbow traumatic tear of joint or ligament of elbow Code also any associated open wound Excludes2: strain of muscle, fascia and tendon at forearm level (S56.-) The appropriate 7th character is to be added to each code from category S53 A - initial encounter D - subsequent encounter S - sequela S53.0 Subluxation and dislocation of radial head Dislocation of radiohumeral joint Subluxation of radiohumeral joint Excludes1: Monteggia's fracture-dislocation (S52.27-) S53.00 Unspecified subluxation and dislocation of radial head S53.001 Unspecified subluxation of right radial head S53.002 Unspecified subluxation of left radial head S53.004 Unspecified dislocation of right radial head ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics S53.005 Unspecified dislocation of left radial head S53.01 Anterior subluxation and dislocation of radial head Anteriomedial subluxation and dislocation of radial head S53.011 Anterior subluxation of right radial head S53.012 Anterior subluxation of left radial head S53.014 Anterior dislocation of right radial head S53.015 Anterior dislocation of left radial head S53.02 Posterior subluxation and dislocation of radial head Posteriolateral subluxation and dislocation of radial head S53.021 Posterior subluxation of right radial head S53.022 Posterior subluxation of left radial head S53.024 Posterior dislocation of right radial head S53.025 Posterior dislocation of left radial head S53.026 Posterior dislocation of unspecified radial head S53.03 Nursemaid's elbow S53.031 Nursemaid's elbow, right elbow S53.032 Nursemaid's elbow, left elbow S53.09 Other subluxation and dislocation of radial head S53.091 Other subluxation of right radial head S53.092 Other subluxation of left radial head S53.094 Other dislocation of right radial head S53.095 Other dislocation of left radial head S53.1 Subluxation and dislocation of ulnohumeral joint Subluxation and dislocation of elbow NOS Excludes1: dislocation of radial head alone (S53.0-) S53.10 Unspecified subluxation and dislocation of ulnohumeral joint S53.101 Unspecified subluxation of right ulnohumeral joint S53.102 Unspecified subluxation of left ulnohumeral joint S53.104 Unspecified dislocation of right ulnohumeral joint S53.105 Unspecified dislocation of left ulnohumeral joint S53.11 Anterior subluxation and dislocation of ulnohumeral joint S53.111 Anterior subluxation of right ulnohumeral joint S53.112 Anterior subluxation of left ulnohumeral joint S53.114 Anterior dislocation of right ulnohumeral joint S53.115 Anterior dislocation of left ulnohumeral joint S53.12 Posterior subluxation and dislocation of ulnohumeral joint S53.121 Posterior subluxation of right ulnohumeral joint S53.122 Posterior subluxation of left ulnohumeral joint S53.124 Posterior dislocation of right ulnohumeral joint S53.125 Posterior dislocation of left ulnohumeral joint S53.13 Medial subluxation and dislocation of ulnohumeral joint S53.131 Medial subluxation of right ulnohumeral joint S53.132 Medial subluxation of left ulnohumeral joint S53.134 Medial dislocation of right ulnohumeral joint ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics S53.135 Medial dislocation of left ulnohumeral joint S53.14 Lateral subluxation and dislocation of ulnohumeral joint S53.141 Lateral subluxation of right ulnohumeral joint S53.142 Lateral subluxation of left ulnohumeral joint S53.144 Lateral dislocation of right ulnohumeral joint S53.145 Lateral dislocation of left ulnohumeral joint S53.19 Other subluxation and dislocation of ulnohumeral joint S53.191 Other subluxation of right ulnohumeral joint S53.192 Other subluxation of left ulnohumeral joint S53.194 Other dislocation of right ulnohumeral joint S53.195 Other dislocation of left ulnohumeral joint Cubital tunnel syndrome G56 Mononeuropathies of upper limb Excludes1: current traumatic nerve disorder - see nerve injury by body region G56.2 Lesion of ulnar nerve Tardy ulnar nerve palsy G56.21 Lesion of ulnar nerve, right upper limb G56.22 Lesion of ulnar nerve, left upper limb S54 Injury of nerves at forearm level Code also any associated open wound (S51.-) Excludes2: injury of nerves at wrist and hand level (S64.-) The appropriate 7th character is to be added to each code from category S54 A - initial encounter D - subsequent encounter S - sequela S54.0 Injury of ulnar nerve at forearm level Injury of ulnar nerve NOS S54.01 Injury of ulnar nerve at forearm level, right arm S54.02 Injury of ulnar nerve at forearm level, left arm S54.1 Injury of median nerve at forearm level Injury of median nerve NOS S54.11 Injury of median nerve at forearm level, right arm S54.12 Injury of median nerve at forearm level, left arm S54.2 Injury of radial nerve at forearm level Injury of radial nerve NOS S54.21 Injury of radial nerve at forearm level, right arm S54.22 Injury of radial nerve at forearm level, left arm Disorder by site: Foot Plantar fasciitis M72.2 Plantar fascial fibromatosis Plantar fasciitis ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics Hallux valgus/bunions M20.1 Hallux valgus (acquired) Bunion M20.11 Hallux valgus (acquired), right foot M20.12 Hallux valgus (acquired), left foot In-toeing Q66.6 Other congenital valgus deformities of feet Congenital metatarsus valgus Club foot M21.54 Acquired clubfoot M21.541 Acquired clubfoot, right foot M21.542 Acquired clubfoot, left foot Q66.0 Congenital talipes equinovarus Q66.89 Other specified congenital deformities of feet Congenital clubfoot NOS Pes planus Q66.5 Congenital pes planus Congenital flat foot Congenital rigid flat foot Congenital spastic (everted) flat foot Excludes1: pes planus, acquired (M21.4) Q66.51 Congenital pes planus, right foot Q66.52 Congenital pes planus, left foot M21.4 Flat foot [pes planus] (acquired) Excludes1: congenital pes planus (Q66.5-) M21.41 Flat foot [pes planus] (acquired), right foot M21.42 Flat foot [pes planus] (acquired), left foot Disorder by site: Hand/fingers Carpal tunnel syndrome G56.0 Carpal tunnel syndrome Excludes1: current traumatic nerve disorder - see nerve injury by body region G56.01 Carpal tunnel syndrome, right upper limb G56.02 Carpal tunnel syndrome, left upper limb Dislocations (subluxation) Code also any associated open wound Excludes2: strain of muscle, fascia and tendon of wrist and hand (S66.-) The appropriate 7th character is to be added to each code from category S63 A - initial encounter D - subsequent encounter S – sequela ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics S63.0 Subluxation and dislocation of wrist and hand joints S63.00 Unspecified subluxation and dislocation of wrist and hand Dislocation of carpal bone NOS Dislocation of distal end of radius NOS Subluxation of carpal bone NOS Subluxation of distal end of radius NOS S63.001 Unspecified subluxation of right wrist and hand S63.002 Unspecified subluxation of left wrist and hand S63.004 Unspecified dislocation of right wrist and hand S63.005 Unspecified dislocation of left wrist and hand S63.01 Subluxation and dislocation of distal radioulnar joint S63.011 Subluxation of distal radioulnar joint of right wrist S63.012 Subluxation of distal radioulnar joint of left wrist S63.014 Dislocation of distal radioulnar joint of right wrist S63.015 Dislocation of distal radioulnar joint of left wrist S63.02 Subluxation and dislocation of radiocarpal joint S63.021 Subluxation of radiocarpal joint of right wrist S63.022 Subluxation of radiocarpal joint of left wrist S63.024 Dislocation of radiocarpal joint of right wrist S63.025 Dislocation of radiocarpal joint of left wrist S63.03 Subluxation and dislocation of midcarpal joint S63.031 Subluxation of midcarpal joint of right wrist S63.032 Subluxation of midcarpal joint of left wrist S63.034 Dislocation of midcarpal joint of right wrist S63.035 Dislocation of midcarpal joint of left wrist S63.04 Subluxation and dislocation of carpometacarpal joint of thumb Excludes2: interphalangeal subluxation and dislocation of thumb (S63.1) S63.041 Subluxation of carpometacarpal joint of right thumb S63.042 Subluxation of carpometacarpal joint of left thumb S63.044 Dislocation of carpometacarpal joint of right thumb S63.045 Dislocation of carpometacarpal joint of left thumb S63.05 Subluxation and dislocation of other carpometacarpal joint Excludes2: subluxation and dislocation of carpometacarpal joint of thumb (S63.04-) S63.051 Subluxation of other carpometacarpal joint of right hand S63.052 Subluxation of other carpometacarpal joint of left hand S63.054 Dislocation of other carpometacarpal joint of right hand S63.055 Dislocation of other carpometacarpal joint of left hand S63.06 Subluxation and dislocation of metacarpal (bone), proximal end S63.061 Subluxation of metacarpal (bone), proximal end of right hand S63.062 Subluxation of metacarpal (bone), proximal end of left hand S63.064 Dislocation of metacarpal (bone), proximal end of right hand S63.065 Dislocation of metacarpal (bone), proximal end of left hand ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics S63.07 Subluxation and dislocation of distal end of ulna S63.071 Subluxation of distal end of right ulna S63.072 Subluxation of distal end of left ulna S63.074 Dislocation of distal end of right ulna S63.075 Dislocation of distal end of left ulna S63.09 Other subluxation and dislocation of wrist and hand S63.091 Other subluxation of right wrist and hand S63.092 Other subluxation of left wrist and hand S63.094 Other dislocation of right wrist and hand S63.095 Other dislocation of left wrist and hand S63.1 Subluxation and dislocation of thumb S63.10 Unspecified subluxation and dislocation of thumb S63.101 Unspecified subluxation of right thumb S63.102 Unspecified subluxation of left thumb S63.104 Unspecified dislocation of right thumb S63.105 Unspecified dislocation of left thumb S63.11 Subluxation and dislocation of metacarpophalangeal joint of thumb S63.111 Subluxation of metacarpophalangeal joint of right thumb S63.112 Subluxation of metacarpophalangeal joint of left thumb S63.114 Dislocation of metacarpophalangeal joint of right thumb S63.115 Dislocation of metacarpophalangeal joint of left thumb S63.12 Subluxation and dislocation of unspecified interphalangeal joint of thumb S63.121 Subluxation of unspecified interphalangeal joint of right thumb S63.122 Subluxation of unspecified interphalangeal joint of left thumb S63.124 Dislocation of unspecified interphalangeal joint of right thumb S63.125 Dislocation of unspecified interphalangeal joint of left thumb S63.13 Subluxation and dislocation of proximal interphalangeal joint of thumb S63.131 Subluxation of proximal interphalangeal joint of right thumb S63.132 Subluxation of proximal interphalangeal joint of left thumb S63.134 Dislocation of proximal interphalangeal joint of right thumb S63.135 Dislocation of proximal interphalangeal joint of left thumb S63.14 Subluxation and dislocation of distal interphalangeal joint of thumb S63.141 Subluxation of distal interphalangeal joint of right thumb S63.142 Subluxation of distal interphalangeal joint of left thumb S63.144 Dislocation of distal interphalangeal joint of right thumb S63.145 Dislocation of distal interphalangeal joint of left thumb S63.2 Subluxation and dislocation of other finger(s) Excludes2: subluxation and dislocation of thumb (S63.1-) S63.20 Unspecified subluxation of other finger S63.200 Unspecified subluxation of right index finger S63.201 Unspecified subluxation of left index finger S63.202 Unspecified subluxation of right middle finger S63.203 Unspecified subluxation of left middle finger S63.204 Unspecified subluxation of right ring finger ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics S63.205 Unspecified subluxation of left ring finger S63.206 Unspecified subluxation of right little finger S63.207 Unspecified subluxation of left little finger S63.209 Unspecified subluxation of unspecified finger S63.21 Subluxation of metacarpophalangeal joint of finger S63.210 Subluxation of metacarpophalangeal joint of right index finger S63.211 Subluxation of metacarpophalangeal joint of left index finger S63.212 Subluxation of metacarpophalangeal joint of right middle finger S63.213 Subluxation of metacarpophalangeal joint of left middle finger S63.214 Subluxation of metacarpophalangeal joint of right ring finger S63.215 Subluxation of metacarpophalangeal joint of left ring finger S63.216 Subluxation of metacarpophalangeal joint of right little finger S63.217 Subluxation of metacarpophalangeal joint of left little finger S63.219 Subluxation of metacarpophalangeal joint of unspecified finger S63.22 Subluxation of unspecified interphalangeal joint of finger S63.220 Subluxation of unspecified interphalangeal joint of right index finger S63.221 Subluxation of unspecified interphalangeal joint of left index finger S63.222 Subluxation of unspecified interphalangeal joint of right middle finger S63.223 Subluxation of unspecified interphalangeal joint of left middle finger S63.224 Subluxation of unspecified interphalangeal joint of right ring finger S63.225 Subluxation of unspecified interphalangeal joint of left ring finger S63.226 Subluxation of unspecified interphalangeal joint of right little finger S63.227 Subluxation of unspecified interphalangeal joint of left little finger S63.229 Subluxation of unspecified interphalangeal joint of unspecified finger S63.23 Subluxation of proximal interphalangeal joint of finger S63.230 Subluxation of proximal interphalangeal joint of right index finger S63.231 Subluxation of proximal interphalangeal joint of left index finger S63.232 Subluxation of proximal interphalangeal joint of right middle finger S63.233 Subluxation of proximal interphalangeal joint of left middle finger S63.234 Subluxation of proximal interphalangeal joint of right ring finger S63.235 Subluxation of proximal interphalangeal joint of left ring finger ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics S63.236 Subluxation of proximal interphalangeal joint of right little finger S63.237 Subluxation of proximal interphalangeal joint of left little finger S63.239 Subluxation of proximal interphalangeal joint of unspecified finger S63.24 Subluxation of distal interphalangeal joint of finger S63.240 Subluxation of distal interphalangeal joint of right index finger S63.241 Subluxation of distal interphalangeal joint of left index finger S63.242 Subluxation of distal interphalangeal joint of right middle finger S63.243 Subluxation of distal interphalangeal joint of left middle finger S63.244 Subluxation of distal interphalangeal joint of right ring finger S63.245 Subluxation of distal interphalangeal joint of left ring finger S63.246 Subluxation of distal interphalangeal joint of right little finger S63.247 Subluxation of distal interphalangeal joint of left little finger S63.249 Subluxation of distal interphalangeal joint of unspecified finger S63.25 Unspecified dislocation of other finger S63.250 Unspecified dislocation of right index finger S63.251 Unspecified dislocation of left index finger S63.252 Unspecified dislocation of right middle finger S63.253 Unspecified dislocation of left middle finger S63.254 Unspecified dislocation of right ring finger S63.255 Unspecified dislocation of left ring finger S63.256 Unspecified dislocation of right little finger S63.257 Unspecified dislocation of left little finger S63.26 Dislocation of metacarpophalangeal joint of finger S63.260 Dislocation of metacarpophalangeal joint of right index finger S63.261 Dislocation of metacarpophalangeal joint of left index finger S63.262 Dislocation of metacarpophalangeal joint of right middle finger S63.263 Dislocation of metacarpophalangeal joint of left middle finger S63.264 Dislocation of metacarpophalangeal joint of right ring finger S63.265 Dislocation of metacarpophalangeal joint of left ring finger S63.266 Dislocation of metacarpophalangeal joint of right little finger S63.267 Dislocation of metacarpophalangeal joint of left little finger S63.269 Dislocation of metacarpophalangeal joint of unspecified finger S63.27 Dislocation of unspecified interphalangeal joint of finger S63.270 Dislocation of unspecified interphalangeal joint of right index finger S63.271 Dislocation of unspecified interphalangeal joint of left index finger S63.272 Dislocation of unspecified interphalangeal joint of right middle finger S63.273 Dislocation of unspecified interphalangeal joint of left middle finger ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics S63.274 Dislocation of unspecified interphalangeal joint of right ring finger S63.275 Dislocation of unspecified interphalangeal joint of left ring finger S63.276 Dislocation of unspecified interphalangeal joint of right little finger S63.277 Dislocation of unspecified interphalangeal joint of left little finger S63.28 Dislocation of proximal interphalangeal joint of finger S63.280 Dislocation of proximal interphalangeal joint of right index finger S63.281 Dislocation of proximal interphalangeal joint of left index finger S63.282 Dislocation of proximal interphalangeal joint of right middle finger S63.283 Dislocation of proximal interphalangeal joint of left middle finger S63.284 Dislocation of proximal interphalangeal joint of right ring finger S63.285 Dislocation of proximal interphalangeal joint of left ring finger S63.286 Dislocation of proximal interphalangeal joint of right little finger S63.287 Dislocation of proximal interphalangeal joint of left little finger S63.289 Dislocation of proximal interphalangeal joint of unspecified finger S63.29 Dislocation of distal interphalangeal joint of finger S63.290 Dislocation of distal interphalangeal joint of right index finger S63.291 Dislocation of distal interphalangeal joint of left index finger S63.292 Dislocation of distal interphalangeal joint of right middle finger S63.293 Dislocation of distal interphalangeal joint of left middle finger S63.294 Dislocation of distal interphalangeal joint of right ring finger S63.295 Dislocation of distal interphalangeal joint of left ring finger S63.296 Dislocation of distal interphalangeal joint of right little finger S63.297 Dislocation of distal interphalangeal joint of left little finger S63.299 Dislocation of distal interphalangeal joint of unspecified finger Tendon disorders Code also any associated open wound Excludes2: strain of muscle, fascia and tendon of wrist and hand (S66.