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Elbow/Forearm

Diagnosis

Procedure

ICD10-Right

ICD10-Left

Elbow
Pain
Stiffness
Sprain
Effusion
Contusion
Artificial Joint 

E/M Coding
Modifiers 

M25.521 Pain in right elbow
M25.621 Stiffness of right elbow 
Sprain Right Elbow see all
 
M25.421 Effusion, right elbow 
S50.01XA Contusion of right elbow 
Z96.621 Presence of right artificial elbow joint 

M25.522 Pain in left elbow
M25.622 Stiffness of left elbow, 
Sprain Left elbow see al
M25.422 Effusion, left elbow 
S50.02XA Contusion of left elbow 
Z96.622 Presence of left artificial elbow joint 

Cubital Tunnel Syndrome G56.20

Ulnar Nerve Transposition 64718

CPT Coding

G56.21 - Lesion of ulnar nerve

G56.22 - Lesion of ulnar nerve

Distal Biceps Tendon Rupture S53.499A

Distal Biceps Tendon Repair 24342

CPT Coding

S53.491A - Other sprain of elbow

S53.492A - Other sprain of elbow

Distal Humerus Fracture S42.409A

Distal Humerus ORIF 24545

CPT Coding

S42.401A - Unspecified fracture of lower end of humerus

S42.402A - Unspecified fracture of lower end of humerus

Elbow Arthritis M19.029

Total Elbow Arthropasty (TEA) 24363

CPT Coding

M19.021 Primary osteoarthritis, right elbow

M19.022 Primary osteoarthritis, left elbow

Elbow Contracture M24.529

 

M24.521 - Contracture, right elbow

M24.522 - Contracture, left elbow

Elbow Dislocation S53.006A

Elbow Dislocation Closed Reduction CPT 24605

CPT Coding

S53.124* - Posterior dislocation of right ulnohumeral joint,  

M24.421 Recurrent dislocation, right elbow

S53.125A - Posterior dislocation of left ulnohumeral joint, initial encounter

M24.422 Recurrent dislocation, left elbow

Galeazzi Fracture S52.379A

Galeazzi's Fractrue CPT codes

CPT Coding

S52.371A - Galeazzi's fracture of right radius, initial encounter for closed fracture

S52.372A - Galeazzi's fracture of left radius, initial encounter for closed fracture

Lateral Condyle Humerus Fracture S42.409A

 

S42.451A - Displaced fracture of lateral condyle of right humerus, initial encounter for closed fracture

S42.452A - Displaced fracture of lateral condyle of left humerus, initial encounter for closed fracture

Lateral Epicondylitis M77.10

Lateral Epicondyle Debridement 24358

CPT Coding

M77.11 Lateral epicondylitis, right elbow

M77.12 Lateral epicondylitis, left elbow

Medial Elbow Instability S53.449A

MCL Reconstruction 24346

CPT Coding

S53.441A - Ulnar collateral ligament sprain of right elbow, initial encounter

S53.442A - Ulnar collateral ligament sprain of left elbow, initial encounter

Medial Epicondyle Fracture S42.442A

 

S42.441A - Displaced fracture (avulsion) of medial epicondyle of right humerus, initial encounter for closed fracture

S42.442A - Displaced fracture (avulsion) of medial epicondyle of left humerus, initial encounter for closed fracture

Medial Epicondylitis M77.00

 

M77.01 Medial epicondylitis, right elbow

M77.02 Medial epicondylitis, left elbow

Monteggia Fracture S52.279A

Monteggia Fracture CPT

CPT Coding

S52.271A Monteggia's fracture right ulna, initial closed

S52.272A - Monteggia's fracture of left ulna, initial encounter for closed fracture

Olecranon Bursitis M70.20

Olecranon Bursal Excision 24105

CPT Coding

M70.21 - Olecranon bursitis, right elbow

M70.22 - Olecranon bursitis, left elbow

Olecranon Fracture S52.023A

Olecranon Fracture ORIF 24685

CPT Coding

S52.031A - Displaced fracture of olecranon process with intraarticular extension of right ulna, initial encounter for closed fracture

S52.032A - Displaced fracture of olecranon process with intraarticular extension of left ulna, initial encounter for closed fracture

Radial Head Fracture S52.123A

Radial Head Excision 24130
Radial Head Fracture ORIF 24665
Radial Head Replacement 24666

CPT Coding

S52.121A - Displaced fracture of head of right radius, initial encounter for closed fracture

S52.122A - Displaced fracture of head of left radius, initial encounter for closed fracture

Radius and Ulnar Shaft Fracture S52.209A S52.309A

Radius and Ulna Shaft Fracture ORIF 25574

CPT Coding

S52.331A - Displaced oblique fracture of shaft of right radius, initial encounter for closed fracture

S52.332A - Displaced oblique fracture of shaft of left radius, initial encounter for closed fracture

Triceps Tendon Rupture S53.429A

Triceps Tendon Repair 24342

CPT Coding

S46.311A - Strain of muscle, fascia and tendon of triceps, right arm, initial encounter

S46.312A - Strain of muscle, fascia and tendon of triceps, left arm, initial encounter

Ulnar Shaft Fracture S52.209A

Ulnar Shaft Fracture ORIF 25545

CPT Coding

S52.231A - Displaced oblique fracture of shaft of right ulna, initial encounter for closed fracture

S52.232A - Displaced oblique fracture of shaft of left ulna, initial encounter for closed fracture

 

 

see 7th Character Coding

A=initial encounter, D=subsequent encounter, S=sequela