The Quinnell's classification, VAS scoring system and active range of movement in the affected site will be assessed at the baseline and the same criteria will be at one month and three month as end line assessment. thank you. The Trigger Finger is the situation that occurs when you have a finger that is stuck in an unbending position. What CPT code is used for trigger finger injection? The proper location of the pulley will be defined using surface landmarks in each digit after waiting a few minutes to allow the anesthetic to take effect the 18 gauge needle will be longitudinally moved to keep the level of the needle parallel with the tendon grating sensation will be elucidated confirming the cut of pulley until there is no grating sensation felt and improvement of symptoms. The most common complications following surgery for trigger finger or trigger thumb include: Recovery. At radial styloid eg, for dequervains disease) (25000) repair, tendon sheath, extensor, forearm and or wrist, with free graft includes graft harvest (25275) tendon sheath incision eg, for trigger finger) (26055) Cpt code 20605, wrist injection, has 1.50 rvus in the office setting. Park MJ, Oh I, Ha KI. local injection of an anesthetic agent to the affected area (Reid, 2002). Percutaneous A1 pulley release surgery for trigger digit (finger or thumb) has gained popularity in recent decades. You'll need to use the correct modifier for each finger. 3 Is Tenosynovectomy included in trigger finger release? Did you know that among adult Americans, arthritis is one of the most common health problems? Occasionally, we perform a second injection about eight weeks after the first injection if the pain is still present. CPT code 20551 defines an injection to single tendon at the origin/insertion site. The efficacy of steroid injection in the treatment of trigger finger. The A1 pulley is cut, allowing the flexor tendons to move through the pulley/tendon sheath without getting stuck. doi: 10.1136/bmj.j5285. What is the CPT code for a pulley release? This is an example of the documentation, bilateral trigger finger injections provided for both long fingers at a1 pulley. 2021 Oct 7;27:e931389. KarenZupko & Associates, Inc. 2023 | All Rights Reserved, Secondary Payor Doesnt Recognize Consultations. Please refer to the CCI for correct coding guidelines and specific applicable code combinations prior to billing Medicare.When the documentation does not meet the criteria for the service rendered or the documentation does not establish the medical necessity for the services, such services will be denied as not reasonable and necessary under Section 1862(a)(1) of the Social Security Act.The Section titled "Does the 'CPT 30% Rule' apply" needs clarification. A Google Certified Publishing Partner. Complete absence of all Bill Types indicates If you are a member and have already registered for member area and forum access, you can log in by clicking here. No abstract available. Copyright © 2022, the American Hospital Association, Chicago, Illinois. the doc. The document is broken into multiple sections. What is an a1 pulley release? The views and/or positions Request a login. CMS Manual System, Pub. Ann Med Health Sci Res. ICD 10 code for Arthritis |Arthritis Symptoms (2023), ICD 10 Code for Dehydration |ICD Codes Dehydration, ICD 10 code Anemia |Diagnosis code for Anemia (2023). Compare the effects of percutaneous release versus steroid injection on decrease in the thickness at baseline, one month and three months. Identification. Explain to the patient that the lidocaine will wear off in an hour or so, and that they will be back to their normal pain until the steroids start kicking in (anywhere from 1-7 days). Applicable FARS\DFARS Restrictions Apply to Government Use. 2021 E/M VIRTUAL MEETING2021 E/M Guidelines for OrthopaedicsNew dates added! 2007 Jul;90(7):1348-55. What kind of needle is used for trigger finger release? function to prevent sheath collapse and expansion during digital motion. Reproduced with permission. 1995 Sep;20(5):781-4; discussion 785-6. doi: 10.1016/S0363-5023(05)80430-7. Epub 2017 Jul 25. official website and that any information you provide is encrypted Med Sci Monit. Bowstringing often occurs when one of the more important pulleys is released in addition to the A1 pulley. By clicking below on the button labeled "I accept", you hereby acknowledge that you have read, understood and agreed to all terms and conditions set forth in this agreement. 2 What is an A1 pulley release? Rather, the provider of these therapies must bill with CPT code 64455 or 64632 Injection (s), anesthetic agent and/or steroid, plantar common digital nerve (s) (eg, Morton's neuroma) as the correct CPT code for the service. The pulley at the base of the finger is called the "A1 pulley." This is the pulley that is most often involved in trigger finger. Evaluation and Management Codes 2021 Do I Have to Use the Revised Guidelines. How to Know about starting trigger Finger Problems in the body? Lunsford D, Valdes K, Hengy S. Conservative management of trigger finger: A systematic review. Trigger finger is a condition affecting tendons that flex the fingers and thumb, typically resulting in a sensation of locking or catching when you bend and straighten your digits. Begin gentle range-of-motion exercisesbend the finger until it feels tight, hold for 2-3 seconds, relax, and repeat 10 times for several sessions each day. Your finger could be bent or straightened by the snap of the trigger being pulled, and then released. Methods: Records must be made available upon request.The HCPCS/CPT code(s) may be subject to Correct Coding Initiative (CCI) edits. Once again you would never perform a ctr 64721 and then inject the same time. Whats the CPT code for a trigger finger? 