-) The appropriate 7th character is to be added to each code from category S63 A - initial encounter D - subsequent encounter S – sequela S63.3 Traumatic rupture of ligament of wrist S63.30 Traumatic rupture of unspecified ligament of wrist S63.301 Traumatic rupture of unspecified ligament of right wrist S63.302 Traumatic rupture of unspecified ligament of left wrist ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics S63.31 Traumatic rupture of collateral ligament of wrist S63.311 Traumatic rupture of collateral ligament of right wrist S63.312 Traumatic rupture of collateral ligament of left wrist S63.32 Traumatic rupture of radiocarpal ligament S63.321 Traumatic rupture of right radiocarpal ligament S63.322 Traumatic rupture of left radiocarpal ligament S63.329 Traumatic rupture of unspecified radiocarpal ligament S63.33 Traumatic rupture of ulnocarpal (palmar) ligament S63.331 Traumatic rupture of right ulnocarpal (palmar) ligament S63.332 Traumatic rupture of left ulnocarpal (palmar) ligament S63.339 Traumatic rupture of unspecified ulnocarpal (palmar) ligament S63.39 Traumatic rupture of other ligament of wrist S63.391 Traumatic rupture of other ligament of right wrist S63.392 Traumatic rupture of other ligament of left wrist S63.4 Traumatic rupture of ligament of finger at metacarpophalangeal and interphalangeal joint(s) S63.40 Traumatic rupture of unspecified ligament of finger at metacarpophalangeal and interphalangeal joint S63.400 Traumatic rupture of unspecified ligament of right index finger at metacarpophalangeal and interphalangeal joint S63.401 Traumatic rupture of unspecified ligament of left index finger at metacarpophalangeal and interphalangeal joint S63.402 Traumatic rupture of unspecified ligament of right middle finger at metacarpophalangeal and interphalangeal joint S63.403 Traumatic rupture of unspecified ligament of left middle finger at metacarpophalangeal and interphalangeal joint S63.404 Traumatic rupture of unspecified ligament of right ring finger at metacarpophalangeal and interphalangeal joint S63.405 Traumatic rupture of unspecified ligament of left ring finger at metacarpophalangeal and interphalangeal joint S63.406 Traumatic rupture of unspecified ligament of right little finger at metacarpophalangeal and interphalangeal joint S63.407 Traumatic rupture of unspecified ligament of left little finger at metacarpophalangeal and interphalangeal joint S63.409 Traumatic rupture of unspecified ligament of unspecified finger at metacarpophalangeal and interphalangeal joint S63.41 Traumatic rupture of collateral ligament of finger at metacarpophalangeal and interphalangeal joint S63.410 Traumatic rupture of collateral ligament of right index finger at metacarpophalangeal and interphalangeal joint S63.411 Traumatic rupture of collateral ligament of left index finger at metacarpophalangeal and interphalangeal joint S63.412 Traumatic rupture of collateral ligament of right middle finger at metacarpophalangeal and interphalangeal joint ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics S63.413 Traumatic rupture of collateral ligament of left middle finger at metacarpophalangeal and interphalangeal joint S63.414 Traumatic rupture of collateral ligament of right ring finger at metacarpophalangeal and interphalangeal joint S63.415 Traumatic rupture of collateral ligament of left ring finger at metacarpophalangeal and interphalangeal joint S63.416 Traumatic rupture of collateral ligament of right little finger at metacarpophalangeal and interphalangeal joint S63.417 Traumatic rupture of collateral ligament of left little finger at metacarpophalangeal and interphalangeal joint S63.419 Traumatic rupture of collateral ligament of unspecified finger at metacarpophalangeal and interphalangeal joint S63.42 Traumatic rupture of palmar ligament of finger at metacarpophalangeal and interphalangeal joint S63.420 Traumatic rupture of palmar ligament of right index finger at metacarpophalangeal and interphalangeal joint S63.421 Traumatic rupture of palmar ligament of left index finger at metacarpophalangeal and interphalangeal joint S63.422 Traumatic rupture of palmar ligament of right middle finger at metacarpophalangeal and interphalangeal joint S63.423 Traumatic rupture of palmar ligament of left middle finger at metacarpophalangeal and interphalangeal joint S63.424 Traumatic rupture of palmar ligament of right ring finger at metacarpophalangeal and interphalangeal joint S63.425 Traumatic rupture of palmar ligament of left ring finger at metacarpophalangeal and interphalangeal joint S63.426 Traumatic rupture of palmar ligament of right little finger at metacarpophalangeal and interphalangeal joint S63.427 Traumatic rupture of palmar ligament of left little finger at metacarpophalangeal and interphalangeal joint S63.429 Traumatic rupture of palmar ligament of unspecified finger at metacarpophalangeal and interphalangeal joint S63.43 Traumatic rupture of volar plate of finger at metacarpophalangeal and interphalangeal joint S63.430 Traumatic rupture of volar plate of right index finger at metacarpophalangeal and interphalangeal joint S63.431 Traumatic rupture of volar plate of left index finger at metacarpophalangeal and interphalangeal joint S63.432 Traumatic rupture of volar plate of right middle finger at metacarpophalangeal and interphalangeal joint S63.433 Traumatic rupture of volar plate of left middle finger at metacarpophalangeal and interphalangeal joint S63.434 Traumatic rupture of volar plate of right ring finger at metacarpophalangeal and interphalangeal joint ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics S63.435 Traumatic rupture of volar plate of left ring finger at metacarpophalangeal and interphalangeal joint S63.436 Traumatic rupture of volar plate of right little finger at metacarpophalangeal and interphalangeal joint S63.437 Traumatic rupture of volar plate of left little finger at metacarpophalangeal and interphalangeal joint S63.439 Traumatic rupture of volar plate of unspecified finger at metacarpophalangeal and interphalangeal joint S63.49 Traumatic rupture of other ligament of finger at metacarpophalangeal and interphalangeal joint S63.490 Traumatic rupture of other ligament of right index finger at metacarpophalangeal and interphalangeal joint S63.491 Traumatic rupture of other ligament of left index finger at metacarpophalangeal and interphalangeal joint S63.492 Traumatic rupture of other ligament of right middle finger at metacarpophalangeal and interphalangeal joint S63.493 Traumatic rupture of other ligament of left middle finger at metacarpophalangeal and interphalangeal joint S63.494 Traumatic rupture of other ligament of right ring finger at metacarpophalangeal and interphalangeal joint S63.495 Traumatic rupture of other ligament of left ring finger at metacarpophalangeal and interphalangeal joint S63.496 Traumatic rupture of other ligament of right little finger at metacarpophalangeal and interphalangeal joint S63.497 Traumatic rupture of other ligament of left little finger at metacarpophalangeal and interphalangeal joint S63.499 Traumatic rupture of other ligament S63.5 Other and unspecified sprain of wrist S63.50 Unspecified sprain of wrist S63.501 Unspecified sprain of right wrist S63.502 Unspecified sprain of left wrist S63.51 Sprain of carpal (joint) S63.511 Sprain of carpal joint of right wrist S63.512 Sprain of carpal joint of left wrist S63.52 Sprain of radiocarpal joint Excludes1: traumatic rupture of radiocarpal ligament (S63.32-) S63.521 Sprain of radiocarpal joint of right wrist S63.522 Sprain of radiocarpal joint of left wrist S63.59 Other specified sprain of wrist S63.591 Other specified sprain of right wrist S63.592 Other specified sprain of left wrist ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics S63.6 Other and unspecified sprain of finger(s) Excludes1: traumatic rupture of ligament of finger at metacarpophalangeal and interphalangeal joint(s)(S63.4-) S63.60 Unspecified sprain of thumb S63.601 Unspecified sprain of right thumb S63.602 Unspecified sprain of left thumb S63.609 Unspecified sprain of unspecified thumb S63.61 Unspecified sprain of other and unspecified finger(s) S63.610 Unspecified sprain of right index finger S63.611 Unspecified sprain of left index finger S63.612 Unspecified sprain of right middle finger S63.613 Unspecified sprain of left middle finger S63.614 Unspecified sprain of right ring finger S63.615 Unspecified sprain of left ring finger S63.616 Unspecified sprain of right little finger S63.617 Unspecified sprain of left little finger S63.619 Unspecified sprain of unspecified finger S63.62 Sprain of interphalangeal joint of thumb S63.621 Sprain of interphalangeal joint of right thumb S63.622 Sprain of interphalangeal joint of left thumb S63.629 Sprain of interphalangeal joint of unspecified thumb S63.63 Sprain of interphalangeal joint of other and unspecified finger(s) S63.630 Sprain of interphalangeal joint of right index finger S63.631 Sprain of interphalangeal joint of left index finger S63.632 Sprain of interphalangeal joint of right middle finger S63.633 Sprain of interphalangeal joint of left middle finger S63.634 Sprain of interphalangeal joint of right ring finger S63.635 Sprain of interphalangeal joint of left ring finger S63.636 Sprain of interphalangeal joint of right little finger S63.637 Sprain of interphalangeal joint of left little finger S63.638 Sprain of interphalangeal joint of other finger S63.639 Sprain of interphalangeal joint of unspecified finger S63.64 Sprain of metacarpophalangeal joint of thumb S63.641 Sprain of metacarpophalangeal joint of right thumb S63.642 Sprain of metacarpophalangeal joint of left thumb S63.649 Sprain of metacarpophalangeal joint of unspecified thumb S63.65 Sprain of metacarpophalangeal joint of other and unspecified finger(s) S63.650 Sprain of metacarpophalangeal joint of right index finger S63.651 Sprain of metacarpophalangeal joint of left index finger S63.652 Sprain of metacarpophalangeal joint of right middle finger ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics S63.653 Sprain of metacarpophalangeal joint of left middle finger S63.654 Sprain of metacarpophalangeal joint of right ring finger S63.655 Sprain of metacarpophalangeal joint of left ring finger S63.656 Sprain of metacarpophalangeal joint of right little finger S63.657 Sprain of metacarpophalangeal joint of left little finger S63.659 Sprain of metacarpophalangeal joint of unspecified finger S63.68 Other sprain of thumb S63.681 Other sprain of right thumb S63.682 Other sprain of left thumb S63.69 Other sprain of other and unspecified finger(s) S63.690 Other sprain of right index finger S63.691 Other sprain of left index finger S63.692 Other sprain of right middle finger S63.693 Other sprain of left middle finger S63.694 Other sprain of right ring finger S63.695 Other sprain of left ring finger S63.696 Other sprain of right little finger S63.697 Other sprain of left little finger S63.8 Sprain of other part of wrist and hand S63.8X Sprain of other part of wrist and hand S63.8X1 Sprain of other part of right wrist and hand S63.8X2 Sprain of other part of left wrist and hand S63.9 Sprain of unspecified part of wrist and hand S63.91 Sprain of unspecified part of right wrist and hand S63.92 Sprain of unspecified part of left wrist and hand Disorder by site: Head/neck Cervicogenic headache G44 Other headache syndromes Excludes1: headache NOS (R51) Excludes2: atypical facial pain (G50.1) headache due to lumbar puncture (G97.1) migraines (G43.-) trigeminal neuralgia (G50.0) G44.2 Tension-type headache G44.20 Tension-type headache, unspecified G44.201 Tension-type headache, unspecified, intractable G44.209 Tension-type headache, unspecified, not intractable Tension headache NOS G44.21 Episodic tension-type headache G44.211 Episodic tension-type headache, intractable G44.219 Episodic tension-type headache, not intractable Episodic tension-type headache NOS ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics G44.22 Chronic tension-type headache G44.221 Chronic tension-type headache, intractable G44.229 Chronic tension-type headache, not intractable Chronic tension-type headache NOS G44.3 Post-traumatic headache G44.30 Post-traumatic headache, unspecified G44.301 Post-traumatic headache, unspecified, intractable G44.309 Post-traumatic headache, unspecified, not intractable Post-traumatic headache NOS G44.31 Acute post-traumatic headache G44.311 Acute post-traumatic headache, intractable G44.319 Acute post-traumatic headache, not intractable Acute post-traumatic headache NOS G44.32 Chronic post-traumatic headache G44.321 Chronic post-traumatic headache, intractable G44.329 Chronic post-traumatic headache, not intractable Chronic post-traumatic headache NOS M99 Biomechanical lesions, not elsewhere classified Note: This category should not be used if the condition can be classified elsewhere. M99.0 Segmental and somatic dysfunction M99.00 Segmental and somatic dysfunction of head region M99.01 Segmental and somatic dysfunction of cervical region R51 Headache Facial pain NOS Excludes1: atypical face pain (G50.1) migraine and other headache syndromes (G43-G44) trigeminal neuralgia (G50.0) Cervical instability M53.2X1 Spinal instabilities, occipito-atlanto-axial region M53.2X2 Spinal instabilities, cervical region M53.2X3 Spinal instabilities, cervicothoracic region Whiplash S13.4 Sprain of ligaments of cervical spine Whiplash injury of cervical spine Cervical radiculopathy Excludes1: current injury - see injury of spine by body region discitis NOS (M46.4-) M47.81 Spondylosis without myelopathy or radiculopathy M47.811 Spondylosis without myelopathy or radiculopathy, occipito-atlantoaxial region M47.812 Spondylosis without myelopathy or radiculopathy, cervical region ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics M47.813 Spondylosis without myelopathy or radiculopathy, cervicothoracic region M50 Cervical disc disorders Note: code to the most superior level of disorder Includes: cervicothoracic disc disorders with cervicalgia cervicothoracic disc disorders M50.0 Cervical disc disorder with myelopathy M50.00 Cervical disc disorder with myelopathy, unspecified cervical region M50.01 Cervical disc disorder with myelopathy, high cervical region C2-C3 disc disorder with myelopathy C3-C4 disc disorder with myelopathy M50.02 Cervical disc disorder with myelopathy, mid-cervical region C4-C5 disc disorder with myelopathy C5-C6 disc disorder with myelopathy C6-C7 disc disorder with myelopathy M50.03 Cervical disc disorder with myelopathy, cervicothoracic region C7-T1 disc disorder with myelopathy M50.1 Cervical disc disorder with radiculopathy Excludes2: brachial radiculitis NOS (M54.13) M50.10 Cervical disc disorder with radiculopathy, unspecified cervical region M50.11 Cervical disc disorder with radiculopathy, high cervical region C2-C3 disc disorder with radiculopathy C3 radiculopathy due to disc disorder C3-C4 disc disorder with radiculopathy C4 radiculopathy due to disc disorder M50.12 Cervical disc disorder with radiculopathy, mid-cervical region C4-C5 disc disorder with radiculopathy C5 radiculopathy due to disc disorder C5-C6 disc disorder with radiculopathy C6 radiculopathy due to disc disorder C6-C7 disc disorder with radiculopathy C7 radiculopathy due to disc disorder M50.13 Cervical disc disorder with radiculopathy, cervicothoracic region C7-T1 disc disorder with radiculopathy M54.1 Radiculopathy Brachial neuritis or radiculitis NOS Lumbar neuritis or radiculitis NOS Lumbosacral neuritis or radiculitis NOS Thoracic neuritis or radiculitis NOS Radiculitis NOS Excludes1: neuralgia and neuritis NOS (M79.2) radiculopathy with cervical disc disorder (M50.1) ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics radiculopathy with spondylosis (M47.2-) M54.10 Radiculopathy, site unspecified M54.11 Radiculopathy, occipito-atlanto-axial region M54.12 Radiculopathy, cervical region M54.13 Radiculopathy, cervicothoracic region Degenerative disc disease and disorders M50 Cervical disc disorders Note: code to the most superior level of disorder Includes: cervicothoracic disc disorders with cervicalgia cervicothoracic disc disorders M50.0 Cervical disc disorder with myelopathy M50.00 Cervical disc disorder with myelopathy, unspecified cervical region M50.01 Cervical disc disorder with myelopathy, high cervical region C2-C3 disc disorder with myelopathy C3-C4 disc disorder with myelopathy M50.02 Cervical disc disorder with myelopathy, mid-cervical region C4-C5 disc disorder with myelopathy C5-C6 disc disorder with myelopathy C6-C7 disc disorder with myelopathy M50.03 Cervical disc disorder with myelopathy, cervicothoracic region C7-T1 disc disorder with myelopathy M50.1 Cervical disc disorder with radiculopathy Excludes2: brachial radiculitis NOS (M54.13) M50.10 Cervical disc disorder with radiculopathy, unspecified cervical region M50.11 Cervical disc disorder with radiculopathy, high cervical region C2-C3 disc disorder with radiculopathy C3 radiculopathy due to disc disorder C3-C4 disc disorder with radiculopathy C4 radiculopathy due to disc disorder M50.12 Cervical disc disorder with radiculopathy, mid-cervical region C4-C5 disc disorder with radiculopathy C5 radiculopathy due to disc disorder C5-C6 disc disorder with radiculopathy C6 radiculopathy due to disc disorder C6-C7 disc disorder with radiculopathy C7 radiculopathy due to disc disorder M50.13 Cervical disc disorder with radiculopathy, cervicothoracic region C7-T1 disc disorder with radiculopathy M50.3 Other cervical disc degeneration M50.30 Other cervical disc degeneration, unspecified cervical region ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics M50.31 Other cervical disc degeneration, high cervical region Other C2-C3 cervical disc degeneration Other C3-C4 cervical disc degeneration M50.32 Other cervical disc degeneration, mid-cervical region Other C4-C5 cervical disc degeneration Other C5-C6 cervical disc degeneration Other C6-C7 cervical disc degeneration M50.33 Other cervical disc degeneration, cervicothoracic region Other C7-T1 cervical disc degeneration S13.0 Traumatic rupture of cervical intervertebral disc The appropriate 7th character is to be added to each code from category S13 A - initial encounter D - subsequent encounter S – sequela Excludes1: rupture or displacement (nontraumatic) of cervical intervertebral disc NOS (M50.-) Stenosis M47.2 Other spondylosis with radiculopathy M47.20 Other spondylosis with radiculopathy, site unspecified M47.21 Other spondylosis with radiculopathy, occipito-atlanto-axial region M47.22 Other spondylosis with radiculopathy, cervical region M47.23 Other spondylosis with radiculopathy, cervicothoracic region M48.0 Spinal stenosis Caudal stenosis M48.01 Spinal stenosis, occipito-atlanto-axial region M48.02 Spinal stenosis, cervical region M48.03 Spinal stenosis, cervicothoracic region M99.7 Connective tissue and disc stenosis of intervertebral foramina M99.71 Connective tissue and disc stenosis of intervertebral foramina of cervical region Sprain S13 Dislocation and sprain of joints and ligaments at neck level The appropriate 7th character is to be added to each code from category S13 A - initial encounter D - subsequent encounter S – sequela S13.1 Subluxation and dislocation of cervical vertebrae Code also any associated: open wound of neck (S11.-) spinal cord injury (S14.1-) Excludes2: fracture of cervical vertebrae (S12.0-S12.3-) S13.10 Subluxation and dislocation of unspecified cervical vertebrae S13.100 Subluxation of unspecified cervical vertebrae ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics S13.101 Dislocation of unspecified cervical vertebrae S13.11 Subluxation and dislocation of C0/C1 cervical vertebrae Subluxation and dislocation of atlantooccipital joint Subluxation and dislocation of atloidooccipital joint Subluxation and dislocation of occipitoatloid joint S13.110 Subluxation of C0/C1 cervical vertebrae S13.111 Dislocation of C0/C1 cervical vertebrae S13.12 Subluxation and dislocation of C1/C2 cervical vertebrae Subluxation and dislocation of atlantoaxial joint S13.120 Subluxation of C1/C2 cervical vertebrae S13.121 Dislocation of C1/C2 cervical vertebrae S13.13 Subluxation and dislocation of C2/C3 cervical vertebrae S13.130 Subluxation of C2/C3 cervical vertebrae S13.131 Dislocation of C2/C3 cervical vertebrae S13.14 Subluxation and dislocation of C3/C4 cervical vertebrae S13.140 Subluxation of C3/C4 cervical vertebrae S13.141 Dislocation of C3/C4 cervical vertebrae S13.15 Subluxation and dislocation of C4/C5 cervical vertebrae S13.150 Subluxation of C4/C5 cervical vertebrae S13.151 Dislocation of C4/C5 cervical vertebrae S13.16 Subluxation and dislocation of C5/C6 cervical vertebrae S13.160 Subluxation of C5/C6 cervical vertebrae S13.161 Dislocation of C5/C6 cervical vertebrae S13.17 Subluxation and dislocation of C6/C7 cervical vertebrae S13.170 Subluxation of C6/C7 cervical vertebrae S13.171 Dislocation of C6/C7 cervical vertebrae S13.18 Subluxation and dislocation of C7/T1 cervical vertebrae S13.180 Subluxation of C7/T1 cervical vertebrae S13.181 Dislocation of C7/T1 cervical vertebrae S13.2 Dislocation of other and unspecified parts of neck S13.20 Dislocation of unspecified parts of neck S13.29 Dislocation of other parts of neck S13.4 Sprain of ligaments of cervical spine Sprain of anterior longitudinal (ligament), cervical Sprain of atlanto-axial (joints) Sprain of atlanto-occipital (joints) Whiplash injury of cervical spine S13.5 Sprain of thyroid region Sprain of cricoarytenoid (joint) (ligament) Sprain of cricothyroid (joint) (ligament) Sprain of thyroid cartilage S13.8 Sprain of joints and ligaments of other parts of neck S13.9 Sprain of joints and ligaments of unspecified parts of neck ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics Strain S16 Injury of muscle, fascia and tendon at neck level Code also any associated open wound (S11.-) Excludes2: sprain of joint or ligament at neck level (S13.9) The appropriate 7th character is to be added to each code from category S16 A - initial encounter D - subsequent encounter S - sequela S16.1 Strain of muscle, fascia and tendon at neck level S16.8 Other specified injury of muscle, fascia and tendon at neck level S16.9 Unspecified injury of muscle, fascia and tendon at neck level Disorder by site: Hip Femoroacetabular impingement M25.85 Other specified joint disorders, hip M25.851 Other specified joint disorders, right hip M25.852 Other specified joint disorders, left hip Hamstring tendinopathies M67.85 Other specified disorders of synovium and tendon, hip M67.851 Other specified disorders of synovium, right hip M67.852 Other specified disorders of synovium, left hip M67.853 Other specified disorders of tendon, right hip M67.854 Other specified disorders of tendon, left hip M70.85 Other soft tissue disorders related to use, overuse and pressure of thigh M70.851 Other soft tissue disorders related to use, overuse and pressure, right thigh M70.852 Other soft tissue disorders related to use, overuse and pressure, left thigh M76.89 Other specified enthesopathies of lower limb, excluding foot M76.891 Other specified enthesopathies of right lower limb, excluding foot M76.892 Other specified enthesopathies of left lower limb, excluding foot S76 Injury of muscle, fascia and tendon at hip and thigh level Code also any associated open wound (S71.