2019 Mar 26;10:267. doi: 10.3389/fphar.2019.00267. Sterile dressing was applied. View this study on Beta.ClinicalTrials.gov. 2012 Dec;4(4):263-8. doi: 10.4055/cios.2012.4.4.263. We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. The patients were prospectively classified into two groups according to age, sex, digit involved, duration of symptoms and whether or not they had had previous local steroid injection. You acknowledge that the ADA holds all copyright, trademark and other rights in CDT. There is a concern regarding percutaneous release in the thumb, where tendon sheath and neurovascular bundle are in proximity. JavaScript is disabled. LORTHIOIR J Jr. Surgical treatment of trigger-finger by a subcutaneous method. For complimentary Telehealth tools and information, click here. Before sharing sensitive information, make sure you're on a federal government site. If you are looking for a specific code, use your browser's Find function (Ctrl-F) to quickly locate the code in the article. CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CPT. The a1 pulley release cpt code is 26055 is for the trigger finger. While the causes of trigger finger are not well known, several factors may increase your risk for developing the condition. tiffany mcghie passed away cpt code for trigger finger injection a1 pulley. Trigger finger injections are most commonly given to the flexor tendon, supporting CPT code 20550. Avoid pushing through pain. No products in the basket. This surgery will probably be done while you are awake. Il semble que la recherche tape ne se trouve pas ici, essayez un des liens ci dessous, Votre chien ne mange plus sa nourriture, alors quils la dvoraient ds quelle tait dans [], La toux occasionnelle dun chien en bonne sant na gnralement rien dinquitant. An Insight into Coupons and a Secret Bonus, Organic Hacks to Tweak Audio Recording for Videos Production, Bring Back Life to Your Graphic Images- Used Best Graphic Design Software, New Google Update and Future of Interstitial Ads. This site needs JavaScript to work properly. from the American Academy of Orthopaedic Surgeons, nonsteroidal anti-inflammatory drugs (NSAIDs). Dala-Ali BM, Nakhdjevani A, Lloyd MA, Schreuder FB. It's one or the other and I have had both. Absence of a Bill Type does not guarantee that the Flexor tendon entrapment of the digits (trigger finger and trigger thumb). Your doctor may have you wear a splint at night to keep the affected finger in an extended position for up to six weeks. Careers. Over time, the flexor tendon may also become inflamed and develop a small nodule on its surface, further aggravating the condition. Finger/extend the triggering digit to find the triggering site and nodule. Clin Orthop Surg. No abstract available. Ha KI, Park MJ, Ha CW. daedolos Expert Messages 464 Location Long Beach Best answers 0 Jun 19, 2017 #2 Epub 2017 Dec 28. government site. 2018 Apr;37(2):134-139. doi: 10.14366/usg.17038. Required fields are marked *. Epub 2012 Nov 16. Epub 2012 Dec 4. Also, you can decide how often you want to get updates. Another option is to use the Download button at the top right of the document view pages (for certain document types). How would I code an injection of the A1 pulley of the right middle finger and the left ring finger? Unless specified in the article, services reported under other J Hand Surg Am. This rule comes from the AMA (American Medical Association), the organization that holds the copyrights for all CPT codes. Cpt code 20605, wrist injection, has 1.50 rvus in the office setting. am I right. Clean the skin thoroughly with as many alcohol swabs as needed (usually only 1-2 are needed). 8600 Rockville Pike Rosemont, IL, American Academy of Orthopaedic Surgeons, 2010. You are using an out of date browser. Corticosteroid, or cortisone, is a powerful anti-inflammatory agent that can be injected into the tendon sheath at the base of the affected digit. There are different article types: Articles are often related to an LCD, and the relationship can be seen in the "Associated Documents" section of the Article or the LCD. Outcome. Sign up to get the latest information about your choice of CMS topics in your inbox. descriptions may not be removed, copied, or utilized within any software, product, service, solution or derivative work Laxity of ligament (728.4) tendon sheath incision; Your email address will not be published. Age. J Med Assoc Thai. In no event shall CMS be liable for direct, indirect, special, incidental, or consequential damages arising out of the use of such information or material. will not infringe on privately owned rights. If you would like to change your settings or withdraw consent at any time, the link to do so is in our privacy policy accessible from our home page.. CMS and its products and services are not endorsed by the AHA or any of its affiliates. Bookshelf This surgery makes it easier to bend and straighten your finger. Each of the flexor tendons to the fingers and thumb passes through a separate tubular structure, called a tendon sheath, as the tendon makes its way across the palm and into the digit. 1992 Jan;17(1):114-7. doi: 10.1016/0363-5023(92)90125-9. 20550 CPT code defines an injection to a single tendon sheath, or ligament, aponeurosis and CPT 20551 define an injection to a single tendon at the origin/insertion site. Trigger finger injection CPT code used when bill trigger finger, swelling of limb & pain in the finger. The Centers for Medicare & Medicaid Services (CMS), the federal agency responsible for administration of the Medicare, There had been previous surgery or other hand pathology such as rheumatoid arthritis, osteoarthritis, Dupuytren's contracture and diabetic mellitus. 4 What is procedure code 20551? If this is your first visit, be sure to check out the. Can you please confirm the accurate CPT code for injection at the A1 pulley for trigger finger? Spinal manipulation under anesthesia (SMUA) consists of spinal manipulation and stretching procedures performed on the patient after an anesthetic is administered (e.g., mild sed ation, general anesthesia). "JavaScript" disabled. Rotator Cuff and Shoulder Conditioning Program. Before If this is your first visit, be sure to check out the FAQ & read the forum rules. Br J Plast Surg. Dr Thomas McClellan 91.7K subscribers Subscribe 360K views 5 years ago www.MPSurgery.com www.hand411.com Show more M mbort True Blue Messages 2,335 Please enable "JavaScript" and revisit this page or proceed with browsing CMS.gov with A HIPAA compliant platform connecting law firms and healthcare providers. The views and/or positions presented in the material do not necessarily represent the views of the AHA. So what should I be coding this as? *This response is based on the best information available as of 09/03/20. If you continue to use this site we will assume that you are happy with it. I went over the procedure with the patient and discussed the risks and benefits of the procedure with the patient. I told her All the other times I have had them were not straight at 90 degrees. When the thumb is involved, the condition is, appropriately, called trigger thumb. Continue with Recommended Cookies, Medical Billing and Coding Information Guide. For office visits prior to. is she wrong to have injected at 90. degrees. the needle cut through the horizontal fibers of the A1 pully. 2019 Dec;38(12):3141-3154. doi: 10.1002/jum.15025. Messages 16 best answers 0. You can collapse such groups by clicking on the group header to make navigation easier. Treatment of Trigger fingers includes conservative such as splinting, oral medications, injection, and surgical management such as open release, and percutaneous release. The causes of Trigger finger are still not well known, some factors may increase the risk of developing the condition such as forceful hand activities (mechanical irritation, congenital and medical conditions (Diabetes and Rheumatoid arthritis). I realize it says the Dr. checked to see that the tendon was released from the pulley, but wouldnt I code for the tenosynovectomies (26145) and use tenosynovitis (m65.842) as my DX? 25246 Injection procedure for wrist arthrography 27093 Injection procedure for hip arthrography; without anesthesia 27095 Injection procedure for hip arthrography; with anesthesia 27096 Injection procedure for sacroiliac joint, anesthetic/steroid, with image guidance (fluoroscopy or CT) including arthrography when performed The clinical record should include the elements leading to the diagnosis and treatment decision to use injection. 3 total at the level of the joints. 2019 Apr-Jun;32(2):212-221. doi: 10.1016/j.jht.2017.10.016. The trigger ring finger is the first commonest, and the trigger thumb is the second commonest of trigger fingers. ICD-10-CM Codes that Support Medical Necessity, ICD-10-CM Codes that DO NOT Support Medical Necessity, A55490 - Response to Comments: Injections - Tendon, Ligament, Ganglion Cyst, Tunnel Syndromes and Morton's Neuroma, L34076 - Injections - Tendon, Ligament, Ganglion Cyst, Tunnel Syndromes and Morton's Neuroma, INJECTION, THERAPEUTIC (EG, LOCAL ANESTHETIC, CORTICOSTEROID), CARPAL TUNNEL, INJECTION, ENZYME (EG, COLLAGENASE), PALMAR FASCIAL CORD (IE, DUPUYTREN'S CONTRACTURE), INJECTION(S); SINGLE TENDON SHEATH, OR LIGAMENT, APONEUROSIS (EG, PLANTAR "FASCIA"), INJECTION(S); SINGLE TENDON ORIGIN/INSERTION, ASPIRATION AND/OR INJECTION OF GANGLION CYST(S) ANY LOCATION, MANIPULATION, PALMAR FASCIAL CORD (IE, DUPUYTREN'S CORD), POST ENZYME INJECTION (EG, COLLAGENASE), SINGLE CORD, INJECTION(S), ANESTHETIC AGENT AND/OR STEROID, PLANTAR COMMON DIGITAL NERVE(S) (EG, MORTON'S NEUROMA), DESTRUCTION BY NEUROLYTIC AGENT; PLANTAR COMMON DIGITAL NERVE, Carpal tunnel syndrome, bilateral upper limbs, Tarsal tunnel syndrome, bilateral lower limbs, Lesion of plantar nerve, right lower limb, Lesion of plantar nerve, bilateral lower limbs, Sacrococcygeal disorders, not elsewhere classified, Calcific tendinitis, right ankle and foot, Radial styloid tenosynovitis [de Quervain], Other synovitis and tenosynovitis, right shoulder, Other synovitis and tenosynovitis, left shoulder, Other synovitis and tenosynovitis, right upper arm, Other synovitis and tenosynovitis, left upper arm, Other synovitis and tenosynovitis, right forearm, Other synovitis and tenosynovitis, left forearm, Other synovitis and tenosynovitis, right hand, Other synovitis and tenosynovitis, left hand, Other synovitis and tenosynovitis, right thigh, Other synovitis and tenosynovitis, left thigh, Other synovitis and tenosynovitis, right lower leg, Other synovitis and tenosynovitis, left lower leg, Other synovitis and tenosynovitis, right ankle and foot, Other synovitis and tenosynovitis, left ankle and foot, Other synovitis and tenosynovitis, other site, Other synovitis and tenosynovitis, multiple sites, Short Achilles tendon (acquired), right ankle, Short Achilles tendon (acquired), left ankle, Other specified disorders of tendon, right shoulder, Other specified disorders of tendon, left shoulder, Other specified disorders of tendon, right elbow, Other specified disorders of tendon, left elbow, Other specified disorders of