-) Excludes2: injury of muscle, fascia and tendon at lower leg level (S86) sprain of joint and ligament of hip (S73.1) The appropriate 7th character is to be added to each code from category S76 A - initial encounter D - subsequent encounter S - sequela ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics S76.31 Strain of muscle, fascia and tendon of the posterior muscle group at thigh level S76.311 Strain of muscle, fascia and tendon of the posterior muscle group at thigh level, right thigh S76.312 Strain of muscle, fascia and tendon of the posterior muscle group at thigh level, left thigh S76.81 Strain of other specified muscles, fascia and tendons at thigh level S76.811 Strain of other specified muscles, fascia and tendons at thigh level, right thigh S76.812 Strain of other specified muscles, fascia and tendons at thigh level, left thigh Greater trochanteric pain syndrome M70.6 Trochanteric bursitis Trochanteric tendinitis M70.61 Trochanteric bursitis, right hip M70.62 Trochanteric bursitis, left hip M70.7 Other bursitis of hip Ischial bursitis M70.71 Other bursitis of hip, right hip M70.72 Other bursitis of hip, left hip M76.1 Psoas tendinitis M76.11 Psoas tendinitis, right hip M76.12 Psoas tendinitis, left hip M76.2 Iliac crest spur M76.21 Iliac crest spur, right hip M76.22 Iliac crest spur, left hip M25.55 Pain in hip M25.551 Pain in right hip M25.552 Pain in left hip Hip osteaorthritis M16 Osteoarthritis of hip M16.0 Bilateral primary osteoarthritis of hip M16.1 Unilateral primary osteoarthritis of hip Primary osteoarthritis of hip NOS M16.11 Unilateral primary osteoarthritis, right hip M16.12 Unilateral primary osteoarthritis, left hip M16.2 Bilateral osteoarthritis resulting from hip dysplasia M16.3 Unilateral osteoarthritis resulting from hip dysplasia Dysplastic osteoarthritis of hip NOS M16.31 Unilateral osteoarthritis resulting from hip dysplasia, right hip M16.32 Unilateral osteoarthritis resulting from hip dysplasia, left hip ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics M16.4 Bilateral post-traumatic osteoarthritis of hip M16.5 Unilateral post-traumatic osteoarthritis of hip Post-traumatic osteoarthritis of hip NOS M16.51 Unilateral post-traumatic osteoarthritis, right hip M16.52 Unilateral post-traumatic osteoarthritis, left hip Hip Arthroplasty Z47.1 Aftercare following joint replacement surgery Use additional code to identify the joint (Z96.6-) Z96.64 Presence of artificial hip joint Hip-joint replacement (partial) (total) Z96.641 Presence of right artificial hip joint Z96.642 Presence of left artificial hip joint Z96.643 Presence of artificial hip joint, bilateral Disorder by site: Knee Ligamentous injury S83 Current injury to knee ligament The appropriate 7th character is to be added to each code from category S83 A - initial encounter D - subsequent encounter S - sequela S83.4 Sprain of collateral ligament of knee S83.40 Sprain of unspecified collateral ligament of knee S83.401 Sprain of unspecified collateral ligament of right knee S83.402 Sprain of unspecified collateral ligament of left knee S83.41 Sprain of medial collateral ligament of knee Sprain of tibial collateral ligament S83.411 Sprain of medial collateral ligament of right knee S83.412 Sprain of medial collateral ligament of left knee S83.42 Sprain of lateral collateral ligament of knee Sprain of fibular collateral ligament S83.421 Sprain of lateral collateral ligament of right knee S83.422 Sprain of lateral collateral ligament of left knee S83.5 Sprain of cruciate ligament of knee S83.50 Sprain of unspecified cruciate ligament of knee S83.501 Sprain of unspecified cruciate ligament of right knee S83.502 Sprain of unspecified cruciate ligament of left knee S83.51 Sprain of anterior cruciate ligament of knee S83.511 Sprain of anterior cruciate ligament of right knee S83.512 Sprain of anterior cruciate ligament of left knee S83.52 Sprain of posterior cruciate ligament of knee S83.521 Sprain of posterior cruciate ligament of right knee S83.522 Sprain of posterior cruciate ligament of left knee ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics S83.6 Sprain of the superior tibiofibular joint and ligament S83.61 Sprain of the superior tibiofibular joint and ligament, right knee S83.62 Sprain of the superior tibiofibular joint and ligament, left knee S83.8 Sprain of other specified parts of knee S83.8X Sprain of other specified parts of knee S83.8X1 Sprain of other specified parts of right knee S83.8X2 Sprain of other specified parts of left knee S83.9 Sprain of unspecified site of knee S83.91 Sprain of unspecified site of right knee S83.92 Sprain of unspecified site of left knee M23 Internal derangement of knee Excludes1: ankylosis (M24.66) current injury - see injury of knee and lower leg (S80-S89) deformity of knee (M21.-) osteochondritis dissecans (M93.2) recurrent dislocation or subluxation of joints (M24.4) recurrent dislocation or subluxation of patella (M22.0-M22.1) M23.4 Loose body in knee M23.41 Loose body in knee, right knee M23.42 Loose body in knee, left knee M23.5 Chronic instability of knee M23.51 Chronic instability of knee, right knee M23.52 Chronic instability of knee, left knee M23.6 Other spontaneous disruption of ligament(s) of knee M23.60 Other spontaneous disruption of unspecified ligament of knee M23.61 Other spontaneous disruption of anterior cruciate ligament of knee M23.611 Other spontaneous disruption of anterior cruciate ligament of right knee M23.612 Other spontaneous disruption of anterior cruciate ligament of left knee M23.62 Other spontaneous disruption of posterior cruciate ligament of knee M23.621 Other spontaneous disruption of posterior cruciate ligament of right knee M23.622 Other spontaneous disruption of posterior cruciate ligament of left knee M23.63 Other spontaneous disruption of medial collateral ligament of knee M23.631 Other spontaneous disruption of medial collateral ligament of right knee M23.632 Other spontaneous disruption of medial collateral ligament of left knee ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics M23.64 Other spontaneous disruption of lateral collateral ligament of knee M23.641 Other spontaneous disruption of lateral collateral ligament of right knee M23.642 Other spontaneous disruption of lateral collateral ligament of left knee M23.67 Other spontaneous disruption of capsular ligament of knee M23.671 Other spontaneous disruption of capsular ligament of right knee M23.672 Other spontaneous disruption of capsular ligament of left knee M23.8 Other internal derangements of knee Laxity of ligament of knee Snapping knee M23.8X Other internal derangements of knee M23.8X1 Other internal derangements of right knee M23.8X2 Other internal derangements of left knee M23.9 Unspecified internal derangement of knee M23.91 Unspecified internal derangement of right knee M23.92 Unspecified internal derangement of left knee Meniscal S83.2 Tear of meniscus, current injury Excludes1: old bucket-handle tear (M23.2) The appropriate 7th character is to be added to each code from category S83 A - initial encounter D - subsequent encounter S - sequela S83.20 Tear of unspecified meniscus, current injury Tear of meniscus of knee NOS S83.200 Bucket-handle tear of unspecified meniscus, current injury, right knee S83.201 Bucket-handle tear of unspecified meniscus, current injury, left knee S83.203 Other tear of unspecified meniscus, current injury, right knee S83.204 Other tear of unspecified meniscus, current injury, left knee S83.206 Unspecified tear of unspecified meniscus, current injury, right knee S83.207 Unspecified tear of unspecified meniscus, current injury, left knee S83.21 Bucket-handle tear of medial meniscus, current injury S83.211 Bucket-handle tear of medial meniscus, current injury, right knee S83.212 Bucket-handle tear of medial meniscus, current injury, left knee ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics S83.22 Peripheral tear of medial meniscus, current injury S83.221 Peripheral tear of medial meniscus, current injury, right knee S83.222 Peripheral tear of medial meniscus, current injury, left knee S83.23 Complex tear of medial meniscus, current injury S83.231 Complex tear of medial meniscus, current injury, right knee S83.232 Complex tear of medial meniscus, current injury, left knee S83.24 Other tear of medial meniscus, current injury S83.241 Other tear of medial meniscus, current injury, right knee S83.242 Other tear of medial meniscus, current injury, left knee S83.25 Bucket-handle tear of lateral meniscus, current injury S83.251 Bucket-handle tear of lateral meniscus, current injury, right knee S83.252 Bucket-handle tear of lateral meniscus, current injury, left knee S83.26 Peripheral tear of lateral meniscus, current injury S83.261 Peripheral tear of lateral meniscus, current injury, right knee S83.262 Peripheral tear of lateral meniscus, current injury, left knee S83.27 Complex tear of lateral meniscus, current injury S83.271 Complex tear of lateral meniscus, current injury, right knee S83.272 Complex tear of lateral meniscus, current injury, left knee S83.28 Other tear of lateral meniscus, current injury S83.281 Other tear of lateral meniscus, current injury, right knee S83.282 Other tear of lateral meniscus, current injury, left knee M23.2 Derangement of meniscus due to old tear or injury Old bucket-handle tear M23.20 Derangement of unspecified meniscus due to old tear or injury Derangement of unspecified lateral meniscus due to old tear or injury Derangement of unspecified medial meniscus due to old tear or injury M23.200 Derangement of unspecified lateral meniscus due to old tear or injury, right knee M23.201 Derangement of unspecified lateral meniscus due to old tear or injury, left knee M23.203 Derangement of unspecified medial meniscus due to old tear or injury, right knee M23.204 Derangement of unspecified medial meniscus due to old tear or injury, left knee M23.206 Derangement of unspecified meniscus due to old tear or injury, right knee M23.207 Derangement of unspecified meniscus due to old tear or injury, left knee M23.21 Derangement of anterior horn of medial meniscus due to old tear or injury M23.211 Derangement of anterior horn of medial meniscus due to old tear or injury, right knee ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics M23.212 Derangement of anterior horn of medial meniscus due to old tear or injury, left knee M23.22 Derangement of posterior horn of medial meniscus due to old tear or injury M23.221 Derangement of posterior horn of medial meniscus due to old tear or injury, right knee M23.222 Derangement of posterior horn of medial meniscus due to old tear or injury, left knee M23.23 Derangement of other medial meniscus due to old tear or injury M23.231 Derangement of other medial meniscus due to old tear or injury, right knee M23.232 Derangement of other medial meniscus due to old tear or injury, left knee M23.24 Derangement of anterior horn of lateral meniscus due to old tear or injury M23.241 Derangement of anterior horn of lateral meniscus due to old tear or injury, right knee M23.242 Derangement of anterior horn of lateral meniscus due to old tear or injury, left knee M23.25 Derangement of posterior horn of lateral meniscus due to old tear or injury M23.251 Derangement of posterior horn of lateral meniscus due to old tear or injury, right knee M23.252 Derangement of posterior horn of lateral meniscus due to old tear or injury, left knee M23.26 Derangement of other lateral meniscus due to old tear or injury M23.261 Derangement of other lateral meniscus due to old tear or injury, right knee M23.262 Derangement of other lateral meniscus due to old tear or injury, left knee M23.3 Other meniscus derangements Degenerate meniscus Detached meniscus Retained meniscus M23.30 Other meniscus derangements, unspecified meniscus Other meniscus derangements, unspecified lateral meniscus Other meniscus derangements, unspecified medial meniscus M23.300 Other meniscus derangements, unspecified lateral meniscus, right knee M23.301 Other meniscus derangements, unspecified lateral meniscus, left knee M23.303 Other meniscus derangements, unspecified medial meniscus, right knee ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics M23.304 Other meniscus derangements, unspecified medial meniscus, left knee M23.306 Other meniscus derangements, unspecified meniscus, right knee M23.307 Other meniscus derangements, unspecified meniscus, left knee M23.31 Other meniscus derangements, anterior horn of medial meniscus M23.311 Other meniscus derangements, anterior horn of medial meniscus, right knee M23.312 Other meniscus derangements, anterior horn of medial meniscus, left knee M23.32 Other meniscus derangements, posterior horn of medial meniscus M23.321 Other meniscus derangements, posterior horn of medial meniscus, right knee M23.322 Other meniscus derangements, posterior horn of medial meniscus, left knee M23.33 Other meniscus derangements, other medial meniscus M23.331 Other meniscus derangements, other medial meniscus, right knee M23.332 Other meniscus derangements, other medial meniscus, left knee M23.34 Other meniscus derangements, anterior horn of lateral meniscus M23.341 Other meniscus derangements, anterior horn of lateral meniscus, right knee M23.342 Other meniscus derangements, anterior horn of lateral meniscus, left knee M23.35 Other meniscus derangements, posterior horn of lateral meniscus M23.351 Other meniscus derangements, posterior horn of lateral meniscus, right knee M23.352 Other meniscus derangements, posterior horn of lateral meniscus, left knee M23.36 Other meniscus derangements, other lateral meniscus M23.361 Other meniscus derangements, other lateral meniscus, right knee M23.362 Other meniscus derangements, other lateral meniscus, left knee Patellofemoral dysfunction (Disorder of patellofemoral joint) M22.2X1 Patellofemoral disorders, right knee M22.2X2 Patellofemoral disorders, left knee Tendon disorders M76.3 Iliotibial band syndrome M76.31 Iliotibial band syndrome, right leg M76.32 Iliotibial band syndrome, left leg ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics M76.5 Patellar tendinitis M76.51 Patellar tendinitis, right knee M76.52 Patellar tendinitis, left knee Knee Arthroplasty Z47.1 Aftercare following joint replacement surgery Use additional code to identify the joint (Z96.6-) Z96.65 Presence of artificial knee joint Z96.651 Presence of right artificial knee joint Z96.652 Presence of left artificial knee joint Z96.653 Presence of artificial knee joint, bilateral Disorder by site: Lumbar Spine Instability M53.2X5Spinal instabilities, thoracolumbar region M53.2X6 Spinal instabilities, lumbar region M53.2X7 Spinal instabilities, lumbosacral region Spondylosis/spondylolisthesis M45 Ankylosing spondylitis Rheumatoid arthritis of spine Excludes1: arthropathy in Reiter's disease (M02.3-) juvenile (ankylosing) spondylitis (M08.1) Excludes2: Behçet's disease (M35.2) M45.0 Ankylosing spondylitis of multiple sites in spine M45.5 Ankylosing spondylitis of thoracolumbar region M45.6 Ankylosing spondylitis lumbar region M45.7 Ankylosing spondylitis of lumbosacral region M43.1 Spondylolisthesis Excludes1: acute traumatic of lumbosacral region (S33.1) acute traumatic of sites other than lumbosacral- code to Fracture, vertebra, by region congenital spondylolisthesis (Q76.2) M43.15 Spondylolisthesis, thoracolumbar region M43.16 Spondylolisthesis, lumbar region M43.17 Spondylolisthesis, lumbosacral region M43.19 Spondylolisthesis, multiple sites in spine M47 Spondylosis Includes: arthrosis or osteoarthritis of spine degeneration of facet joints M47.1 Other spondylosis with myelopathy Spondylogenic compression of spinal cord Excludes1: vertebral subluxation (M43.3-M43.59) M47.15 Other spondylosis with myelopathy, thoracolumbar region M47.16 Other spondylosis with myelopathy, lumbar region ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics M47.2 Other spondylosis with radiculopathy M47.25 Other spondylosis with radiculopathy, thoracolumbar region M47.26 Other spondylosis with radiculopathy, lumbar region M47.27 Other spondylosis with radiculopathy, lumbosacral region M47.8 Other spondylosis M47.81 Spondylosis without myelopathy or radiculopathy M47.815 Spondylosis without myelopathy or radiculopathy, thoracolumbar region M47.816 Spondylosis without myelopathy or radiculopathy, lumbar region M47.817 Spondylosis without myelopathy or radiculopathy, lumbosacral region M47.89 Other spondylosis M47.895 Other spondylosis, thoracolumbar region M47.896 Other spondylosis, lumbar region M47.897 Other spondylosis, lumbosacral region M47.9 Spondylosis, unspecified Disc protrusion/prolapse M51.0 Thoracic, thoracolumbar and lumbosacral intervertebral disc disorders with myelopathy M51.05 Intervertebral disc disorders with myelopathy, thoracolumbar region M51.06 Intervertebral disc disorders with myelopathy, lumbar region M51.1 Thoracic, thoracolumbar and lumbosacral intervertebral disc disorders with radiculopathy Sciatica due to intervertebral disc disorder Excludes1: lumbar radiculitis NOS (M54.16) sciatica NOS (M54.3) M51.15 Intervertebral disc disorders with radiculopathy, thoracolumbar region M51.16 Intervertebral disc disorders with radiculopathy, lumbar region M51.17 Intervertebral disc disorders with radiculopathy, lumbosacral region M51.2 Other thoracic, thoracolumbar and lumbosacral intervertebral disc displacement Lumbago due to displacement of intervertebral disc M51.25 Other intervertebral disc displacement, thoracolumbar region M51.26 Other intervertebral disc displacement, lumbar region M51.27 Other intervertebral disc displacement, lumbosacral region M51.3 Other thoracic, thoracolumbar and lumbosacral intervertebral disc degeneration M51.35 Other intervertebral disc degeneration, thoracolumbar region M51.36 Other intervertebral disc degeneration, lumbar region M51.37 Other intervertebral disc degeneration, lumbosacral region ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics M51.4 Schmorl's nodes M51.44 Schmorl's nodes, thoracic region M51.45 Schmorl's nodes, thoracolumbar region M51.46 Schmorl's nodes, lumbar region M51.47 Schmorl's nodes, lumbosacral region M51.8 Other thoracic, thoracolumbar and lumbosacral intervertebral disc disorders M51.84 Other intervertebral disc disorders, thoracic region M51.85 Other intervertebral disc disorders, thoracolumbar region M51.86 Other intervertebral disc disorders, lumbar region M51.87 Other intervertebral disc disorders, lumbosacral region M51.9 Unspecified thoracic, thoracolumbar and lumbosacral intervertebral disc disorder S33.0 Traumatic rupture of lumbar intervertebral disc The appropriate 7th character is to be added to each code from category S33 A - initial encounter D - subsequent encounter S – sequela Excludes1: rupture or displacement (nontraumatic) of lumbar intervertebral disc NOS (M51.- with fifthcharacter 6) Stenosis M48.0 Spinal stenosis Caudal stenosis M48.05 Spinal stenosis, thoracolumbar region M48.06 Spinal stenosis, lumbar region M48.07 Spinal stenosis, lumbosacral region M99.7 Connective tissue and disc stenosis of intervertebral foramina M99.73 Connective tissue and disc stenosis of intervertebral foramina of lumbar region Sprain S33 Dislocation and sprain of joints and ligaments of lumbar spine and pelvis Includes: avulsion of joint or ligament of lumbar spine and pelvis laceration of cartilage, joint or ligament of lumbar spine and pelvis sprain of cartilage, joint or ligament of lumbar spine and pelvis traumatic hemarthrosis of joint or ligament of lumbar spine and pelvis traumatic rupture of joint or ligament of lumbar spine and pelvis traumatic subluxation of joint or ligament of lumbar spine and pelvis traumatic tear of joint or ligament of lumbar spine and pelvis Code also any associated open wound Excludes1: nontraumatic rupture or displacement of lumbar intervertebral disc NOS (M51.-) obstetric damage to pelvic joints and ligaments (O71.6) Excludes2: dislocation and sprain of joints and ligaments of hip (S73.-) ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics strain of muscle of lower back and pelvis (S39.01-) The appropriate 7th character is to be added to each code from category S33 A - initial encounter D - subsequent encounter S – sequela S33.1 Subluxation and dislocation of lumbar vertebra Code also any associated: open wound of abdomen, lower back and pelvis (S31) spinal cord injury (S24.0, S24.1-, S34.0-, S34.1-) Excludes2: fracture of lumbar vertebrae (S32.0-) S33.10 Subluxation and dislocation of unspecified lumbar vertebra S33.100 Subluxation of unspecified lumbar vertebra S33.101 Dislocation of unspecified lumbar vertebra S33.11 Subluxation and dislocation of L1/L2 lumbar vertebra S33.110 Subluxation of L1/L2 lumbar vertebra S33.111 Dislocation of L1/L2 lumbar vertebra S33.12 Subluxation and dislocation of L2/L3 lumbar vertebra S33.120 Subluxation of L2/L3 lumbar vertebra S33.121 Dislocation of L2/L3 lumbar vertebra S33.13 Subluxation and dislocation of L3/L4 lumbar vertebra S33.130 Subluxation of L3/L4 lumbar vertebra S33.131 Dislocation of L3/L4 lumbar vertebra S33.14 Subluxation and dislocation of L4/L5 lumbar vertebra S33.140 Subluxation of L4/L5 lumbar vertebra S33.141 Dislocation of L4/L5 lumbar vertebra S33.5 Sprain of ligaments of lumbar spine There is no further level of specificity Strain S39.0 Injury of muscle, fascia and tendon of abdomen, lower back and pelvis Excludes2: sprain of joints and ligaments of lumbar spine and pelvis (S33.-) The appropriate 7th character is to be added to each code from category S39 A - initial encounter D - subsequent encounter S - sequela S39.002 Unspecified injury of muscle, fascia and tendon of lower back S39.012 Strain of muscle, fascia and tendon of lower back Treatment Signs and symptoms associated with back M54.4 Lumbago with sciatica Excludes1: lumbago with sciatica due to intervertebral disc disorder (M51.1-) M54.40 Lumbago with sciatica, unspecified side M54.41 Lumbago with sciatica, right side M54.42 Lumbago with sciatica, left side M54.5 Low back pain Loin pain ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics Lumbago NOS Excludes1: low back strain (S39.012) lumbago due to intervertebral disc displacement (M51.2-) lumbago with sciatica (M54.4-) M54.9 Dorsalgia, unspecified Backache NOS Back pain NOS Disorder by site: Pelvis Sacroiliac dysfunction M53.2X8 Spinal instabilities, sacral and sacrococcygeal region M53.88 Other specified dorsopathies, sacral and sacrococcygeal region Piriformis syndrome G57.0 Lesion of sciatic nerve Excludes1: sciatica NOS (M54.3-) Excludes2: sciatica attributed to intervertebral disc disorder (M51.1.