tendon, right wrist, Other specified disorders of tendon, left wrist, Other specified disorders of tendon, right hand, Other specified disorders of tendon, left hand, Other specified disorders of tendon, right hip, Other specified disorders of tendon, left hip, Other specified disorders of tendon, right knee, Other specified disorders of tendon, left knee, Other specified disorders of tendon, right ankle and foot, Other specified disorders of tendon, left ankle and foot, Other specified disorders of synovium and tendon, other site, Other specified disorders of synovium and tendon, multiple sites, Incomplete rotator cuff tear or rupture of right shoulder, not specified as traumatic, Incomplete rotator cuff tear or rupture of left shoulder, not specified as traumatic, Other specified enthesopathies of right lower limb, excluding foot, Other specified enthesopathies of left lower limb, excluding foot, Other enthesopathy of right foot and ankle, Other enthesopathy of left foot and ankle, Other enthesopathies, not elsewhere classified, Sprain of jaw, right side, initial encounter, Sprain of jaw, right side, subsequent encounter, Sprain of jaw, left side, initial encounter, Sprain of jaw, left side, subsequent encounter, Sprain of jaw, bilateral, initial encounter, Sprain of jaw, bilateral, subsequent encounter, Sprain of joints and ligaments of other parts of head, initial encounter, Sprain of joints and ligaments of other parts of head, subsequent encounter, Sprain of joints and ligaments of other parts of head, sequela, Sprain of ligaments of cervical spine, initial encounter, Sprain of ligaments of cervical spine, subsequent encounter, Sprain of ligaments of cervical spine, sequela, Sprain of joints and ligaments of other parts of neck, initial encounter, Sprain of joints and ligaments of other parts of neck, subsequent encounter, Sprain of joints and ligaments of other parts of neck, sequela, Strain of muscle, fascia and tendon at neck level, initial encounter, Strain of muscle, fascia and tendon at neck level, subsequent encounter, Strain of muscle, fascia and tendon at neck level, sequela, Sprain of ligaments of thoracic spine, initial encounter, Sprain of ligaments of thoracic spine, subsequent encounter, Sprain of ligaments of thoracic spine, sequela, Sprain of sternoclavicular (joint) (ligament), initial encounter, Sprain of sternoclavicular (joint) (ligament), subsequent encounter, Sprain of sternoclavicular (joint) (ligament), sequela, Strain of muscle and tendon of front wall of thorax, initial encounter, Strain of muscle and tendon of front wall of thorax, subsequent encounter, Strain of muscle and tendon of front wall of thorax, sequela, Strain of muscle and tendon of back wall of thorax, initial encounter, Strain of muscle and tendon of back wall of thorax, subsequent encounter, Strain of muscle and tendon of back wall of thorax, sequela, Sprain of ligaments of lumbar spine, initial encounter, Sprain of ligaments of lumbar spine, subsequent encounter, Sprain of ligaments of lumbar spine, sequela, Strain of muscle, fascia and tendon of abdomen, initial encounter, Strain of muscle, fascia and tendon of abdomen, subsequent encounter, Strain of muscle, fascia and tendon of abdomen, sequela, Strain of muscle, fascia and tendon of lower back, initial encounter, Strain of muscle, fascia and tendon of lower back, subsequent encounter, Strain of muscle, fascia and tendon of lower back, sequela, Strain of muscle, fascia and tendon of pelvis, initial encounter, Strain of muscle, fascia and tendon of pelvis, subsequent encounter, Strain of muscle, fascia and tendon of pelvis, sequela, Sprain of right coracohumeral (ligament), initial encounter, Sprain of right coracohumeral (ligament), subsequent encounter, Sprain of right coracohumeral (ligament), sequela, Sprain of left coracohumeral (ligament), initial encounter, Sprain of left coracohumeral (ligament), subsequent encounter, Sprain of left coracohumeral (ligament), sequela, Sprain of right rotator cuff capsule, initial encounter, Sprain of right rotator cuff capsule, subsequent encounter, Sprain of right rotator cuff capsule, sequela, Sprain of left rotator cuff capsule, initial encounter, Sprain of left rotator cuff capsule, subsequent encounter, Sprain of left rotator cuff capsule, sequela, Sprain of other specified parts of right shoulder girdle, initial encounter, Sprain of other specified parts of right shoulder girdle, subsequent encounter, Sprain of other specified parts of right shoulder girdle, sequela, Sprain of other specified parts of left shoulder girdle, initial encounter, Sprain of other specified parts of left shoulder girdle, subsequent encounter, Sprain of other specified parts of left shoulder girdle, sequela, Strain of muscle(s) and tendon(s) of the rotator cuff of right shoulder, initial encounter, Strain of muscle(s) and tendon(s) of the rotator cuff of right shoulder, subsequent encounter, Strain of muscle(s) and tendon(s) of the rotator cuff of right shoulder, sequela, Strain of muscle(s) and tendon(s) of the rotator cuff of left shoulder, initial encounter, Strain of muscle(s) and tendon(s) of the rotator cuff of left shoulder, subsequent encounter, Strain of muscle(s) and tendon(s) of the rotator cuff of left shoulder, sequela, Strain of muscle, fascia and tendon of long head of biceps, right arm, initial encounter, Strain of muscle, fascia and tendon of long head of biceps, right arm, subsequent encounter, Strain of muscle, fascia and tendon of long head of biceps, right arm, sequela, Strain of muscle, fascia and tendon of long head of biceps, left arm, initial encounter, Strain of muscle, fascia and tendon of long head of biceps, left arm, subsequent encounter, Strain of muscle, fascia and tendon of long head of biceps, left arm, sequela, Strain of muscle, fascia and tendon of other parts of biceps, right arm, initial encounter, Strain of muscle, fascia and tendon of other parts of biceps, right arm, subsequent encounter, Strain of muscle, fascia and tendon of other parts of biceps, right arm, sequela, Strain of muscle, fascia and tendon of other parts of biceps, left arm, initial encounter, Strain of muscle, fascia and tendon of other parts of biceps, left arm, subsequent encounter, Strain of muscle, fascia and tendon of other parts of biceps, left arm, sequela, Strain of muscle, fascia and tendon of triceps, right arm, initial encounter, Strain of muscle, fascia and tendon of triceps, right arm, subsequent encounter, Strain of muscle, fascia and tendon of triceps, right arm, sequela, Strain of muscle, fascia and tendon of triceps, left arm, initial encounter, Strain of muscle, fascia and tendon of triceps, left arm, subsequent encounter, Strain of muscle, fascia and tendon of triceps, left arm, sequela, Strain of other muscles, fascia and tendons at shoulder and upper arm level, right arm, initial encounter, Strain of other muscles, fascia and tendons at shoulder and upper arm level, right arm, subsequent encounter, Strain of other muscles, fascia and tendons at shoulder and upper arm level, right arm, sequela, Strain of other muscles, fascia and tendons at shoulder and upper arm level, left arm, initial encounter, Strain of other muscles, fascia and tendons at shoulder and upper arm level, left arm, subsequent encounter, Strain of other muscles, fascia and tendons at shoulder and upper arm level, left arm, sequela, Radial collateral ligament sprain of right elbow, initial encounter, Radial collateral ligament sprain of right elbow, subsequent encounter, Radial collateral ligament sprain of right elbow, sequela, Radial collateral ligament sprain of left elbow, initial encounter, Radial collateral ligament sprain of left elbow, subsequent encounter, Radial collateral ligament sprain of left elbow, sequela, Ulnar collateral ligament sprain of right elbow, initial encounter, Ulnar collateral ligament sprain of right elbow, subsequent encounter, Ulnar collateral ligament sprain of right elbow, sequela, Ulnar collateral ligament sprain of left elbow, initial encounter, Ulnar collateral ligament sprain of left elbow, subsequent encounter, Ulnar collateral ligament sprain of left elbow, sequela, Other sprain of right elbow, initial encounter, Other sprain of right elbow, subsequent encounter, Other sprain of left elbow, initial encounter, Other sprain of left elbow, subsequent encounter, Strain of flexor muscle, fascia and tendon of right thumb at forearm level, initial encounter, Strain of flexor muscle, fascia and tendon of right thumb at forearm level, subsequent encounter, Strain of flexor muscle, fascia and tendon of right thumb at forearm level, sequela, Strain of flexor muscle, fascia and tendon of left thumb at forearm level, initial encounter, Strain of flexor muscle, fascia and tendon of left thumb at forearm level, subsequent encounter, Strain of flexor muscle, fascia and tendon of left thumb at forearm level, sequela, Strain of flexor muscle, fascia and tendon of right index finger at forearm level, initial encounter, Strain of flexor muscle, fascia and tendon of right index finger at forearm level, subsequent encounter, Strain of flexor muscle, fascia and tendon of right index finger at forearm level, sequela, Strain of flexor muscle, fascia and tendon of left index finger at forearm level, initial encounter, Strain of flexor muscle, fascia and tendon of left index finger at forearm level, subsequent encounter, Strain of flexor muscle, fascia and tendon of left index finger at forearm level, sequela, Strain of flexor muscle, fascia and tendon of right middle finger at forearm level, initial encounter, Strain of flexor muscle, fascia and tendon of right middle finger at forearm level, subsequent encounter, Strain of flexor muscle, fascia and tendon of right middle finger at forearm level, sequela, Strain of flexor muscle, fascia and tendon of left middle finger at forearm level, initial encounter, Strain of flexor muscle, fascia and tendon of left middle finger at forearm level, subsequent encounter, Strain of flexor muscle, fascia and tendon of left middle finger at forearm level, sequela, Strain of flexor muscle, fascia and tendon of right ring finger at forearm level, initial encounter, Strain of flexor muscle, fascia and tendon of right ring finger at forearm level, subsequent encounter, Strain of flexor muscle, fascia and tendon of right ring finger at forearm level, sequela, Strain of flexor muscle, fascia and tendon of left ring finger at forearm level, initial encounter, Strain of flexor muscle, fascia and tendon of left ring finger at forearm level, subsequent encounter, Strain of flexor muscle, fascia and tendon of left ring finger at forearm level, sequela, Strain of flexor muscle, fascia and tendon of right little finger at forearm level, initial encounter, Strain of flexor muscle, fascia and tendon of right little finger at forearm level, subsequent encounter, Strain of flexor muscle, fascia and tendon of right little finger at forearm level, sequela, Strain of flexor muscle, fascia and tendon of left little finger at forearm level, initial encounter, Strain of flexor muscle, fascia and tendon of left little finger at forearm level, subsequent encounter, Strain of flexor muscle, fascia and tendon of left little finger at forearm level, sequela, Strain