-) G57.01 Lesion of sciatic nerve, right lower limb G57.02 Lesion of sciatic nerve, left lower limb Disorder by site: Shoulder Adhesive capsulitis of the shoulder M75.0 Adhesive capsulitis of shoulder Frozen shoulder Periarthritis of shoulder M75.01 Adhesive capsulitis of right shoulder M75.02 Adhesive capsulitis of left shoulder Disorder of glenohumeral joint M94.21 Chondromalacia, shoulder M94.211 Chondromalacia, right shoulder M94.212 Chondromalacia, left shoulder S43 Dislocation and sprain of joints and ligaments of shoulder girdle S43.0 Subluxation and dislocation of shoulder joint Dislocation of glenohumeral joint Subluxation of glenohumeral joint S43.00 Unspecified subluxation and dislocation of shoulder joint Dislocation of humerus NOS Subluxation of humerus NOS S43.001 Unspecified subluxation of right shoulder joint S43.002 Unspecified subluxation of left shoulder joint S43.004 Unspecified dislocation of right shoulder joint S43.005 Unspecified dislocation of left shoulder joint S43.01 Anterior subluxation and dislocation of humerus S43.011 Anterior subluxation of right humerus ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics S43.012 Anterior subluxation of left humerus S43.014 Anterior dislocation of right humerus S43.015 Anterior dislocation of left humerus S43.02 Posterior subluxation and dislocation of humerus S43.021 Posterior subluxation of right humerus S43.022 Posterior subluxation of left humerus S43.024 Posterior dislocation of right humerus S43.025 Posterior dislocation of left humerus S43.03 Inferior subluxation and dislocation of humerus S43.031 Inferior subluxation of right humerus S43.032 Inferior subluxation of left humerus S43.034 Inferior dislocation of right humerus S43.035 Inferior dislocation of left humerus S43.08 Other subluxation and dislocation of shoulder joint S43.081 Other subluxation of right shoulder joint S43.082 Other subluxation of left shoulder joint S43.084 Other dislocation of right shoulder joint S43.085 Other dislocation of left shoulder joint S43.4 Sprain of shoulder joint S43.40 Unspecified sprain of shoulder joint S43.401 Unspecified sprain of right shoulder joint S43.402 Unspecified sprain of left shoulder joint S43.41 Sprain of coracohumeral (ligament) S43.411 Sprain of right coracohumeral (ligament) S43.412 Sprain of left coracohumeral (ligament) S43.42 Sprain of rotator cuff capsule Excludes1: rotator cuff syndrome (complete) (incomplete), not specified as traumatic (M75.1-) Excludes2: injury of tendon of rotator cuff (S46.0-) S43.421 Sprain of right rotator cuff capsule S43.422 Sprain of left rotator cuff capsule M75.0 Adhesive capsulitis of shoulder Frozen shoulder Periarthritis of shoulder M75.01 Adhesive capsulitis of right shoulder M75.02 Adhesive capsulitis of left shoulder Instability M24.21 Disorder of ligament, shoulder Instability secondary to old ligament injury Ligamentous laxity NOS M24.211 Disorder of ligament, right shoulder M24.212 Disorder of ligament, left shoulder M24.41 Recurrent dislocation, shoulder (Recurrent subluxation of joint) M24.411 Recurrent dislocation, right shoulder ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics M24.412 Recurrent dislocation, left shoulder M24.81 Other specific joint derangements of shoulder, not elsewhere classified M24.811 Other specific joint derangements of right shoulder, not elsewhere classified M24.812 Other specific joint derangements of left shoulder, not elsewhere classified M25.3 Other instability of joint Excludes1: instability of joint secondary to old ligament injury (M24.2-) instability of joint secondary to removal of joint prosthesis (M96.8-) M25.311 Other instability, right shoulder M25.312 Other instability, left shoulder Labral pathology S43.43 Superior glenoid labrum lesion SLAP lesion The appropriate 7th character is to be added to each code from category S43 A - initial encounter D - subsequent encounter S - sequela S43.431 Superior glenoid labrum lesion of right shoulder S43.432 Superior glenoid labrum lesion of left shoulder Rotator cuff syndromes M75.1 Rotator cuff tear or rupture, not specified as traumatic Rotator cuff syndrome Supraspinatus tear or rupture, not specified as traumatic Supraspinatus syndrome Excludes1: tear of rotator cuff, traumatic (S46.01-) M75.10 Unspecified rotator cuff tear or rupture, not specified as traumatic M75.101 Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic M75.102 Unspecified rotator cuff tear or rupture of left shoulder, not specified as traumatic M75.11 Incomplete rotator cuff tear or rupture not specified as traumatic M75.111 Incomplete rotator cuff tear or rupture of right shoulder, not specified as traumatic M75.112 Incomplete rotator cuff tear or rupture of left shoulder, not specified as traumatic M75.12 Complete rotator cuff tear or rupture not specified as traumatic M75.121 Complete rotator cuff tear or rupture of right shoulder, not specified as traumatic M75.122 Complete rotator cuff tear or rupture of left shoulder, not specified as traumatic ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics Disorder by site: Thoracic Spine Thoracic outlet G54.0 Brachial plexus disorders Thoracic outlet syndrome Rib dysfunction M99.08 Segmental and somatic dysfunction of rib cage Sprain S23 Dislocation and sprain of joints and ligaments of thorax Includes: avulsion of joint or ligament of thorax laceration of cartilage, joint or ligament of thorax sprain of cartilage, joint or ligament of thorax traumatic hemarthrosis of joint or ligament of thorax traumatic rupture of joint or ligament of thorax traumatic subluxation of joint or ligament of thorax traumatic tear of joint or ligament of thorax Code also any associated open wound Excludes2: dislocation, sprain of sternoclavicular joint (S43.2, S43.6) strain of muscle or tendon of thorax (S29.01-) The appropriate 7th character is to be added to each code from category S23 A - initial encounter D - subsequent encounter S – sequela S23.3 Sprain of ligaments of thoracic spine There is no further specification S23.4 Sprain of ribs and sternum S23.41 Sprain of ribs There is no further specification S23.42 Sprain of sternum S23.420 Sprain of sternoclavicular (joint) (ligament) S23.421 Sprain of chondrosternal joint S23.428 Other sprain of sternum S23.429 Unspecified sprain of sternum Strain S29.01 Strain of muscle and tendon of thorax The appropriate 7th character is to be added to each code from category S29 A - initial encounter D - subsequent encounter S – sequela S29.011 Strain of muscle and tendon of front wall of thorax S29.012 Strain of muscle and tendon of back wall of thorax ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics Fibromyalgia M79.7 Fibromyalgia Fibromyositis Fibrositis Myofibrositis Fractures Fractures of ankle Note: A fracture not indicated as displaced or nondisplaced should be coded to displaced A fracture not indicated as open or closed should be coded to closed The open fracture designations are based on the Gustilo open fracture classification Includes: fracture of malleolus Excludes1: traumatic amputation of lower leg (S88.-) Excludes2: fracture of foot, except ankle (S92.-) periprosthetic fracture of prosthetic implant of knee (T84.042, T84.043) The appropriate 7th character is to be added to all codes from category S82 A - initial encounter for closed fracture B - initial encounter for open fracture type I or II initial encounter for open fracture NOS C - initial encounter for open fracture type IIIA, IIIB, or IIIC D - subsequent encounter for closed fracture with routine healing E - subsequent encounter for open fracture type I or II with routine healing F - subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing G - subsequent encounter for closed fracture with delayed healing H - subsequent encounter for open fracture type I or II with delayed healing J - subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing K - subsequent encounter for closed fracture with nonunion M - subsequent encounter for open fracture type I or II with nonunion N - subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion P - subsequent encounter for closed fracture with malunion Q - subsequent encounter for open fracture type I or II with malunion R - subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion S - sequela S82.5 Fracture of medial malleolus Excludes1: pilon fracture of distal tibia (S82.87-) Salter-Harris type III of lower end of tibia (S89.13-) Salter-Harris type IV of lower end of tibia (S89.14-) S82.51 Displaced fracture of medial malleolus of right tibia S82.52 Displaced fracture of medial malleolus of left tibia S82.54 Nondisplaced fracture of medial malleolus of right tibia S82.55 Nondisplaced fracture of medial malleolus of left tibia ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics S82.6 Fracture of lateral malleolus Excludes1: pilon fracture of distal tibia (S82.87-) S82.61 Displaced fracture of lateral malleolus of right fibula S82.62 Displaced fracture of lateral malleolus of left fibula S82.64 Nondisplaced fracture of lateral malleolus of right fibula S82.65 Nondisplaced fracture of lateral malleolus of left fibula S82.84 Bimalleolar fracture of lower leg S82.841 Displaced bimalleolar fracture of right lower leg S82.842 Displaced bimalleolar fracture of left lower leg S82.844 Nondisplaced bimalleolar fracture of right lower leg S82.845 Nondisplaced bimalleolar fracture of left lower leg S82.85 Trimalleolar fracture of lower leg S82.851 Displaced trimalleolar fracture of right lower leg S82.852 Displaced trimalleolar fracture of left lower leg S82.854 Nondisplaced trimalleolar fracture of right lower leg S82.855 Nondisplaced trimalleolar fracture of left lower leg S82.9 Unspecified fracture of lower leg S82.91 Unspecified fracture of right lower leg S82.92 Unspecified fracture of left lower leg S72 Fracture of femur Note: A fracture not indicated as displaced or nondisplaced should be coded to displaced A fracture not indicated as open or closed should be coded to closed The open fracture designations are based on the Gustilo open fracture classification Excludes1: traumatic amputation of hip and thigh (S78.-) Excludes2: fracture of lower leg and ankle (S82.-) fracture of foot (S92.-) periprosthetic fracture of prosthetic implant of hip (T84.040, T84.041) The appropriate 7th character is to be added to all codes from category S72 A - initial encounter for closed fracture B - initial encounter for open fracture type I or II initial encounter for open fracture NOS C - initial encounter for open fracture type IIIA, IIIB, or IIIC D - subsequent encounter for closed fracture with routine healing E - subsequent encounter for open fracture type I or II with routine healing F - subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing G - subsequent encounter for closed fracture with delayed healing H - subsequent encounter for open fracture type I or II with delayed healing J - subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing K - subsequent encounter for closed fracture with nonunion M - subsequent encounter for open fracture type I or II with nonunion N - subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics P - subsequent encounter for closed fracture with malunion Q - subsequent encounter for open fracture type I or II with malunion R - subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion S – sequela Fracture of clavicle S42.0 Fracture of clavicle Note: A fracture not indicated as displaced or nondisplaced should be coded to displaced A fracture not indicated as open or closed should be coded to closed Excludes1: traumatic amputation of shoulder and upper arm (S48.-) The appropriate 7th character is to be added to all codes from category S42 A - initial encounter for closed fracture B - initial encounter for open fracture D - subsequent encounter for fracture with routine healing G - subsequent encounter for fracture with delayed healing K - subsequent encounter for fracture with nonunion P – subsequent S42.00 Fracture of unspecified part of clavicle S42.001 Fracture of unspecified part of right clavicle S42.002 Fracture of unspecified part of left clavicle S42.01 Fracture of sternal end of clavicle S42.011 Anterior displaced fracture of sternal end of right clavicle S42.012 Anterior displaced fracture of sternal end of left clavicle S42.014 Posterior displaced fracture of sternal end of right clavicle S42.015 Posterior displaced fracture of sternal end of left clavicle S42.017 Nondisplaced fracture of sternal end of right clavicle S42.018 Nondisplaced fracture of sternal end of left clavicle S42.02 Fracture of shaft of clavicle S42.021 Displaced fracture of shaft of right clavicle S42.022 Displaced fracture of shaft of left clavicle S42.024 Nondisplaced fracture of shaft of right clavicle S42.025 Nondisplaced fracture of shaft of left clavicle S42.03 Fracture of lateral end of clavicle Fracture of acromial end of clavicle S42.031 Displaced fracture of lateral end of right clavicle S42.032 Displaced fracture of lateral end of left clavicle S42.034 Nondisplaced fracture of lateral end of right clavicle S42.035 Nondisplaced fracture of lateral end of left clavicle Fracture of femur S72 Fracture of femur Note: A fracture not indicated as displaced or nondisplaced should be coded to displaced A fracture not indicated as open or closed should be coded to closed The open fracture designations are based on the Gustilo open fracture classification Excludes1: traumatic amputation of hip and thigh (S78.-) Excludes2: fracture of lower leg and ankle (S82.-) ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics fracture of foot (S92.-) periprosthetic fracture of prosthetic implant of hip (T84.040, T84.041) The appropriate 7th character is to be added to all codes from category S72 [unless otherwise indicated] A - initial encounter for closed fracture B - initial encounter for open fracture type I or II initial encounter for open fracture NOS C - initial encounter for open fracture type IIIA, IIIB, or IIIC D - subsequent encounter for closed fracture with routine healing E - subsequent encounter for open fracture type I or II with routine healing F - subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing G - subsequent encounter for closed fracture with delayed healing H - subsequent encounter for open fracture type I or II with delayed healing J - subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing K - subsequent encounter for closed fracture with nonunion M - subsequent encounter for open fracture type I or II with nonunion N - subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion P - subsequent encounter for closed fracture with malunion Q - subsequent encounter for open fracture type I or II with malunion R - subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion S – sequela S72.0 Fracture of head and neck of femur Excludes2: physeal fracture of upper end of femur (S79.0-) S72.00 Fracture of unspecified part of neck of femur Fracture of hip NOS Fracture of neck of femur NOS S72.001 Fracture of unspecified part of neck of right femur S72.002 Fracture of unspecified part of neck of left femur S72.01 Unspecified intracapsular fracture of femur Subcapital fracture of femur S72.011 Unspecified intracapsular fracture of right femur S72.012 Unspecified intracapsular fracture of left femur S72.02 Fracture of epiphysis (separation) (upper) of femur Transepiphyseal fracture of femur Excludes1: capital femoral epiphyseal fracture (pediatric) of femur (S79.01-) Salter-Harris Type I physeal fracture of upper end of femur (S79.01-) S72.021 Displaced fracture of epiphysis (separation) (upper) of right femur S72.022 Displaced fracture of epiphysis (separation) (upper) of left femur S72.023 Displaced fracture of epiphysis (separation) (upper) of unspecified femur S72.024 Nondisplaced fracture of epiphysis (separation) (upper) of right femur ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics S72.025 Nondisplaced fracture of epiphysis (separation) (upper) of left femur S72.03 Midcervical fracture of femur Transcervical fracture of femur NOS S72.031 Displaced midcervical fracture of right femur S72.032 Displaced midcervical fracture of left femur S72.034 Nondisplaced midcervical fracture of right femur S72.035 Nondisplaced midcervical fracture of left femur S72.04 Fracture of base of neck of femur Cervicotrochanteric fracture of femur S72.041 Displaced fracture of base of neck of right femur S72.042 Displaced fracture of base of neck of left femur S72.044 Nondisplaced fracture of base of neck of right femur S72.045 Nondisplaced fracture of base of neck of left femur S72.05 Unspecified fracture of head of femur Fracture of head of femur NOS S72.051 Unspecified fracture of head of right femur S72.052 Unspecified fracture of head of left femur S72.06 Articular fracture of head of femur S72.061 Displaced articular fracture of head of right femur S72.062 Displaced articular fracture of head of left femur S72.064 Nondisplaced articular fracture of head of right femur S72.065 Nondisplaced articular fracture of head of left femur S72.09 Other fracture of head and neck of femur S72.091 Other fracture of head and neck of right femur S72.092 Other fracture of head and neck of left femur S72.1 Pertrochanteric fracture S72.10 Unspecified trochanteric fracture of femur Fracture of trochanter NOS S72.101 Unspecified trochanteric fracture of right femur S72.102 Unspecified trochanteric fracture of left femur S72.11 Fracture of greater trochanter of femur S72.111 Displaced fracture of greater trochanter of right femur S72.112 Displaced fracture of greater trochanter of left femur S72.114 Nondisplaced fracture of greater trochanter of right femur S72.115 Nondisplaced fracture of greater trochanter of left femur S72.12 Fracture of lesser trochanter of femur S72.121 Displaced fracture of lesser trochanter of right femur S72.122 Displaced fracture of lesser trochanter of left femur S72.124 Nondisplaced fracture of lesser trochanter of right femur S72.125 Nondisplaced fracture of lesser trochanter of left femur S72.13 Apophyseal fracture of femur Excludes1: chronic (nontraumatic) slipped upper femoral epiphysis (M93.0-) ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics S72.131 Displaced apophyseal fracture of right femur S72.132 Displaced apophyseal fracture of left femur S72.134 Nondisplaced apophyseal fracture of right femur S72.135 Nondisplaced apophyseal fracture of left femur S72.14 Intertrochanteric fracture of femur S72.141 Displaced intertrochanteric fracture of right femur S72.142 Displaced intertrochanteric fracture of left femur S72.144 Nondisplaced intertrochanteric fracture of right femur S72.145 Nondisplaced intertrochanteric fracture of left femur S72.2 Subtrochanteric fracture of femur S72.21 Displaced subtrochanteric fracture of right femur S72.22 Displaced subtrochanteric fracture of left femur S72.24 Nondisplaced subtrochanteric fracture of right femur S72.25 Nondisplaced subtrochanteric fracture of left femur S72.3 Fracture of shaft of femur S72.30 Unspecified fracture of shaft of femur S72.301 Unspecified fracture of shaft of right femur S72.302 Unspecified fracture of shaft of left femur S72.32 Transverse fracture of shaft of femur S72.321 Displaced transverse fracture of shaft of right femur S72.322 Displaced transverse fracture of shaft of left femur S72.324 Nondisplaced transverse fracture of shaft of right femur S72.325 Nondisplaced transverse fracture of shaft of left femur S72.33 Oblique fracture of shaft of femur S72.331 Displaced oblique fracture of shaft of right femur S72.332 Displaced oblique fracture of shaft of left femur S72.334 Nondisplaced oblique fracture of shaft of right femur S72.335 Nondisplaced oblique fracture of shaft of left femur S72.34 Spiral fracture of shaft of femur S72.341 Displaced spiral fracture of shaft of right femur S72.342 Displaced spiral fracture of shaft of left femur S72.344 Nondisplaced spiral fracture of shaft of right femur S72.345 Nondisplaced spiral fracture of shaft of left femur S72.35 Comminuted fracture of shaft of femur S72.351 Displaced comminuted fracture of shaft of right femur S72.352 Displaced comminuted fracture of shaft of left femur S72.354 Nondisplaced comminuted fracture of shaft of right femur S72.355 Nondisplaced comminuted fracture of shaft of left femur S72.36 Segmental fracture of shaft of femur S72.361 Displaced segmental fracture of shaft of right femur S72.362 Displaced segmental fracture of shaft of left femur S72.364 Nondisplaced segmental fracture of shaft of right femur S72.365 Nondisplaced segmental fracture of shaft of left femur ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics S72.39 Other fracture of shaft of femur S72.391 Other fracture of shaft of right femur S72.392 Other fracture of shaft of left femur S72.399 Other fracture of shaft of unspecified femur S72.4 Fracture of lower end of femur Fracture of distal end of femur Excludes2: fracture of shaft of femur (S72.3-) physeal fracture of lower end of femur (S79.1-) S72.40 Unspecified fracture of lower end of femur S72.401 Unspecified fracture of lower end of right femur S72.402 Unspecified fracture of lower end of left femur S72.41 Unspecified condyle fracture of lower