of other flexor muscle, fascia and tendon at forearm level, right arm, initial encounter, Strain of other flexor muscle, fascia and tendon at forearm level, right arm, subsequent encounter, Strain of other flexor muscle, fascia and tendon at forearm level, right arm, sequela, Strain of other flexor muscle, fascia and tendon at forearm level, left arm, initial encounter, Strain of other flexor muscle, fascia and tendon at forearm level, left arm, subsequent encounter, Strain of other flexor muscle, fascia and tendon at forearm level, left arm, sequela, Strain of extensor or abductor muscles, fascia and tendons of right thumb at forearm level, initial encounter, Strain of extensor or abductor muscles, fascia and tendons of right thumb at forearm level, subsequent encounter, Strain of extensor or abductor muscles, fascia and tendons of right thumb at forearm level, sequela, Strain of extensor or abductor muscles, fascia and tendons of left thumb at forearm level, initial encounter, Strain of extensor or abductor muscles, fascia and tendons of left thumb at forearm level, subsequent encounter, Strain of extensor or abductor muscles, fascia and tendons of left thumb at forearm level, sequela, Strain of extensor muscle, fascia and tendon of right index finger at forearm level, initial encounter, Strain of extensor muscle, fascia and tendon of right index finger at forearm level, subsequent encounter, Strain of extensor muscle, fascia and tendon of right index finger at forearm level, sequela, Strain of extensor muscle, fascia and tendon of left index finger at forearm level, initial encounter, Strain of extensor muscle, fascia and tendon of left index finger at forearm level, subsequent encounter, Strain of extensor muscle, fascia and tendon of left index finger at forearm level, sequela, Strain of extensor muscle, fascia and tendon of right middle finger at forearm level, initial encounter, Strain of extensor muscle, fascia and tendon of right middle finger at forearm level, subsequent encounter, Strain of extensor muscle, fascia and tendon of right middle finger at forearm level, sequela, Strain of extensor muscle, fascia and tendon of left middle finger at forearm level, initial encounter, Strain of extensor muscle, fascia and tendon of left middle finger at forearm level, subsequent encounter, Strain of extensor muscle, fascia and tendon of left middle finger at forearm level, sequela, Strain of extensor muscle, fascia and tendon of right ring finger at forearm level, initial encounter, Strain of extensor muscle, fascia and tendon of right ring finger at forearm level, subsequent encounter, Strain of extensor muscle, fascia and tendon of right ring finger at forearm level, sequela, Strain of extensor muscle, fascia and tendon of left ring finger at forearm level, initial encounter, Strain of extensor muscle, fascia and tendon of left ring finger at forearm level, subsequent encounter, Strain of extensor muscle, fascia and tendon of left ring finger at forearm level, sequela, Strain of extensor muscle, fascia and tendon of right little finger at forearm level, initial encounter, Strain of extensor muscle, fascia and tendon of right little finger at forearm level, subsequent encounter, Strain of extensor muscle, fascia and tendon of right little finger at forearm level, sequela, Strain of extensor muscle, fascia and tendon of left little finger at forearm level, initial encounter, Strain of extensor muscle, fascia and tendon of left little finger at forearm level, subsequent encounter, Strain of extensor muscle, fascia and tendon of left little finger at forearm level, sequela, Strain of other extensor muscle, fascia and tendon at forearm level, right arm, initial encounter, Strain of other extensor muscle, fascia and tendon at forearm level, right arm, subsequent encounter, Strain of other extensor muscle, fascia and tendon at forearm level, right arm, sequela, Strain of other extensor muscle, fascia and tendon at forearm level, left arm, initial encounter, Strain of other extensor muscle, fascia and tendon at forearm level, left arm, subsequent encounter, Strain of other extensor muscle, fascia and tendon at forearm level, left arm, sequela, Strain of other muscles, fascia and tendons at forearm level, right arm, initial encounter, Strain of other muscles, fascia and tendons at forearm level, right arm, subsequent encounter, Strain of other muscles, fascia and tendons at forearm level, right arm, sequela, Strain of other muscles, fascia and tendons at forearm level, left arm, initial encounter, Strain of other muscles, fascia and tendons at forearm level, left arm, subsequent encounter, Strain of other muscles, fascia and tendons at forearm level, left arm, sequela, Other specified sprain of right wrist, initial encounter, Other specified sprain of right wrist, subsequent encounter, Other specified sprain of right wrist, sequela, Other specified sprain of left wrist, initial encounter, Other specified sprain of left wrist, subsequent encounter, Other specified sprain of left wrist, sequela, Other sprain of right thumb, initial encounter, Other sprain of right thumb, subsequent encounter, Other sprain of left thumb, initial encounter, Other sprain of left thumb, subsequent encounter, Other sprain of right index finger, initial encounter, Other sprain of right index finger, subsequent encounter, Other sprain of right index finger, sequela, Other sprain of left index finger, initial encounter, Other sprain of left index finger, subsequent encounter, Other sprain of left index finger, sequela, Other sprain of right middle finger, initial encounter, Other sprain of right middle