end of femur Condyle fracture of femur NOS S72.411 Displaced unspecified condyle fracture of lower end of right femur S72.412 Displaced unspecified condyle fracture of lower end of left femur S72.413 Displaced unspecified condyle fracture of lower end of unspecified femur S72.414 Nondisplaced unspecified condyle fracture of lower end of right femur S72.415 Nondisplaced unspecified condyle fracture of lower end of left femur S72.42 Fracture of lateral condyle of femur S72.421 Displaced fracture of lateral condyle of right femur S72.422 Displaced fracture of lateral condyle of left femur S72.424 Nondisplaced fracture of lateral condyle of right femur S72.425 Nondisplaced fracture of lateral condyle of left femur S72.43 Fracture of medial condyle of femur S72.431 Displaced fracture of medial condyle of right femur S72.432 Displaced fracture of medial condyle of left femur S72.434 Nondisplaced fracture of medial condyle of right femur S72.435 Nondisplaced fracture of medial condyle of left femur S72.44 Fracture of lower epiphysis (separation) of femur Excludes1: Salter-Harris Type I physeal fracture of lower end of femur (S79.11-) S72.441 Displaced fracture of lower epiphysis (separation) of right femur S72.442 Displaced fracture of lower epiphysis (separation) of left femur S72.444 Nondisplaced fracture of lower epiphysis (separation) of right femur S72.445 Nondisplaced fracture of lower epiphysis (separation) of left femur S72.45 Supracondylar fracture without intracondylar extension of lower end of femur Supracondylar fracture of lower end of femur NOS ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics Excludes1: supracondylar fracture with intracondylar extension of lower end of femur (S72.46-) S72.451 Displaced supracondylar fracture without intracondylar extension of lower end of right femur S72.452 Displaced supracondylar fracture without intracondylar extension of lower end of left femur S72.454 Nondisplaced supracondylar fracture without intracondylar extension of lower end of right femur S72.455 Nondisplaced supracondylar fracture without intracondylar extension of lower end of left femur S72.46 Supracondylar fracture with intracondylar extension of lower end of femur Excludes1: supracondylar fracture without intracondylar extension of lower end of femur (S72.45-) S72.461 Displaced supracondylar fracture with intracondylar extension of lower end of right femur S72.462 Displaced supracondylar fracture with intracondylar extension of lower end of left femur S72.464 Nondisplaced supracondylar fracture with intracondylar extension of lower end of right femur S72.465 Nondisplaced supracondylar fracture with intracondylar extension of lower end of left femur S72.47 Torus fracture of lower end of femur The appropriate 7th character is to be added to all codes in subcategory S72.47 A - initial encounter for closed fracture D - subsequent encounter for fracture with routine healing G - subsequent encounter for fracture with delayed healing K - subsequent encounter for fracture with nonunion P - subsequent encounter for fracture with malunion S - sequela S72.471 Torus fracture of lower end of right femur S72.472 Torus fracture of lower end of left femur S72.49 Other fracture of lower end of femur S72.491 Other fracture of lower end of right femur S72.492 Other fracture of lower end of left femur S72.8 Other fracture of femur S72.8X Other fracture of femur S72.8X1 Other fracture of right femur S72.8X2 Other fracture of left femur S72.9 Unspecified fracture of femur Fracture of thigh NOS Fracture of upper leg NOS Excludes1: fracture of hip NOS (S72.00-, S72.01-) ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics S72.91 Unspecified fracture of right femur S72.92 Unspecified fracture of left femur Fracture of fibula Note: A fracture not indicated as displaced or nondisplaced should be coded to displaced A fracture not indicated as open or closed should be coded to closed The open fracture designations are based on the Gustilo open fracture classification Includes: fracture of malleolus Excludes1: traumatic amputation of lower leg (S88.-) Excludes2: fracture of foot, except ankle (S92.-) periprosthetic fracture of prosthetic implant of knee (T84.042, T84.043) The appropriate 7th character is to be added to all codes from category S82 [unless otherwise indicated] A - initial encounter for closed fracture B - initial encounter for open fracture type I or II initial encounter for open fracture NOS C - initial encounter for open fracture type IIIA, IIIB, or IIIC D - subsequent encounter for closed fracture with routine healing E - subsequent encounter for open fracture type I or II with routine healing F - subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing G - subsequent encounter for closed fracture with delayed healing H - subsequent encounter for open fracture type I or II with delayed healing J - subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing K - subsequent encounter for closed fracture with nonunion M - subsequent encounter for open fracture type I or II with nonunion N - subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion P - subsequent encounter for closed fracture with malunion Q - subsequent encounter for open fracture type I or II with malunion R - subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion S – sequela S82.4 Fracture of shaft of fibula Excludes2: fracture of lateral malleolus alone (S82.6-) S82.40 Unspecified fracture of shaft of fibula S82.401 Unspecified fracture of shaft of right fibula S82.402 Unspecified fracture of shaft of left fibula S82.42 Transverse fracture of shaft of fibula S82.421 Displaced transverse fracture of shaft of right fibula S82.422 Displaced transverse fracture of shaft of left fibula S82.424 Nondisplaced transverse fracture of shaft of right fibula S82.425 Nondisplaced transverse fracture of shaft of left fibula S82.43 Oblique fracture of shaft of fibula S82.431 Displaced oblique fracture of shaft of right fibula S82.432 Displaced oblique fracture of shaft of left fibula S82.434 Nondisplaced oblique fracture of shaft of right fibula S82.435 Nondisplaced oblique fracture of shaft of left fibula ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics S82.44 Spiral fracture of shaft of fibula S82.441 Displaced spiral fracture of shaft of right fibula S82.442 Displaced spiral fracture of shaft of left fibula S82.444 Nondisplaced spiral fracture of shaft of right fibula S82.445 Nondisplaced spiral fracture of shaft of left fibula S82.45 Comminuted fracture of shaft of fibula S82.451 Displaced comminuted fracture of shaft of right fibula S82.452 Displaced comminuted fracture of shaft of left fibula S82.454 Nondisplaced comminuted fracture of shaft of right fibula S82.455 Nondisplaced comminuted fracture of shaft of left fibula S82.46 Segmental fracture of shaft of fibula S82.461 Displaced segmental fracture of shaft of right fibula S82.462 Displaced segmental fracture of shaft of left fibula S82.464 Nondisplaced segmental fracture of shaft of right fibula S82.465 Nondisplaced segmental fracture of shaft of left fibula S82.49 Other fracture of shaft of fibula S82.491 Other fracture of shaft of right fibula S82.492 Other fracture of shaft of left fibula Fractures of foot and toes S92 Fracture of foot and toe, except ankle Note: A fracture not indicated as displaced or nondisplaced should be coded to displaced A fracture not indicated as open or closed should be coded to closed Excludes1: traumatic amputation of ankle and foot (S98.-) Excludes2: fracture of ankle (S82.-) fracture of malleolus (S82.-) The appropriate 7th character is to be added to each code from category S92 A - initial encounter for closed fracture B - initial encounter for open fracture D - subsequent encounter for fracture with routine healing G - subsequent encounter for fracture with delayed healing K - subsequent encounter for fracture with nonunion P - subsequent encounter for fracture with malunion S – sequela S92.0 Fracture of calcaneus Heel bone Os calcis S92.00 Unspecified fracture of calcaneus S92.001 Unspecified fracture of right calcaneus S92.002 Unspecified fracture of left calcaneus S92.01 Fracture of body of calcaneus S92.011 Displaced fracture of body of right calcaneus S92.012 Displaced fracture of body of left calcaneus S92.014 Nondisplaced fracture of body of right calcaneus ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics S92.015 Nondisplaced fracture of body of left calcaneus S92.02 Fracture of anterior process of calcaneus S92.021 Displaced fracture of anterior process of right calcaneus S92.022 Displaced fracture of anterior process of left calcaneus S92.024 Nondisplaced fracture of anterior process of right calcaneus S92.025 Nondisplaced fracture of anterior process of left calcaneus S92.03 Avulsion fracture of tuberosity of calcaneus S92.031 Displaced avulsion fracture of tuberosity of right calcaneus S92.032 Displaced avulsion fracture of tuberosity of left calcaneus S92.034 Nondisplaced avulsion fracture of tuberosity of right calcaneus S92.035 Nondisplaced avulsion fracture of tuberosity of left calcaneus S92.04 Other fracture of tuberosity of calcaneus S92.01 Displaced other fracture of tuberosity of right calcaneus S92.042 Displaced other fracture of tuberosity of left calcaneus S92.044 Nondisplaced other fracture of tuberosity of right calcaneus S92.05 Nondisplaced other fracture of tuberosity of left calcaneus S92.05 Other extraarticular fracture of calcaneus S92.051 Dispaced other extraarticular fracture of right calcaneus S92.052 Displaced other extraarticular fracture of left calcaneus S92.054 Nondisplaced other extraarticular fracture of right calcaneus S92.055 Nondisplaced other extraarticular fracture of left calcaneus S92.06 Intraarticular fracture of calcaneus S92.061 Displaced intraarticular fracture of right calcaneus S92.062 Displaced intraarticular fracture of left calcaneus S92.064 Nondisplaced intraarticular fracture of right calcaneus S92.065 Nondisplaced intraarticular fracture of left calcaneus S92.1 Fracture of talus Astragalus S92.10 Unspecified fracture of talus S92.101 Unspecified fracture of right talus S92.102 Unspecified fracture of left talus S92.11 Fracture of neck of talus S92.111 Displaced fracture of neck of right talus S92.112 Displaced fracture of neck of left talus S92.114 Nondisplaced fracture of neck of right talus S92.115 Nondisplaced fracture of neck of left talus S92.12 Fracture of body of talus S92.121 Displaced fracture of body of right talus S92.122 Displaced fracture of body of left talus S92.124 Nondisplaced fracture of body of right talus S92.125 Nondisplaced fracture of body of left talus S92.13 Fracture of posterior process of talus S92.131 Displaced fracture of posterior process of right talus S92.132 Displaced fracture of posterior process of left talus ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics S92.134 Nondisplaced fracture of posterior process of right talus S92.135 Nondisplaced fracture of posterior process of left talus S92.14 Dome fracture of talus Excludes1: osteochondritis dissecans (M93.2) S92.141 Displaced dome fracture of right talus S92.142 Displaced dome fracture of left talus S92.144 Nondisplaced dome fracture of right talus S92.145 Nondisplaced dome fracture of left talus S92.15 Avulsion fracture (chip fracture) of talus S92.151 Displaced avulsion fracture (chip fracture) of right talus S92.152 Displaced avulsion fracture (chip fracture) of left talus S92.154 Nondisplaced avulsion fracture (chip fracture) of right talus S92.155 Nondisplaced avulsion fracture (chip fracture) of left talus S92.19 Other fracture of talus S92.191Other fracture of right talus S92.192 Other fracture of left talus S92.2 Fracture of other and unspecified tarsal bone(s) S92.20 Fracture f unspecified tarsal bone(s) S92.201 Fracture of unspecified tarsal bone(s) of right foot S92.202 Fracture of unspecified tarsal bone(s) of left foot S92.21 Fracture of cuboid bone S92.211 Displaced fracture of cuboid bone of right foot S92.212 Displaced fracture of cuboid bone of left foot S92.214 Nondisplaced fracture of cuboid bone of right foot S92.215 Nondisplaced fracture of cuboid bone of left foot S92.22 Fracture of lateral cuneiform S92.221 Displaced fracture of lateral cuneiform of right foot S92.222 Displaced fracture of lateral cuneiform of left foot S92.224 Nondisplaced fracture of lateral cuneiform of right foot S92.225 Nondisplaced fracture of lateral cuneiform of left foot S92.23 Fracture of intermediate cuneiform S92.231 Displaced fracture of intermediate cuneiform of right foot S92.232 Displaced fracture of intermediate cuneiform of left foot S92.234 Nondisplaced fracture of intermediate cuneiform of right foot S92.235 Nondisplaced fracture of intermediate cuneiform of left foot S92.24 Fracture of medial cuneiform S92.241 Displaced fracture of medial cuneiform of right foot S92.242 Displaced fracture of medial cuneiform of left foot S92.244 Nondisplaced fracture of medial cuneiform of right foot S92.245 Nondisplaced fracture of medial cuneiform of left foot S92.25 Fracture of navicular [scaphoid] of foot S92.251 Displaced fracture of navicular [scaphoid] of right foot S92.252 Displaced fracture of navicular [scaphoid] of left foot S92.254 Nondisplaced fracture of navicular [scaphoid] of right foot ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics S92.255 Nondisplaced fracture of navicular [scaphoid] of left foot S92.3 Fracture of metatarsal bone(s) S92.30 Fracture of unspecified metatarsal bone(s) S92.301 Fracture of unspecified metatarsal bone(s), right foot S92.302 Fracture of unspecified metatarsal bone(s), left foot S92.31 Fracture of first metatarsal bone S92.311 Displaced fracture of first metatarsal bone, right foot S92.312 Displaced fracture of first metatarsal bone, left foot S92.314 Nondisplaced fracture of first metatarsal bone, right foot S92.315 Nondisplaced fracture of first metatarsal bone, left foot S92.32 Fracture of second metatarsal bone S92.321 Displaced fracture of second metatarsal bone, right foot S92.322 Displaced fracture of second metatarsal bone, left foot S92.324 Nondisplaced fracture of second metatarsal bone, right foot S92.325 Nondisplaced fracture of second metatarsal bone, left foot S92.33 Fracture of third metatarsal bone S92.331 Displaced fracture of third metatarsal bone, right foot S92.332 Displaced fracture of third metatarsal bone, left foot S92.334 Nondisplaced fracture of third metatarsal bone, right foot S92.335 Nondisplaced fracture of third metatarsal bone, left foot S92.34 Fracture of fourth metatarsal bone S92.341 Displaced fracture of fourth metatarsal bone, right foot S92.342 Displaced fracture of fourth metatarsal bone, left foot S92.344 Nondisplaced fracture of fourth metatarsal bone, right foot S92.345 Nondisplaced fracture of fourth metatarsal bone, left foot S92.35 Fracture of fifth metatarsal bone S92.351 Displaced fracture of fifth metatarsal bone, right foot S92.352 Displaced fracture of fifth metatarsal bone, left foot S92.354 Nondisplaced fracture of fifth metatarsal bone, right foot S92.355 Nondisplaced fracture of fifth metatarsal bone, left foot S92.4 Fracture of great toe S92.40 Unspecified fracture of great toe S92.401 Displaced unspecified fracture of right great toe S92.402 Displaced unspecified fracture of left great toe S92.404 Nondisplaced unspecified fracture of right great toe S92.405 Nondisplaced unspecified fracture of left great toe S92.41 Fracture of proximal phalanx of great toe S92.411 Displaced fracture of proximal phalanx of right great toe S92.412 Displaced fracture of proximal phalanx of left great toe S92.414 Nondisplaced fracture of proximal phalanx of right great toe S92.415 Nondisplaced fracture of proximal phalanx of left great toe S92.42 Fracture of distal phalanx of great toe S92.421 Displaced fracture of distal phalanx of right great toe S92.422 Displaced fracture of distal phalanx of left great toe ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics S92.424 Nondisplaced fracture of distal phalanx of right great toe S92.425 Nondisplaced fracture of distal phalanx of left great toe S92.49 Other fracture of great toe S92.491 Other fracture of right great toe S92.492 Other fracture of left great toe Fracture of humerus Note: A fracture not indicated as displaced or nondisplaced should be coded to displaced A fracture not indicated as open or closed should be coded to closed Excludes1: traumatic amputation of shoulder and upper arm (S48.-) The appropriate 7th character is to be added to all codes from category S42 [unless otherwise indicated] A - initial encounter for closed fracture B - initial encounter for open fracture D - subsequent encounter for fracture with routine healing G - subsequent encounter for fracture with delayed healing K - subsequent encounter for fracture with nonunion P - subsequent encounter for fracture with malunion S – sequela S42.2 Fracture of upper end of humerus Fracture of proximal end of humerus Excludes2: fracture of shaft of humerus (S42.3-) physeal fracture of upper end of humerus (S49.0-) S42.20 Unspecified fracture of upper end of humerus S42.201 Unspecified fracture of upper end of right humerus S42.202 Unspecified fracture of upper end of left humerus S42.21 Unspecified fracture of surgical neck of humerus Fracture of neck of humerus NOS S42.211 Unspecified displaced fracture of surgical neck of right humerus S42.212 Unspecified displaced fracture of surgical neck of left humerus S42.214 Unspecified nondisplaced fracture of surgical neck of right humerus S42.215 Unspecified nondisplaced fracture of surgical neck of left humerus S42.22 2-part fracture of surgical neck of humerus S42.221 2-part displaced fracture of surgical neck of right humerus S42.222 2-part displaced fracture of surgical neck of left humerus S42.224 2-part nondisplaced fracture of surgical neck of right humerus S42.225 2-part nondisplaced fracture of surgical neck of left humerus S42.23 3-part fracture of surgical neck of humerus S42.231 3-part fracture of surgical neck of right humerus S42.232 3-part fracture of surgical neck of left humerus S42.24 4-part fracture of surgical neck of humerus S42.241 4-part fracture of surgical neck of right humerus S42.242 4-part fracture of surgical neck of left humerus ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics S42.25 Fracture of greater tuberosity of humerus S42.251 Displaced fracture of greater tuberosity of right humerus S42.252 Displaced fracture of greater tuberosity of left humerus S42.254 Nondisplaced fracture of greater tuberosity of right humerus S42.255 Nondisplaced fracture of greater tuberosity of left humerus S42.26 Fracture of lesser tuberosity of humerus S42.261 Displaced fracture of lesser tuberosity of right humerus S42.262 Displaced fracture of lesser tuberosity of left humerus S42.264 Nondisplaced fracture of lesser tuberosity of right humerus S42.265 Nondisplaced fracture of lesser tuberosity of left humerus S42.27 Torus fracture of upper end of humerus The appropriate 7th character is to be added to all codes in subcategory S42.27 A - initial encounter for closed fracture D - subsequent encounter for fracture with routine healing G - subsequent encounter for fracture with delayed healing K - subsequent encounter for fracture with nonunion P - subsequent encounter for fracture with malunion S - sequela S42.271 Torus fracture of upper end of right humerus S42.272 Torus fracture of upper end of left humerus S42.29 Other fracture of upper end of humerus Fracture of anatomical neck of humerus Fracture of articular head of humerus S42.291 Other displaced fracture of upper end of right humerus S42.292 Other displaced fracture of upper end of left humerus S42.294 Other nondisplaced fracture of upper end of right humerus S42.295 Other nondisplaced fracture of upper end of left humerus S42.3 Fracture of shaft of humerus Fracture of humerus NOS Fracture of upper arm NOS Excludes2: physeal fractures of upper end of humerus (S49.0-) physeal fractures of lower end of humerus (S49.1-) S42.30 Unspecified fracture of shaft of humerus S42.301 Unspecified fracture of shaft of humerus, right arm S42.302 Unspecified fracture of shaft of humerus, left arm S42.31 Greenstick fracture of shaft of humerus The appropriate 7th character is to be added to all codes in subcategory S42.31 A - initial encounter for closed fracture D - subsequent encounter for fracture with routine healing G - subsequent encounter for fracture with delayed healing K - subsequent encounter for fracture with nonunion ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics P - subsequent encounter for fracture with malunion S - sequela S42.311 Greenstick fracture of shaft of humerus, right arm S42.312 Greenstick fracture of shaft of humerus, left arm S42.32 Transverse fracture of shaft of humerus S42.321 Displaced transverse fracture of shaft of humerus, right arm S42.322 Displaced transverse fracture of shaft of humerus, left arm S42.324 Nondisplaced transverse fracture of shaft of humerus, right arm S42.325 Nondis placed transverse fracture of shaft of humerus, left arm S42.33 Oblique fracture of shaft of humerus S42.331 Displaced oblique fracture of shaft of humerus, right arm S42.332 Displaced oblique fracture of shaft of humerus, left arm S42.334 Nondisplaced oblique fracture of shaft of humerus, right arm S42.335 Nondisplaced oblique fracture of shaft of humerus, left arm S42.34 Spiral fracture of shaft of humerus S42.341 Displaced spiral fracture of shaft of humerus, right arm S42.342 Displaced spiral fracture of shaft of humerus, left arm S42.344 Nondisplaced spiral fracture of shaft of humerus, right arm S42.345 Nondisplaced spiral fracture of shaft of humerus, left arm S42.35 Comminuted fracture of shaft of humerus S42.351 Displaced comminuted fracture of shaft of humerus, right arm S42.352 Displaced comminuted fracture of shaft of humerus, left arm S42.354 Nondisplaced comminuted fracture of shaft of humerus, right arm S42.355 Nondisplaced comminuted fracture of shaft of humerus, left arm S42.36 Segmental fracture of shaft of humerus S42.361 Displaced segmental fracture of shaft of humerus, right arm S42.362 Displaced segmental fracture of shaft of humerus, left arm S42.364 Nondisplaced segmental fracture of shaft of humerus, right arm S42.365 Nondisplaced segmental fracture of shaft of humerus, left arm S42.39 Other fracture of shaft of humerus S42.391 Other fracture of shaft of right humerus S42.392 Other fracture of shaft of left humerus S42.4 Fracture of lower end of humerus Fracture of distal end of humerus Excludes2: fracture of shaft of humerus (S42.3-) physeal fracture of lower end of humerus (S49.1-) S42.40 Unspecified fracture of lower end of humerus Fracture of elbow NOS S42.401 Unspecified fracture of lower end of right humerus S42.402 Unspecified fracture of lower end of left humerus S42.41 Simple supracondylar fracture without intercondylar fracture of humerus S42.411 Displaced simple supracondylar fracture without intercondylar fracture of right humerus ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics S42.412 Displaced simple supracondylar fracture without intercondylar fracture of left humerus S42.414 Nondisplaced simple supracondylar fracture without intercondylar fracture of right humerus S42.415 Nondisplaced simple supracondylar fracture without intercondylar fracture of left humerus S42.42 Comminuted supracondylar fracture without intercondylar fracture of humerus S42.421 Displaced comminuted supracondylar fracture without intercondylar fracture of right humerus S42.422 Displaced comminuted supracondylar fracture without intercondylar fracture of left humerus S42.424 Nondisplaced comminuted supracondylar fracture without intercondylar fracture of right humerus S42.425 Nondisplaced comminuted supracondylar fracture without intercondylar fracture of left humerus S42.43 Fracture (avulsion) of lateral epicondyle of humerus S42.431 Displaced fracture (avulsion) of lateral epicondyle of right humerus S42.432 Displaced fracture (avulsion) of lateral epicondyle of left humerus S42.434 Nondisplaced fracture (avulsion) of lateral epicondyle of right humerus S42.435 Nondisplaced fracture (avulsion) of lateral epicondyle of left humerus S42.44 Fracture (avulsion) of medial epicondyle of humerus S42.441 Displaced fracture (avulsion) of medial epicondyle of right humerus S42.442 Displaced fracture (avulsion) of medial epicondyle of left humerus S42.444 Nondisplaced fracture (avulsion) of medial epicondyle of right humerus S42.445 Nondisplaced fracture (avulsion) of medial epicondyle of left humerus S42.447 Incarcerated fracture (avulsion) of medial epicondyle of right humerus S42.448 Incarcerated fracture (avulsion) of medial epicondyle of left humerus S42.45 Fracture of lateral condyle of humerus Fracture of capitellum of humerus S42.451 Displaced fracture of lateral condyle of right humerus S42.452 Displaced fracture of lateral condyle of left humerus S42.454 Nondisplaced fracture of lateral condyle of right humerus S42.455 Nondisplaced fracture of lateral condyle of left humerus S42.46 Fracture of medial condyle of humerus Trochlea fracture of humerus S42.461 Displaced fracture of medial condyle of right humerus S42.462 Displaced fracture of medial condyle of left humerus S42.464 Nondisplaced fracture of medial condyle of right humerus S42.465 Nondisplaced fracture of medial condyle of left humerus S42.47 Transcondylar fracture of humerus S42.471 Displaced transcondylar fracture of right humerus ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics S42.472 Displaced transcondylar fracture of left humerus S42.474 Nondisplaced transcondylar fracture of right humerus S42.475 Nondisplaced transcondylar fracture of left humerus S42.48 Torus fracture of lower end of humerus The appropriate 7th character is to be added to all codes in subcategory S42.48 A - initial encounter for closed fracture D - subsequent encounter for fracture with routine healing G - subsequent encounter for fracture with delayed healing K - subsequent encounter for fracture with nonunion P - subsequent encounter for fracture with malunion S - sequela S42.481 Torus fracture of lower end of right humerus S42.482 Torus fracture of lower end of left humerus S42.49 Other fracture of lower end of humerus S42.491 Other displaced fracture of lower end of right humerus S42.492 Other displaced fracture of lower end of left humerus S42.494 Other nondisplaced fracture of lower end of right humerus S42.495 Other nondisplaced fracture of lower end of left humerus Fracture of pelvic Note: A fracture not indicated as displaced or nondisplaced should be coded to displaced A fracture not indicated as opened or closed should be coded to closed Includes: fracture of lumbosacral neural arch fracture of lumbosacral spinous process fracture of lumbosacral transverse process fracture of lumbosacral vertebra fracture of lumbosacral vertebral arch Code first any associated spinal cord and spinal nerve injury (S34.-) Excludes1: transection of abdomen (S38.3) Excludes2: fracture of hip NOS (S72.0-) The appropriate 7th character is to be added to each code from category S32 A - initial encounter for closed fracture B - initial encounter for open fracture D - subsequent encounter for fracture with routine healing G - subsequent encounter for fracture with delayed healing K - subsequent encounter for fracture with nonunion S – sequela S32.3 Fracture of ilium Excludes1: fracture of ilium with associated disruption of pelvic ring (S32.8-) ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics S32.30 Unspecified fracture of ilium S32.301 Unspecified fracture of right ilium S32.302 Unspecified fracture of left ilium S32.309 Unspecified fracture of unspecified ilium S32.31 Avulsion fracture of ilium S32.311 Displaced avulsion fracture of right ilium S32.312 Displaced avulsion fracture of left ilium S32.313 Displaced avulsion fracture of unspecified ilium S32.314 Nondisplaced avulsion fracture of right ilium S32.315 Nondisplaced avulsion fracture of left ilium S32.316 Nondisplaced avulsion fracture of unspecified ilium S32.39 Other fracture of ilium S32.391 Other fracture of right ilium S32.392 Other fracture of left ilium S32.399 Other fracture of unspecified ilium S32.4 Fracture of acetabulum Code also any associated fracture of pelvic ring (S32.8-) S32.40 Unspecified fracture of acetabulum S32.401 Unspecified fracture of right acetabulum S32.402 Unspecified fracture of left acetabulum S32.409 Unspecified fracture of unspecified acetabulum S32.41 Fracture of anterior wall of acetabulum S32.411 Displaced fracture of anterior wall of right acetabulum S32.412 Displaced fracture of anterior wall of left acetabulum S32.413 Displaced fracture of anterior wall of unspecified acetabulum S32.414 Nondisplaced fracture of anterior wall of right acetabulum S32.415 Nondisplaced fracture of anterior wall of left acetabulum S32.416 Nondisplaced fracture of anterior wall of unspecified acetabulum S32.42 Fracture of posterior wall of acetabulum S32.421 Displaced fracture of posterior wall of right acetabulum S32.422 Displaced fracture of posterior wall of left acetabulum S32.423 Displaced fracture of posterior wall of unspecified acetabulum S32.424 Nondisplaced fracture of posterior wall of right acetabulum S32.425 Nondisplaced fracture of posterior wall of left acetabulum S32.426 Nondisplaced fracture of posterior wall of unspecified acetabulum S32.43 Fracture of anterior column [iliopubic] of acetabulum S32.431 Displaced fracture of anterior column [iliopubic] of right acetabulum S32.432 Displaced fracture of anterior column [iliopubic] of left acetabulum S32.433 Displaced fracture of anterior column [iliopubic] of unspecified acetabulum ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics S32.434 Nondisplaced fracture of anterior column [iliopubic] of right acetabulum S32.435 Nondisplaced fracture of anterior column [iliopubic] of left acetabulum S32.436 Nondisplaced fracture of anterior column [iliopubic] of unspecified acetabulum S32.44 Fracture of posterior column [ilioischial] of acetabulum S32.441 Displaced fracture of posterior column [ilioischial] of right acetabulum S32.442 Displaced fracture of posterior column [ilioischial] of left acetabulum S32.443 Displaced fracture of posterior column [ilioischial] of unspecified acetabulum S32.444 Nondisplaced fracture of posterior column [ilioischial] of right acetabulum S32.445 Nondisplaced fracture of posterior column [ilioischial] of left acetabulum S32.446 Nondisplaced fracture of posterior column [ilioischial] of unspecified acetabulum S32.45 Transverse fracture of acetabulum S32.451 Displaced transverse fracture of right acetabulum S32.452 Displaced transverse fracture of left acetabulum S32.453 Displaced transverse fracture of unspecified acetabulum S32.454 Nondisplaced transverse fracture of right acetabulum S32.455 Nondisplaced transverse fracture of left acetabulum S32.456 Nondisplaced transverse fracture of unspecified acetabulum S32.46 Associated transverse-posterior fracture of acetabulum S32.461 Displaced associated transverse-posterior fracture of right acetabulum S32.462 Displaced associated transverse-posterior fracture of left acetabulum S32.463 Displaced associated transverse-posterior fracture of unspecified acetabulum S32.464 Nondisplaced associated transverse-posterior fracture of right acetabulum S32.465 Nondisplaced associated transverse-posterior fracture of left acetabulum S32.466 Nondisplaced associated transverse-posterior fracture of unspecified acetabulum S32.47 Fracture of medial wall of acetabulum S32.471 Displaced fracture of medial wall of right acetabulum S32.472 Displaced fracture of medial wall of left acetabulum S32.473 Displaced fracture of medial wall of unspecified acetabulum S32.474 Nondisplaced fracture of medial wall of right acetabulum ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics S32.475 Nondisplaced fracture of medial wall of left acetabulum S32.476 Nondisplaced fracture of medial wall of unspecified acetabulum S32.48 Dome fracture of acetabulum S32.481 Displaced dome fracture of right acetabulum S32.482 Displaced dome fracture of left acetabulum S32.483 Displaced dome fracture of unspecified acetabulum S32.484 Nondisplaced dome fracture of right acetabulum S32.485 Nondisplaced dome fracture of left acetabulum S32.486 Nondisplaced dome fracture of unspecified acetabulum S32.49 Other specified fracture of acetabulum S32.491 Other specified fracture of right acetabulum S32.492 Other specified fracture of left acetabulum S32.499 Other specified fracture of unspecified acetabulum S32.5 Fracture of pubis Excludes1: fracture of pubis with associated disruption of pelvic ring (S32.8-) S32.50 Unspecified fracture of pubis S32.501 Unspecified fracture of right pubis S32.502 Unspecified fracture of left pubis S32.509 Unspecified fracture of unspecified pubis S32.51 Fracture of superior rim of pubis S32.511 Fracture of superior rim of right pubis S32.512 Fracture of superior rim of left pubis S32.519 Fracture of superior rim of unspecified pubis S32.59 Other specified fracture of pubis S32.591 Other specified fracture of right pubis S32.592 Other specified fracture of left pubis S32.599 Other specified fracture of unspecified pubis S32.6 Fracture of ischium Excludes1: fracture of ischium with associated disruption of pelvic ring (S32.8-) S32.60 Unspecified fracture of ischium S32.601 Unspecified fracture of right ischium S32.602 Unspecified fracture of left ischium S32.609 Unspecified fracture of unspecified ischium S32.61 Avulsion fracture of ischium S32.611 Displaced avulsion fracture of right ischium S32.612 Displaced avulsion fracture of left ischium S32.613 Displaced avulsion fracture of unspecified ischium S32.614 Nondisplaced avulsion fracture of right ischium S32.615 Nondisplaced avulsion fracture of left ischium S32.616 Nondisplaced avulsion fracture of unspecified ischium S32.69 Other specified fracture of ischium S32.691 Other specified fracture of right ischium ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics S32.692 Other specified fracture of left ischium S32.699 Other specified fracture of unspecified ischium Fracture of radius Note: A fracture not indicated as displaced or nondisplaced should be coded to displaced A fracture not indicated as open or closed should be coded to closed The open fracture designations are based on the Gustilo open fracture classification Excludes1: traumatic amputation of forearm (S58.-) Excludes2: fracture at wrist and hand level (S62.-) The appropriate 7th character is to be added to all codes from category S52 A - initial encounter for closed fracture B - initial encounter for open fracture type I or II initial encounter for open fracture NOS C - initial encounter for open fracture type IIIA, IIIB, or IIIC D - subsequent encounter for closed fracture with routine healing E - subsequent encounter for open fracture type I or II with routine healing F - subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing G - subsequent encounter for closed fracture with delayed healing H - subsequent encounter for open fracture type I or II with delayed healing J - subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing K - subsequent encounter for closed fracture with nonunion M - subsequent encounter for open fracture type I or II with nonunion N - subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion P - subsequent encounter for closed fracture with malunion Q - subsequent encounter for open fracture type I or II with malunion R - subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion S – sequela S52.3Fracture of shaft of radius S52.30Unspecified fracture of shaft of radius S52.301Unspecified fracture of shaft of right radius S52.302Unspecified fracture of shaft of left radius S52.31 Greenstick fracture of shaft of radius The appropriate 7th character is to be added to all codes in subcategory S52.31 A - initial encounter for closed fracture D - subsequent encounter for fracture with routine healing G - subsequent encounter for fracture with delayed healing K - subsequent encounter for fracture with nonunion P - subsequent encounter for fracture with malunion S - sequela S52.311 Greenstick fracture of shaft of radius, right arm S52.312 Greenstick fracture of shaft of radius, left arm ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics S52.32 Transverse fracture of shaft of radius S52.321 Displaced transverse fracture of shaft of right radius S52.322 Displaced transverse fracture of shaft of left radius S52.324 Nondisplaced transverse fracture of shaft of right radius S52.325 Nondisplaced transverse fracture of shaft of left radius S52.33 Oblique fracture of shaft of radius S52.331 Displaced oblique fracture of shaft of right radius S52.332 Displaced oblique fracture of shaft of left radius S52.334 Nondisplaced oblique fracture of shaft of right radius S52.335 Nondisplaced oblique fracture of shaft of left radius S52.34 Spiral fracture of shaft of radius S52.341 Displaced spiral fracture of shaft of radius, right arm S52.342 Displaced spiral fracture of shaft of radius, left arm S52.344 Nondisplaced spiral fracture of shaft of radius, right arm S52.345 Nondisplaced spiral fracture of shaft of radius, left arm S52.35 Comminuted fracture of shaft of radius S52.351 Displaced comminuted fracture of shaft of radius, right arm S52.352 Displaced comminuted fracture of shaft of radius, left arm S52.354 Nondisplaced comminuted fracture of shaft of radius, right arm S52.355 Nondisplaced comminuted fracture of shaft of radius, left arm S52.36 Segmental fracture of shaft of radius S52.361 Displaced segmental fracture of shaft of radius, right arm S52.362 Displaced segmental fracture of shaft of radius, left arm S52.364 Nondisplaced segmental fracture of shaft of radius, right arm S52.365 Nondisplaced segmental fracture of shaft of radius, left arm S52.37 Galeazzi's fracture Fracture of lower shaft of radius with radioulnar joint dislocation S52.371 Galeazzi's fracture of right radius S52.372 Galeazzi's fracture of left radius S52.38 Bent bone of radius S52.381 Bent bone of right radius S52.382 Bent bone of left radius S52.39 Other fracture of shaft of radius S52.391 Other fracture of shaft of radius, right arm S52.392 Other fracture of shaft of radius, left arm S52.5 Fracture of lower end of radius Fracture of distal end of radius Excludes2: physeal fractures of lower end of radius (S59.2-) S52.50 Unspecified fracture of the lower end of radius S52.501 Unspecified fracture of the lower end of right radius S52.502 Unspecified fracture of the lower end of left radius S52.51 Fracture of radial styloid process S52.511 Displaced fracture of right radial styloid process S52.512 Displaced fracture of left radial styloid process ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics S52.514 Nondisplaced fracture of right radial styloid process S52.515 Nondisplaced fracture of left radial styloid process S52.52 Torus fracture of lower end of radius The appropriate 7th character is to be added to all codes in subcategory S52.52 A - initial encounter for closed fracture D - subsequent encounter for fracture with routine healing G - subsequent encounter for fracture with delayed healing K - subsequent encounter for fracture with nonunion P - subsequent encounter for fracture with malunion S - sequela S52.521 Torus fracture of lower end of right radius S52.522 Torus fracture of lower end of left radius S52.53 Colles' fracture S52.531 Colles' fracture of right radius S52.532 Colles' fracture of left radius S52.54 Smith's fracture S52.541 Smith's fracture of right radius S52.542 Smith's fracture of left radius S52.55 Other extraarticular fracture of lower end of radius S52.551 Other extraarticular fracture of lower end of right radius S52.552 Other extraarticular fracture of lower end of left radius S52.56 Barton's fracture S52.561 Barton's fracture of right radius S52.562 Barton's fracture of left radius S52.57 Other intraarticular fracture of lower end of radius S52.571 Other intraarticular fracture of lower end of right radius S52.572 Other intraarticular fracture of lower end of left radius S52.59 Other fractures of lower end of radius S52.591 Other fractures of lower end of right radius S52.592 Other fractures of lower end of left radius Fracture of tibia Note: A fracture not indicated as displaced or nondisplaced should be coded to displaced A fracture not indicated as open or closed should be coded to closed The open fracture designations are based on the Gustilo open fracture classification Includes: fracture of malleolus Excludes1: traumatic amputation of lower leg (S88.-) Excludes2: fracture of foot, except ankle (S92.