finger, subsequent encounter, Other sprain of right middle finger, sequela, Other sprain of left middle finger, initial encounter, Other sprain of left middle finger, subsequent encounter, Other sprain of left middle finger, sequela, Other sprain of right ring finger, initial encounter, Other sprain of right ring finger, subsequent encounter, Other sprain of right ring finger, sequela, Other sprain of left ring finger, initial encounter, Other sprain of left ring finger, subsequent encounter, Other sprain of left ring finger, sequela, Other sprain of right little finger, initial encounter, Other sprain of right little finger, subsequent encounter, Other sprain of right little finger, sequela, Other sprain of left little finger, initial encounter, Other sprain of left little finger, subsequent encounter, Other sprain of left little finger, sequela, Sprain of other part of right wrist and hand, initial encounter, Sprain of other part of right wrist and hand, subsequent encounter, Sprain of other part of right wrist and hand, sequela, Sprain of other part of left wrist and hand, initial encounter, Sprain of other part of left wrist and hand, subsequent encounter, Sprain of other part of left wrist and hand, sequela, Strain of long flexor muscle, fascia and tendon of right thumb at wrist and hand level, initial encounter, Strain of long flexor muscle, fascia and tendon of right thumb at wrist and hand level, subsequent encounter, Strain of long flexor muscle, fascia and tendon of right thumb at wrist and hand level, sequela, Strain of long flexor muscle, fascia and tendon of left thumb at wrist and hand level, initial encounter, Strain of long flexor muscle, fascia and tendon of left thumb at wrist and hand level, subsequent encounter, Strain of long flexor muscle, fascia and tendon of left thumb at wrist and hand level, sequela, Strain of flexor muscle, fascia and tendon of right index finger at wrist and hand level, initial encounter, Strain of flexor muscle, fascia and tendon of right index finger at wrist and hand level, subsequent encounter, Strain of flexor muscle, fascia and tendon of right index finger at wrist and hand level, sequela, Strain of flexor muscle, fascia and tendon of left index finger at wrist and hand level, initial encounter, Strain of flexor muscle, fascia and tendon of left index finger at wrist and hand level, subsequent encounter, Strain of flexor muscle, fascia and tendon of left index finger at wrist and hand level, sequela, Strain of flexor muscle, fascia and tendon of right middle finger at wrist and hand level, initial encounter, Strain of flexor muscle, fascia and tendon of right middle finger at wrist and hand level, subsequent encounter, Strain of flexor muscle, fascia and tendon of right middle finger at wrist and hand level, sequela, Strain of flexor muscle, fascia and tendon of left middle finger at wrist and hand level, initial encounter, Strain of flexor muscle, fascia and tendon of left middle finger at wrist and hand level, subsequent encounter, Strain of flexor muscle, fascia and tendon of left middle finger at wrist and hand level, sequela, Strain of flexor muscle, fascia and tendon of right ring finger at wrist and hand level, initial encounter, Strain of flexor muscle, fascia and tendon of right ring finger at wrist and hand level, subsequent encounter, Strain of flexor muscle, fascia and tendon of right ring finger at wrist and hand level, sequela, Strain of flexor muscle, fascia and tendon of left ring finger at wrist and hand level, initial encounter, Strain of flexor muscle, fascia and tendon of left ring finger at wrist and hand level, subsequent encounter, Strain of flexor muscle, fascia and tendon of left ring finger at wrist and hand level, sequela, Strain of flexor muscle, fascia and tendon of right little finger at wrist and hand level, initial encounter, Strain of flexor muscle, fascia and tendon of right little finger at wrist and hand level, subsequent encounter, Strain of flexor muscle, fascia and tendon of right little finger at wrist and hand level, sequela, Strain of flexor muscle, fascia and tendon of left little finger at wrist and hand level, initial encounter, Strain of flexor muscle, fascia and tendon of left little finger at wrist and hand level, subsequent encounter, Strain of flexor muscle, fascia and tendon of left little finger at wrist and hand level, sequela, Strain of extensor muscle, fascia and tendon of right thumb at wrist and hand level, initial encounter, Strain of extensor muscle, fascia and tendon of right thumb at wrist and hand level, subsequent encounter, Strain of extensor muscle, fascia and tendon of right thumb at wrist and hand level, sequela, Strain of extensor muscle, fascia and tendon of left thumb at wrist and hand level, initial encounter, Strain of extensor muscle, fascia and tendon of left thumb at wrist and hand level, subsequent encounter, Strain of extensor muscle, fascia and tendon of left thumb at wrist and hand level, sequela, Strain of extensor muscle, fascia and tendon of right index finger at wrist and hand level, initial encounter, Strain of extensor muscle, fascia and tendon of right index finger at wrist and hand level, subsequent encounter, Strain of extensor muscle, fascia and tendon of right index finger at wrist and hand level, sequela, Strain of extensor muscle, fascia and tendon of left index finger at wrist and hand level, initial encounter, Strain of extensor muscle, fascia and tendon of left index finger at wrist and hand level, subsequent encounter, Strain of extensor muscle, fascia and tendon of left index finger at wrist and hand level, sequela, Strain of extensor