-) periprosthetic fracture of prosthetic implant of knee (T84.042, T84.043) The appropriate 7th character is to be added to all codes from category S82 [unless otherwise indicated] A - initial encounter for closed fracture ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics B - initial encounter for open fracture type I or II initial encounter for open fracture NOS C - initial encounter for open fracture type IIIA, IIIB, or IIIC D - subsequent encounter for closed fracture with routine healing E - subsequent encounter for open fracture type I or II with routine healing F - subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing G - subsequent encounter for closed fracture with delayed healing H - subsequent encounter for open fracture type I or II with delayed healing J - subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing K - subsequent encounter for closed fracture with nonunion M - subsequent encounter for open fracture type I or II with nonunion N - subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion P - subsequent encounter for closed fracture with malunion Q - subsequent encounter for open fracture type I or II with malunion R - subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion S – sequela S82.1 Fracture of upper end of tibia Fracture of proximal end of tibia Excludes2: fracture of shaft of tibia (S82.2-) physeal fracture of upper end of tibia (S89.0-) S82.10 Unspecified fracture of upper end of tibia S82.101 Unspecified fracture of upper end of right tibia S82.102 Unspecified fracture of upper end of left tibia S82.11 Fracture of tibial spine S82.111 Displaced fracture of right tibial spine S82.112 Displace fracture of left tibial spine S82.113 Displaced fracture of unspecified tibial spine S82.114 Nondisplaced fracture of right tibial spine S82.115 Nondisplaced fracture of left tibial spine S82.12 Fracture of lateral condyle of tibia S82.121 Displaced fracture of lateral condyle of right tibia S82.122 Displaced fracture of lateral condyle of left tibia S82.124 Nondisplaced fracture of lateral condyle of right tibia S82.125 Nondisplaced fracture of lateral condyle of left tibia S82.13 Fracture of medial condyle of tibia S82.131 Displaced fracture of medial condyle of right tibia S82.132 Displaced fracture of medial condyle of left tibia S82.134 Nondisplaced fracture of medial condyle of right tibia S82.135 Nondisplaced fracture of medial condyle of left tibia S82.14 Bicondylar fracture of tibia Fracture of tibial plateau NOS S82.141 Displaced bicondylar fracture of right tibia S82.142 Displaced bicondylar fracture of left tibia S82.144 Nondisplaced bicondylar fracture of right tibia ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics S82.145 Nondisplaced bicondylar fracture of left tibia S82.15 Fracture of tibial tuberosity S82.151 Displaced fracture of right tibial tuberosity S82.152 Displaced fracture of left tibial tuberosity S82.154 Nondisplaced fracture of right tibial tuberosity S82.155 Nondisplaced fracture of left tibial tuberosity S82.16 Torus fracture of upper end of tibia The appropriate 7th character is to be added to all codes in subcategory S82.16 A - initial encounter for closed fracture D - subsequent encounter for fracture with routine healing G - subsequent encounter for fracture with delayed healing K - subsequent encounter for fracture with nonunion P - subsequent encounter for fracture with malunion S - sequela S82.161 Torus fracture of upper end of right tibia S82.162 Torus fracture of upper end of left tibia S82.19 Other fracture of upper end of tibia S82.191 Other fracture of upper end of right tibia S82.192 Other fracture of upper end of left tibia S82.2 Fracture of shaft of tibia S82.20 Unspecified fracture of shaft of tibia Fracture of tibia NOS S82.201 Unspecified fracture of shaft of right tibia S82.202 Unspecified fracture of shaft of left tibia S82.22 Transverse fracture of shaft of tibia S82.221 Displaced transverse fracture of shaft of right tibia S82.222 Displaced transverse fracture of shaft of left tibia S82.224 Nondisplaced transverse fracture of shaft of right tibia S82.225 Nondisplaced transverse fracture of shaft of left tibia S82.23 Oblique fracture of shaft of tibia S82.231 Displaced oblique fracture of shaft of right tibia S82.232 Displaced oblique fracture of shaft of left tibia S82.234 Nondisplaced oblique fracture of shaft of right tibia S82.235 Nondisplaced oblique fracture of shaft of left tibia S82.24 Spiral fracture of shaft of tibia Toddler fracture S82.241 Displaced spiral fracture of shaft of right tibia S82.242 Displaced spiral fracture of shaft of left tibia S82.244 Nondisplaced spiral fracture of shaft of right tibia S82.245 Nondisplaced spiral fracture of shaft of left tibia S82.25 Comminuted fracture of shaft of tibia S82.251 Displaced comminuted fracture of shaft of right tibia S82.252 Displaced comminuted fracture of shaft of left tibia S82.254 Nondisplaced comminuted fracture of shaft of right tibia ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics S82.255 Nondisplaced comminuted fracture of shaft of left tibia S82.26 Segmental fracture of shaft of tibia S82.261 Displaced segmental fracture of shaft of right tibia S82.262 Displaced segmental fracture of shaft of left tibia S82.264 Nondisplaced segmental fracture of shaft of right tibia S82.265 Nondisplaced segmental fracture of shaft of left tibia S82.29 Other fracture of shaft of tibia S82.291 Other fracture of shaft of right tibia S82.292 Other fracture of shaft of left tibia S82.3 Fracture of lower end of tibia Excludes1: bimalleolar fracture of lower leg (S82.84-) fracture of medial malleolus alone (S82.5-) Maisonneuve's fracture (S82.86-) pilon fracture of distal tibia (S82.87-) trimalleolar fractures of lower leg (S82.85-) S82.30 Unspecified fracture of lower end of tibia S82.301 Unspecified fracture of lower end of right tibia S82.302 Unspecified fracture of lower end of left tibia S82.31 Torus fracture of lower end of tibia The appropriate 7th character is to be added to all codes in subcategory S82.31 A - initial encounter for closed fracture D - subsequent encounter for fracture with routine healing G - subsequent encounter for fracture with delayed healing K - subsequent encounter for fracture with nonunion P - subsequent encounter for fracture with malunion S - sequela S82.311 Torus fracture of lower end of right tibia S82.312 Torus fracture of lower end of left tibia S82.39 Other fracture of lower end of tibia Fracture of ulna Note: A fracture not indicated as displaced or nondisplaced should be coded to displaced A fracture not indicated as open or closed should be coded to closed The open fracture designations are based on the Gustilo open fracture classification Excludes1: traumatic amputation of forearm (S58.-) Excludes2: fracture at wrist and hand level (S62.-) The appropriate 7th character is to be added to all codes from category S52 A - initial encounter for closed fracture B - initial encounter for open fracture type I or II initial encounter for open fracture NOS C - initial encounter for open fracture type IIIA, IIIB, or IIIC D - subsequent encounter for closed fracture with routine healing E - subsequent encounter for open fracture type I or II with routine healing ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics F - subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing G - subsequent encounter for closed fracture with delayed healing H - subsequent encounter for open fracture type I or II with delayed healing J - subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing K - subsequent encounter for closed fracture with nonunion M - subsequent encounter for open fracture type I or II with nonunion N - subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion P - subsequent encounter for closed fracture with malunion Q - subsequent encounter for open fracture type I or II with malunion R - subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion S – sequela S52.0 Fracture of upper end of ulna Fracture of proximal end of ulna Excludes2: fracture of elbow NOS (S42.40-) fractures of shaft of ulna (S52.2-) S52.00 Unspecified fracture of upper end of ulna S52.001 Unspecified fracture of upper end of right ulna S52.002Unspecified fracture of upper end of left ulna S52.01 Torus fracture of upper end of ulna The appropriate 7th character is to be added to all codes in subcategory S52.01 A - initial encounter for closed fracture D - subsequent encounter for fracture with routine healing G - subsequent encounter for fracture with delayed healing K - subsequent encounter for fracture with nonunion P - subsequent encounter for fracture with malunion S - sequela S52.011 Torus fracture of upper end of right ulna S52.012 Torus fracture of upper end of left ulna S52.02 Fracture of olecranon process without intraarticular extension of ulna S52.021 Displaced fracture of olecranon process without intraarticular extension of rightulna S52.022 Displaced fracture of olecranon process without intraarticular extension of left ulna S52.024 Nondisplaced fracture of olecranon process without intraarticular extension of right ulna S52.025 Nondisplaced fracture of olecranon process without intraarticular extension of leftulna S52.03 Fracture of olecranon process with intraarticular extension of ulna S52.031 Displaced fracture of olecranon process with intraarticular extension of right ulna S52.032 Displaced fracture of olecranon process with intraarticular extension of left ulna ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics S52.034 Nondisplaced fracture of olecranon process with intraarticular extension of right ulna S52.035 Nondisplaced fracture of olecranon process with intraarticular extension of left ulna S52.04 Fracture of coronoid process of ulna S52.041 Displaced fracture of coronoid process of right ulna S52.042 Displaced fracture of coronoid process of left ulna S52.044 Nondisplaced fracture of coronoid process of right ulna S52.045 Nondisplaced fracture of coronoid process of left ulna S52.09 Other fracture of upper end of ulna S52.091 Other fracture of upper end of right ulna S52.092 Other fracture of upper end of left ulna S52.2 Fracture of shaft of ulna S52.20 Unspecified fracture of shaft of ulna Fracture of ulna NOS S52.201 Unspecified fracture of shaft of right ulna S52.202 Unspecified fracture of shaft of left ulna S52.21 Greenstick fracture of shaft of ulna The appropriate 7th character is to be added to all codes in subcategory S52.21 A - initial encounter for closed fracture D - subsequent encounter for fracture with routine healing G - subsequent encounter for fracture with delayed healing K - subsequent encounter for fracture with nonunion P - subsequent encounter for fracture with malunion S - sequela S52.211 Greenstick fracture of shaft of right ulna S52.212 Greenstick fracture of shaft of left ulna S52.22 Transverse fracture of shaft of ulna S52.221 Displaced transverse fracture of shaft of right ulna S52.222 Displaced transverse fracture of shaft of left ulna S52.224 Nondisplaced transverse fracture of shaft of right ulna S52.225 Nondisplaced transverse fracture of shaft of left ulna S52.23 Oblique fracture of shaft of ulna S52.231 Displaced oblique fracture of shaft of right ulna S52.232 Displaced oblique fracture of shaft of left ulna S52.233 Displaced oblique fracture of shaft of unspecified ulna S52.234 Nondisplaced oblique fracture of shaft of right ulna S52.235 Nondisplaced oblique fracture of shaft of left ulna S52.24 Spiral fracture of shaft of ulna S52.241 Displaced spiral fracture of shaft of ulna, right arm S52.242 Displaced spiral fracture of shaft of ulna, left arm S52.244 Nondisplaced spiral fracture of shaft of ulna, right arm S52.245 Nondisplaced spiral fracture of shaft of ulna, left arm ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics S52.25 Comminuted fracture of shaft of ulna S52.251 Displaced comminuted fracture of shaft of ulna, right arm S52.252 Displaced comminuted fracture of shaft of ulna, left arm S52.254 Nondisplaced comminuted fracture of shaft of ulna, right arm S52.255 Nondisplaced comminuted fracture of shaft of ulna, left arm S52.26 Segmental fracture of shaft of ulna S52.261 Displaced segmental fracture of shaft of ulna, right arm S52.262 Displaced segmental fracture of shaft of ulna, left arm S52.264 Nondisplaced segmental fracture of shaft of ulna, right arm S52.265 Nondisplaced segmental fracture of shaft of ulna, left arm S52.27 Monteggia's fracture of ulna Fracture of upper shaft of ulna with dislocation of radial head S52.271 Monteggia's fracture of right ulna S52.272 Monteggia's fracture of left ulna S52.28 Bent bone of ulna S52.281 Bent bone of right ulna S52.282 Bent bone of left ulna S52.29 Other fracture of shaft of ulna S52.291 Other fracture of shaft of right ulna S52.292 Other fracture of shaft of left ulna S52.6 Fracture of lower end of ulna S52.60 Unspecified fracture of lower end of ulna S52.601 Unspecified fracture of lower end of right ulna S52.602 Unspecified fracture of lower end of left ulna S52.61 Fracture of ulna styloid process S52.611 Displaced fracture of right ulna styloid process S52.612 Displaced fracture of left ulna styloid process S52.614 Nondisplaced fracture of right ulna styloid process S52.615 Nondisplaced fracture of left ulna styloid process S52.62 Torus fracture of lower end of ulna The appropriate 7th character is to be added to all codes in subcategory S52.62 A - initial encounter for closed fracture D - subsequent encounter for fracture with routine healing G - subsequent encounter for fracture with delayed healing K - subsequent encounter for fracture with nonunion P - subsequent encounter for fracture with malunion S - sequela S52.621 Torus fracture of lower end of right ulna S52.622 Torus fracture of lower end of left ulna S52.69 Other fracture of lower end of ulna S52.691 Other fracture of lower end of right ulna S52.692 Other fracture of lower end of left ulna ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics Fractures wrist and hand S62 Fracture at wrist and hand level Note: A fracture not indicated as displaced or nondisplaced should be coded to displaced A fracture not indicated as open or closed should be coded to closed Excludes1: traumatic amputation of wrist and hand (S68.-) Excludes2: fracture of distal parts of ulna and radius (S52.-) The appropriate 7th character is to be added to each code from category S62 A - initial encounter for closed fracture B - initial encounter for open fracture D - subsequent encounter for fracture with routine healing G - subsequent encounter for fracture with delayed healing K - subsequent encounter for fracture with nonunion P - subsequent encounter for fracture with malunion S – sequela S62.0 Fracture of navicular [scaphoid] bone of wrist S62.00 Unspecified fracture of navicular [scaphoid] bone of wrist S62.001 Unspecified fracture of navicular [scaphoid] bone of right wrist S62.002 Unspecified fracture of navicular [scaphoid] bone of left wrist S62.01 Fracture of distal pole of navicular [scaphoid] bone of wrist Fracture of volar tuberosity of navicular [scaphoid] bone of wrist S62.011 Displaced fracture of distal pole of navicular [scaphoid] bone of right wrist S62.012 Displaced fracture of distal pole of navicular [scaphoid] bone of left wrist S62.014 Nondisplaced fracture of distal pole of navicular [scaphoid] bone of right wrist S62.015 Nondisplaced fracture of distal pole of navicular [scaphoid] bone of left wrist S62.02 Fracture of middle third of navicular [scaphoid] bone of wrist S62.021 Displaced fracture of middle third of navicular [scaphoid] bone of right wrist S62.022 Displaced fracture of middle third of navicular [scaphoid] bone of left wrist S62.024 Nondisplaced fracture of middle third of navicular [scaphoid] bone of right wrist S62.025 Nondisplaced fracture of middle third of navicular [scaphoid] bone of left wrist S62.03 Fracture of proximal third of navicular [scaphoid] bone of wrist S62.031 Displaced fracture of proximal third of navicular [scaphoid] bone of right wrist S62.032 Displaced fracture of proximal third of navicular [scaphoid] bone of left wrist ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics S62.034 Nondisplaced fracture of proximal third of navicular [scaphoid] bone of right wrist S62.035 Nondisplaced fracture of proximal third of navicular [scaphoid] bone of left wrist S62.1 Fracture of other and unspecified carpal bone(s) Excludes2: fracture of scaphoid of wrist (S62.0-) S62.10 Fracture of unspecified carpal bone Fracture of wrist NOS S62.101 Fracture of unspecified carpal bone, right wrist S62.102 Fracture of unspecified carpal bone, left wrist S62.11 Fracture of triquetrum [cuneiform] bone of wrist S62.111 Displaced fracture of triquetrum [cuneiform] bone, right wrist S62.112 Displaced fracture of triquetrum [cuneiform] bone, left wrist S62.114 Nondisplaced fracture of triquetrum [cuneiform] bone, right wrist S62.115 Nondisplaced fracture of triquetrum [cuneiform] bone, left wrist S62.12 Fracture of lunate [semilunar] S62.121 Displaced fracture of lunate [semilunar], right wrist S62.122 Displaced fracture of lunate [semilunar], left wrist S62.124 Nondisplaced fracture of lunate [semilunar], right wrist S62.125 Nondisplaced fracture of lunate [semilunar], left wrist S62.13 Fracture of capitate [os magnum] bone S62.131 Displaced fracture of capitate [os magnum] bone, right wrist S62.132 Displaced fracture of capitate [os magnum] bone, left wrist S62.134 Nondisplaced fracture of capitate [os magnum] bone, right wrist S62.135 Nondisplaced fracture of capitate [os magnum] bone, left wrist S62.14 Fracture of body of hamate [unciform] bone Fracture of hamate [unciform] bone NOS S62.141 Displaced fracture of body of hamate [unciform] bone, right wrist S62.142 Displaced fracture of body of hamate [unciform] bone, left wrist S62.144 Nondisplaced fracture of body of hamate [unciform] bone, right wrist S62.145 Nondisplaced fracture of body of hamate [unciform] bone, left wrist S62.15 Fracture of hook process of hamate [unciform] bone Fracture of unciform process of hamate [unciform] bone S62.151 Displaced fracture of hook process of hamate [unciform] bone, right wrist S62.152 Displaced fracture of hook process of hamate [unciform] bone, left wrist ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics S62.154 Nondisplaced fracture of hook process of hamate [unciform] bone, right wrist S62.155 Nondisplaced fracture of hook process of hamate [unciform] bone, left wrist S62.16 Fracture of pisiform S62.161 Displace fracture of pisiform, right wrist S62.162 Displaced fracture of pisiform, left wrist S62.164 Nondisplaced fracture of pisiform, right wrist S62.165 Nondisplaced fracture of pisiform, left wrist S62.17 Fracture of trapezium [larger multangular] S62.171 Displaced fracture of trapezium [larger multangular], right wrist S62.172 Displaced fracture of trapezium [larger multangular], left wrist S62.174 Nondisplaced fracture of trapezium [larger multangular], right wrist S62.175 Nondisplaced fracture of trapezium [larger multangular], left wrist S62.18 Fracture of trapezoid [smaller multangular] S62.181 Displaced fracture of trapezoid [smaller multangular], right wrist S62.182 Displaced fracture of trapezoid [smaller multangular], left wrist S62.184 Nondisplaced fracture of trapezoid [smaller multangular], right wrist S62.185 Nondisplaced fracture of trapezoid [smaller multangular], left wrist S62.2 Fracture of first metacarpal bone S62.20 Unspecified fracture of first metacarpal bone S62.201 Unspecified fracture of first metacarpal bone, right hand S62.202 Unspecified fracture of first metacarpal bone, left hand S62.21 Bennett's fracture S62.211 Bennett's fracture, right hand S62.212 Bennett's fracture, left hand S62.22 Rolando's fracture S62.221 Displaced Rolando's fracture, right hand S62.222 Displaced Rolando's fracture, left hand S62.224 Nondisplaced Rolando's fracture, right hand S62.225 Nondisplaced Rolando's fracture, left hand S62.23 Other fracture of base of first metacarpal bone S62.231 Other displaced fracture of base of first metacarpal bone, right hand S62.232 Other displaced fracture of base of first metacarpal bone, left hand S62.234 Other nondisplaced fracture of base of first metacarpal bone, right hand ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics S62.235 Other nondisplaced fracture of base of first metacarpal bone, left hand S62.24 Fracture of shaft of first metacarpal bone S62.241 Displaced fracture of shaft of first metacarpal bone, right hand S62.242 Displaced fracture of shaft of first metacarpal bone, left hand S62.244 Nondisplaced fracture of shaft of first metacarpal bone, right hand S62.245 Nondisplaced fracture of shaft of first metacarpal bone, left hand S62.25 Fracture of neck of first metacarpal bone S62.251 Displaced fracture of neck of first metacarpal bone, right hand S62.252 Displaced fracture of neck of first metacarpal bone, left hand S62.254 Nondisplaced fracture of neck of first metacarpal bone, right hand S62.255 Nondisplaced fracture of neck of first metacarpal bone, left hand S62.29 Other fracture of first metacarpal bone S62.291 Other fracture of first metacarpal bone, right hand S62.292 Other fracture of first metacarpal bone, left hand S62.3 Fracture of other and unspecified metacarpal bone Excludes2: fracture of first metacarpal bone (S62.2-) S62.30 Unspecified fracture of other metacarpal bone S62.300 Unspecified fracture of second metacarpal bone, right hand S62.301 Unspecified fracture of second metacarpal bone, left hand S62.302 Unspecified fracture of third metacarpal bone, right hand S62.303 Unspecified fracture of third metacarpal bone, left hand S62.304 Unspecified fracture of fourth metacarpal bone, right hand S62.305 Unspecified fracture of fourth metacarpal bone, left hand S62.306 Unspecified fracture of fifth metacarpal bone, right hand S62.307 Unspecified fracture of fifth metacarpal bone, left hand S62.309 Unspecified fracture of unspecified metacarpal bone S62.31 Displaced fracture of base of other metacarpal bone S62.310 Displaced fracture of base of second metacarpal bone, right hand S62.311 Displaced fracture of base of second metacarpal bone. left hand S62.312 Displaced fracture of base of third metacarpal bone, right hand S62.313 Displaced fracture of base of third metacarpal bone, left hand S62.314 Displaced fracture of base of fourth metacarpal bone, right hand S62.315 Displaced fracture of base of fourth metacarpal bone, left hand S62.316 Displaced fracture of base of fifth metacarpal bone, right hand S62.317 Displaced fracture of base of fifth metacarpal bone. left hand S62.319 Displaced fracture of base of unspecified metacarpal bone ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics S62.32 Displaced fracture of shaft of other metacarpal bone S62.320 Displaced fracture of shaft of second metacarpal bone, right hand S62.321 Displaced fracture of shaft of second metacarpal bone, left hand S62.322 Displaced fracture of shaft of third metacarpal bone, right hand S62.323 Displaced fracture of shaft of third metacarpal bone, left hand S62.324 Displaced fracture of shaft of fourth metacarpal bone, right hand S62.325 Displaced fracture of shaft of fourth metacarpal bone, left hand S62.326 Displaced fracture of shaft of fifth metacarpal bone, right hand S62.327 Displaced fracture of shaft of fifth metacarpal bone, left hand S62.329 Displaced fracture of shaft of unspecified metacarpal bone S62.33 Displaced fracture of neck of other metacarpal bone S62.330 Displaced fracture of neck of second metacarpal bone, right hand S62.331 Displaced fracture of neck of second metacarpal bone, left hand S62.332 Displaced fracture of neck of third metacarpal bone, right hand S62.333 Displaced fracture of neck of third metacarpal bone, left hand S62.334 Displaced fracture of neck of fourth metacarpal bone, right hand S62.335 Displaced fracture of neck of fourth metacarpal bone, left hand S62.336 Displaced fracture of neck of fifth metacarpal bone, right hand S62.337 Displaced fracture of neck of fifth metacarpal bone, left hand S62.339 Displaced fracture of neck of unspecified metacarpal bone S62.34 Nondisplaced fracture of base of other metacarpal bone S62.340 Nondisplaced fracture of base of second metacarpal bone, right hand S62.341 Nondisplaced fracture of base of second metacarpal bone. left hand S62.342 Nondisplaced fracture of base of third metacarpal bone, right hand S62.343 Nondisplaced fracture of base of third metacarpal bone, left hand S62.344 Nondisplaced fracture of base of fourth metacarpal bone, right hand S62.345 Nondisplaced fracture of base of fourth metacarpal bone, left hand S62.346 Nondisplaced fracture of base of fifth metacarpal bone, right hand S62.347 Nondisplaced fracture of base of fifth metacarpal bone. left hand S62.349 Nondisplaced fracture of base of unspecified metacarpal bone ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics S62.35 Nondisplaced fracture of shaft of other metacarpal bone S62.350 Nondisplaced fracture of shaft of second metacarpal bone, right hand S62.351 Nondisplaced fracture of shaft of second metacarpal bone, left hand S62.352 Nondisplaced fracture of shaft of third metacarpal bone, right hand S62.353 Nondisplaced fracture of shaft of third metacarpal bone, left hand S62.354 Nondisplaced fracture of shaft of fourth metacarpal bone, right hand S62.355 Nondisplaced fracture of shaft of fourth metacarpal bone, left hand S62.356 Nondisplaced fracture of shaft of fifth metacarpal bone, right hand S62.357 Nondisplaced fracture of shaft of fifth metacarpal bone, left hand S62.358 Nondisplaced fracture of shaft of other metacarpal bone S62.359 Nondisplaced fracture of shaft of unspecified metacarpal bone S62.36 Nondisplaced fracture of neck of other metacarpal bone S62.360 Nondisplaced fracture of neck of second metacarpal bone, right hand S62.361 Nondisplaced fracture of neck of second metacarpal bone, left hand S62.362 Nondisplaced fracture of neck of third metacarpal bone, right hand S62.363 Nondisplaced fracture of neck of third metacarpal bone, left hand S62.364 Nondisplaced fracture of neck of fourth metacarpal bone, right hand S62.365 Nondisplaced fracture of neck of fourth metacarpal bone, left hand S62.366 Nondisplaced fracture of neck of fifth metacarpal bone, right hand S62.367 Nondisplaced fracture of neck of fifth metacarpal bone, left hand S62.369 Nondisplaced fracture of neck of unspecified metacarpal bone S62.39 Other fracture of other metacarpal bone S62.390 Other fracture of second metacarpal bone, right hand S62.391 Other fracture of second metacarpal bone, left hand S62.392 Other fracture of third metacarpal bone, right hand S62.393 Other fracture of third metacarpal bone, left hand S62.394 Other fracture of fourth metacarpal bone, right hand S62.395 Other fracture of fourth metacarpal bone, left hand ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics S62.396 Other fracture of fifth metacarpal bone, right hand S62.397 Other fracture of fifth metacarpal bone, left hand S62.399 Other fracture of unspecified metacarpal bone S62.5 Fracture of thumb S62.50 Fracture of unspecified phalanx of thumb S62.501 Fracture of unspecified phalanx of right thumb S62.502 Fracture of unspecified phalanx of left thumb S62.51 Fracture of proximal phalanx of thumb S62.511 Displaced fracture of proximal phalanx of right thumb S62.512 Displaced fracture of proximal phalanx of left thumb S62.514 Nondisplaced fracture of proximal phalanx of right thumb S62.515 Nondisplaced fracture of proximal phalanx of left thumb S62.52 Fracture of distal phalanx of thumb S62.521 Displaced fracture of distal phalanx of right thumb S62.522 Displaced fracture of distal phalanx of left thumb S62.524 Nondisplaced fracture of distal phalanx of right thumb S62.525 Nondisplaced fracture of distal phalanx of left thumb Osteoarthritis Excludes2: osteoarthritis of spine (M47.-) M15 Polyosteoarthritis Includes: arthritis of multiple sites Excludes1: bilateral involvement of single joint (M16-M19) M15.0 Primary generalized (osteo) arthritis M16 Osteoarthritis of hip M16.0 Bilateral primary osteoarthritis of hip M16.1 Unilateral primary osteoarthritis of hip Primary osteoarthritis of hip NOS M16.11 Unilateral primary osteoarthritis, right hip M16.12 Unilateral primary osteoarthritis, left hip M16.2 Bilateral osteoarthritis resulting from hip dysplasia M16.3 Unilateral osteoarthritis resulting from hip dysplasia Dysplastic osteoarthritis of hip NOS M16.31 Unilateral osteoarthritis resulting from hip dysplasia, right hip M16.32 Unilateral osteoarthritis resulting from hip dysplasia, left hip M16.4 Bilateral post-traumatic osteoarthritis of hip M16.5 Unilateral post-traumatic osteoarthritis of hip Post-traumatic osteoarthritis of hip NOS M16.51 Unilateral post-traumatic osteoarthritis, right hip M16.52 Unilateral post-traumatic osteoarthritis, left hip M17 Osteoarthritis of knee M17.0 Bilateral primary osteoarthritis of knee M17.1 Unilateral primary osteoarthritis of knee Primary osteoarthritis of knee NOS ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics M17.11 Unilateral primary osteoarthritis, right knee M17.12 Unilateral primary osteoarthritis, left knee M17.2 Bilateral post-traumatic osteoarthritis of knee M17.3 Unilateral post-traumatic osteoarthritis of knee Post-traumatic osteoarthritis of knee NOS M17.31 Unilateral post-traumatic osteoarthritis, right knee M17.32 Unilateral post-traumatic osteoarthritis, left knee M17.4 Other bilateral secondary osteoarthritis of knee M17.5 Other unilateral secondary osteoarthritis of knee Secondary osteoarthritis of knee NOS M17.9 Osteoarthritis of knee, unspecified Repetitive stress injury to musculoskeletal system (eg, overuse injury) M70 Soft tissue disorders related to use, overuse and pressure Includes: soft tissue disorders of occupational origin Use additional external cause code to identify activity causing disorder (Y93.-) Excludes1: bursitis NOS (M71.9-) Excludes2: bursitis of shoulder (M75.5) enthesopathies (M76-M77) pressure ulcer (pressure area) (L89.-) M70.0 Crepitant synovitis (acute) (chronic) of hand and wrist M70.03 Crepitant synovitis (acute) (chronic), wrist M70.031 Crepitant synovitis (acute) (chronic), right wrist M70.032 Crepitant synovitis (acute) (chronic), left wrist M70.04 Crepitant synovitis (acute) (chronic), hand M70.041 Crepitant synovitis (acute) (chronic), right hand M70.042 Crepitant synovitis (acute) (chronic), left hand M70.1 Bursitis of hand M70.11 Bursitis, right hand M70.12 Bursitis, left hand M70.2 Olecranon bursitis M70.21 Olecranon bursitis, right elbow M70.22 Olecranon bursitis, left elbow M70.3 Other bursitis of elbow M70.31 Other bursitis of elbow, right elbow M70.32 Other bursitis of elbow, left elbow M70.4 Prepatellar bursitis M70.41 Prepatellar bursitis, right knee M70.42 Prepatellar bursitis, left knee M70.5 Other bursitis of knee M70.51 Other bursitis of knee, right knee M70.52 Other bursitis of knee, left knee ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics M70.6 Trochanteric bursitis Trochanteric tendinitis M70.61 Trochanteric bursitis, right hip M70.62 Trochanteric bursitis, left hip M70.7 Other bursitis of hip Ischial bursitis M70.71 Other bursitis of hip, right hip M70.72 Other bursitis of hip, left hip M70.8 Other soft tissue disorders related to use, overuse and pressure M70.81 Other soft tissue disorders related to use, overuse and pressure of shoulder M70.811 Other soft tissue disorders related to use, overuse and pressure, right shoulder M70.812 Other soft tissue disorders related to use, overuse and pressure, left shoulder M70.82 Other soft tissue disorders related to use, overuse and pressure of upper arm M70.821 Other soft tissue disorders related to use, overuse and pressure, right upper arm M70.822 Other soft tissue disorders related to use, overuse and pressure, left upper arm M70.83 Other soft tissue disorders related to use, overuse and pressure of forearm M70.831 Other soft tissue disorders related to use, overuse and pressure, right forearm M70.832 Other soft tissue disorders related to use, overuse and pressure, left forearm M70.84 Other soft tissue disorders related to use, overuse and pressure of hand M70.841 Other soft tissue disorders related to use, overuse and pressure, right hand M70.842 Other soft tissue disorders related to use, overuse and pressure, left hand M70.85 Other soft tissue disorders related to use, overuse and pressure of thigh M70.851 Other soft tissue disorders related to use, overuse and pressure, right thigh M70.852 Other soft tissue disorders related to use, overuse and pressure, left thigh M70.86 Other soft tissue disorders related to use, overuse and pressure lower leg M70.861 Other soft tissue disorders related to use, overuse and pressure, right lower leg M70.862 Other soft tissue disorders related to use, overuse and pressure, left lower leg M70.87 Other soft tissue disorders related to use, overuse and pressure of ankle and foot M70.871 Other soft tissue disorders related to use, overuse and pressure, right ankle and foot M70.872 Other soft tissue disorders related to use, overuse and pressure, left ankle and foot Temporomandibular joint-pain-dysfunction syndrome M26.6 Temporomandibular joint disorders Excludes2: current temporomandibular joint dislocation (S03.0) ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics current temporomandibular joint sprain (S03.4) M26.60 Temporomandibular joint disorder, unspecified M26.61 Adhesions and ankylosis of temporomandibular joint M26.62 Arthralgia of temporomandibular joint M26.63 Articular disc disorder of temporomandibular joint M26.69 Other specified disorders of temporomandibular joint Signs and symptoms commonly seen in patients with orthopaedic health conditions G89 Pain, not elsewhere classified Code also related psychological factors associated with pain (F45.42) Excludes1: generalized pain NOS (R52) pain disorders exclusively related to psychological factors (F45.41) pain NOS (R52) Excludes2: atypical face pain (G50.1) headache syndromes (G44.-) localized pain, unspecified type - code to pain by site, such as: abdomen pain (R10.-) back pain (M54.9) breast pain (N64.4) chest pain (R07.1-R07.9) ear pain (H92.0-) eye pain (H57.1) headache (R51) joint pain (M25.5-) limb pain (M79.6-) lumbar region pain (M54.5) painful urination (R30.9) pelvic and perineal pain (R10.2) shoulder pain (M25.51-) spine pain (M54.-) throat pain (R07.0) tongue pain (K14.6) tooth pain (K08.8) renal colic (N23) migraines (G43.-) myalgia (M79.1) pain from prosthetic devices, implants, and grafts (T82.84, T83.84, T84.84, T85.84) phantom limb syndrome with pain (G54.6) vulvar vestibulitis (N94.810) vulvodynia (N94.81-) G89.1 Acute pain, not elsewhere classified G89.11 Acute pain due to trauma ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics G89.12 Acute post-thoracotomy pain Post-thoracotomy pain NOS G89.18 Other acute postprocedural pain Postoperative pain NOS Postprocedural pain NOS G89.2 Chronic pain, not elsewhere classified Excludes1: causalgia, lower limb (G57.7-) causalgia, upper limb (G56.4-) central pain syndrome (G89.0) chronic pain syndrome (G89.4) complex regional pain syndrome II, lower limb (G57.7-) complex regional pain syndrome II, upper limb (G56.4-) neoplasm related chronic pain (G89.3) reflex sympathetic dystrophy (G90.5-) G89.21 Chronic pain due to trauma G89.22 Chronic post-thoracotomy pain G89.28 Other chronic postprocedural pain Other chronic postoperative pain G89.29 Other chronic pain G89.3 Neoplasm related pain (acute) (chronic) Cancer associated pain Pain due to malignancy (primary) (secondary) Tumor associated pain G89.4 Chronic pain syndrome Chronic pain associated with significant psychosocial dysfunction M54.4 Lumbago with sciatica Excludes1: lumbago with sciatica due to intervertebral disc disorder (M51.1-) M54.40 Lumbago with sciatica, unspecified side M54.41 Lumbago with sciatica, right side M54.42 Lumbago with sciatica, left side M54.5 Low back pain Loin pain Lumbago NOS Excludes1: low back strain (S39.012) lumbago due to intervertebral disc displacement (M51.2-) lumbago with sciatica (M54.4-) M54.9 Dorsalgia, unspecified Backache NOS Back pain NOS M25.3 Other instability of joint Excludes1: instability of joint secondary to old ligament injury (M24.2-) instability of joint secondary to removal of joint prosthesis (M96.8-) Excludes2: spinal instabilities (M53.2-) ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics M25.30 Other instability, unspecified joint M25.31 Other instability, shoulder M25.311 Other instability, right shoulder M25.312 Other instability, left shoulder M25.32 Other instability, elbow M25.321 Other instability, right elbow M25.322 Other instability, left elbow M25.33 Other instability, wrist M25.331 Other instability, right wrist M25.332 Other instability, left wrist M25.34 Other instability, hand M25.341 Other instability, right hand M25.342 Other instability, left hand M25.35 Other instability, hip M25.351 Other instability, right hip M25.352 Other instability, left hip M25.36 Other instability, knee M25.361 Other instability, right knee M25.362 Other instability, left knee M25.37 Other instability, ankle and foot M25.371 Other instability, right ankle M25.372 Other instability, left ankle M25.374 Other instability, right foot M25.375 Other instability, left foot M25.4 Effusion of joint Excludes1: hydrarthrosis in yaws (A66.6) intermittent hydrarthrosis (M12.4-) other infective (teno)synovitis (M65.1-) M25.40 Effusion, unspecified joint M25.41 Effusion, shoulder M25.411 Effusion, right shoulder M25.412 Effusion, left shoulder M25.42 Effusion, elbow M25.421 Effusion, right elbow M25.422 Effusion, left elbow M25.43 Effusion, wrist M25.431 Effusion, right wrist M25.432 Effusion, left wrist M25.44 Effusion, hand M25.441 Effusion, right hand M25.442 Effusion, left hand M25.45 Effusion, hip M25.451 Effusion, right hip ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics M25.452 Effusion, left hip M25.46 Effusion, knee M25.461 Effusion, right knee M25.462 Effusion, left knee M25.47 Effusion, ankle and foot M25.471 Effusion, right ankle M25.472 Effusion, left ankle M25.474 Effusion, right foot M25.475 Effusion, left foot M25.48 Effusion, other site M25.5 Pain in joint Excludes2: pain in hand (M79.64-) pain in fingers (M79.64-) pain in foot (M79.67-) pain in limb (M79.6-) pain in toes (M79.67-) M25.50 Pain in unspecified joint M25.51 Pain in shoulder M25.511 Pain in right shoulder M25.512 Pain in left shoulder M25.52 Pain in elbow M25.521 Pain in right elbow M25.522 Pain in left elbow M25.53 Pain in wrist M25.531 Pain in right wrist M25.532 Pain in left wrist M25.55 Pain in hip M25.551 Pain in right hip M25.552 Pain in left hip M25.56 Pain in knee M25.561 Pain in right knee M25.562 Pain in left knee M25.57 Pain in ankle and joints of foot M25.571 Pain in right ankle and joints of right foot M25.572 Pain in left ankle and joints of left foot M25.6 Stiffness of joint, not elsewhere classified Excludes1: ankylosis of joint (M24.6-) contracture of joint (M24.5-) M25.60 Stiffness of unspecified joint, not elsewhere classified M25.61 Stiffness of shoulder, not elsewhere classified M25.611 Stiffness of right shoulder, not elsewhere classified M25.612 Stiffness of left shoulder, not elsewhere classified ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics M25.62 Stiffness of elbow, not elsewhere classified M25.621 Stiffness of right elbow, not elsewhere classified M25.622 Stiffness of left elbow, not elsewhere classified M25.63 Stiffness of wrist, not elsewhere classified M25.631 Stiffness of right wrist, not elsewhere classified M25.632 Stiffness of left wrist, not elsewhere classified M25.64 Stiffness of hand, not elsewhere classified M25.641 Stiffness of right hand, not elsewhere classified M25.642 Stiffness of left hand, not elsewhere classified M25.65 Stiffness of hip, not elsewhere classified M25.651 Stiffness of right hip, not elsewhere classified M25.652 Stiffness of left hip, not elsewhere classified M25.66 Stiffness of knee, not elsewhere classified M25.661 Stiffness of right knee, not elsewhere classified M25.662 Stiffness of left knee, not elsewhere classified M25.67 Stiffness of ankle and foot, not elsewhere classified M25.671 Stiffness of right ankle, not elsewhere classified M25.672 Stiffness of left ankle, not elsewhere classified M25.674 Stiffness of right foot, not elsewhere classified M25.675 Stiffness of left foot, not elsewhere classified M79.6 Pain in limb, hand, foot, fingers and toes Excludes2: pain in joint (M25.5-) M79.60Pain in limb, unspecified M79.601 Pain in right arm Pain in right upper limb NOS M79.602 Pain in left arm Pain in left upper limb NOS M79.603 Pain in arm, unspecified Pain in upper limb NOS M79.604 Pain in right leg Pain in right lower limb NOS M79.605 Pain in left leg Pain in left lower limb NOS M79.606 Pain in leg, unspecified Pain in lower limb NOS M79.609 Pain in unspecified limb Pain in limb NOS M79.62 Pain in upper arm Pain in axillary region M79.621 Pain in right upper arm M79.622 Pain in left upper arm M79.629 Pain in unspecified upper arm ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics M79.63 Pain in forearm M79.631 Pain in right forearm M79.632 Pain in left forearm M79.64 Pain in hand and fingers M79.641 Pain in right hand M79.642 Pain in left hand M79.644 Pain in right finger(s) M79.645 Pain in left finger(s) M79.65 Pain in thigh M79.651 Pain in right thigh M79.652 Pain in left thigh M79.66 Pain in lower leg M79.661 Pain in right lower leg M79.662 Pain in left lower leg M79.67 Pain in foot and toes M79.671 Pain in right foot M79.672 Pain in left foot M79.674 Pain in right toe(s) M79.675 Pain in left toe(s) R20 Disturbances of skin sensation Excludes1: dissociative anesthesia and sensory loss (F44.6) psychogenic disturbances (F45.8) R20.0 Anesthesia of skin R20.1 Hypoesthesia of skin R20.2 Paresthesia of skin Formication Pins and needles Tingling skin Excludes1: acroparesthesia (I73.8) R20.3 Hyperesthesia R20.8 Other disturbances of skin sensation R20.9 Unspecified disturbances of skin sensation R26 Abnormalities of gait and mobility Excludes1: ataxia NOS (R27.0) hereditary ataxia (G11.-) locomotor (syphilitic) ataxia (A52.11) immobility syndrome (paraplegic) (M62.3) R26.0 Ataxic gait Staggering gait R26.1 Paralytic gait Spastic gait R26.2 Difficulty in walking, not elsewhere classified Excludes: falling R29.6 ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics unsteadiness on feet (R26.81) R26.8 Other abnormalities of gait and mobility R26.81 Unsteadiness on feet R26.89 Other abnormalities of gait and mobility R26.9 Unspecified abnormalities of gait and mobility R27 Other lack of coordination Excludes1: ataxic gait (R26.0) hereditary ataxia (G11.-) vertigo NOS (R42) R27.0 Ataxia, unspecified Excludes1: ataxia following cerebrovascular disease (I69. with final characters -93) R27.8 Other lack of coordination R27.9 Unspecified lack of coordination R29.3 Abnormal posture R29.6 Repeated falls Falling Tendency to fall Excludes2: at risk for falling (Z91.81) Z91.81 History of falling At risk for falling R53 Malaise and fatigue R53.0 Neoplastic (malignant) related fatigue Code first associated neoplasm R53.1 Weakness Asthenia NOS Excludes1: age-related weakness (R54) muscle weakness (M62.8-) senile asthenia (R54) R53.2 Functional quadriplegia Complete immobility due to severe physical disability or frailty Excludes1: frailty NOS (R54) hysterical paralysis (F44.4) immobility syndrome (M62.3) neurologic quadriplegia (G82.5-) quadriplegia (G82.50) R53.8 Other malaise and fatigue Excludes1: combat exhaustion and fatigue (F43.0) congenital debility (P96.9) exhaustion and fatigue due to depressive episode (F32.-) exhaustion and fatigue due to excessive exertion (T73.3) exhaustion and fatigue due to exposure (T73.2) exhaustion and fatigue due to heat (T67.-) ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected] Orthopaedics exhaustion and fatigue due to pregnancy (O26.8-) exhaustion and fatigue due to recurrent depressive episode (F33) exhaustion and fatigue due to senile debility (R54) R53.81 Other malaise Chronic debility Debility NOS General physical deterioration Malaise NOS Nervous debility Excludes1: age-related physical debility (R54) R53.82 Chronic fatigue, unspecified Chronic fatigue syndrome NOS Excludes1: postviral fatigue syndrome (G93.3) R53.83 Other fatigue Fatigue NOS Lack of energy Lethargy Tiredness R54 Age-related physical debility Frailty Old age Senescence Senile asthenia Senile debility Excludes1: age-related cognitive decline (R41.81) senile psychosis (F03) senility NOS (R41.81) ©Copyright APTA 2015, ALL RIGHTS RESERVED. Last Updated: 09/14/15 Contact: [email protected]