muscle, fascia and tendon of right middle finger at wrist and hand level, initial encounter, Strain of extensor muscle, fascia and tendon of right middle finger at wrist and hand level, subsequent encounter, Strain of extensor muscle, fascia and tendon of right middle finger at wrist and hand level, sequela, Strain of extensor muscle, fascia and tendon of left middle finger at wrist and hand level, initial encounter, Strain of extensor muscle, fascia and tendon of left middle finger at wrist and hand level, subsequent encounter, Strain of extensor muscle, fascia and tendon of left middle finger at wrist and hand level, sequela, Strain of extensor muscle, fascia and tendon of right ring finger at wrist and hand level, initial encounter, Strain of extensor muscle, fascia and tendon of right ring finger at wrist and hand level, subsequent encounter, Strain of extensor muscle, fascia and tendon of right ring finger at wrist and hand level, sequela, Strain of extensor muscle, fascia and tendon of left ring finger at wrist and hand level, initial encounter, Strain of extensor muscle, fascia and tendon of left ring finger at wrist and hand level, subsequent encounter, Strain of extensor muscle, fascia and tendon of left ring finger at wrist and hand level, sequela, Strain of extensor muscle, fascia and tendon of right little finger at wrist and hand level, initial encounter, Strain of extensor muscle, fascia and tendon of right little finger at wrist and hand level, subsequent encounter, Strain of extensor muscle, fascia and tendon of right little finger at wrist and hand level, sequela, Strain of extensor muscle, fascia and tendon of left little finger at wrist and hand level, initial encounter, Strain of extensor muscle, fascia and tendon of left little finger at wrist and hand level, subsequent encounter, Strain of extensor muscle, fascia and tendon of left little finger at wrist and hand level, sequela, Strain of intrinsic muscle, fascia and tendon of right thumb at wrist and hand level, initial encounter, Strain of intrinsic muscle, fascia and tendon of right thumb at wrist and hand level, subsequent encounter, Strain of intrinsic muscle, fascia and tendon of right thumb at wrist and hand level, sequela, Strain of intrinsic muscle, fascia and tendon of left thumb at wrist and hand level, initial encounter, Strain of intrinsic muscle, fascia and tendon of left thumb at wrist and hand level, subsequent encounter, Strain of intrinsic muscle, fascia and tendon of left thumb at wrist and hand level, sequela, Strain of intrinsic muscle, fascia and tendon of right index finger at wrist and hand level, initial encounter, Strain of intrinsic muscle, fascia and tendon of right index finger at wrist and hand level, subsequent encounter, Strain of intrinsic muscle, fascia and tendon of right index finger at wrist and hand level, sequela, Strain of intrinsic muscle, fascia and tendon of left index finger at wrist and hand level, initial encounter, Strain of intrinsic muscle, fascia and tendon of left index finger at wrist and hand level, subsequent encounter, Strain of intrinsic muscle, fascia and tendon of left index finger at wrist and hand level, sequela, Strain of intrinsic muscle, fascia and tendon of right middle finger at wrist and hand level, initial encounter, Strain of intrinsic muscle, fascia and tendon of right middle finger at wrist and hand level, subsequent encounter, Strain of intrinsic muscle, fascia and tendon of right middle finger at wrist and hand level, sequela, Strain of intrinsic muscle, fascia and tendon of left middle finger at wrist and hand level, initial encounter, Strain of intrinsic muscle, fascia and tendon of left middle finger at wrist and hand level, subsequent encounter, Strain of intrinsic muscle, fascia and tendon of left middle finger at wrist and hand level, sequela, Strain of intrinsic muscle, fascia and tendon of right ring finger at wrist and hand level, initial encounter, Strain of intrinsic muscle, fascia and tendon of right ring finger at wrist and hand level, subsequent encounter, Strain of intrinsic muscle, fascia and tendon of right ring finger at wrist and hand level, sequela, Strain of intrinsic muscle, fascia and tendon of left ring finger at wrist and hand level, initial encounter, Strain of intrinsic muscle, fascia and tendon of left ring finger at wrist and hand level, subsequent encounter, Strain of intrinsic muscle, fascia and tendon of left ring finger at wrist and hand level, sequela, Strain of intrinsic muscle, fascia and tendon of right little finger at wrist and hand level, initial encounter, Strain of intrinsic muscle, fascia and tendon of right little finger at wrist and hand level, subsequent encounter, Strain of intrinsic muscle, fascia and tendon of right little finger at wrist and hand level, sequela, Strain of intrinsic muscle, fascia and tendon of left little finger at wrist and hand level, initial encounter, Strain of intrinsic muscle, fascia and tendon of left little finger at wrist and hand level, subsequent encounter, Strain of intrinsic muscle, fascia and tendon of left little finger at wrist and hand level, sequela, Strain of other specified muscles, fascia and tendons at wrist and hand level, right hand, initial encounter, Strain of other specified muscles, fascia and tendons at wrist and hand level, right hand, subsequent encounter, Strain of other specified muscles, fascia and tendons at wrist and hand level, right hand, sequela, Strain of other specified muscles, fascia and tendons at wrist and hand level, left hand, initial encounter, Strain of other specified muscles, fascia and tendons at wrist and hand level, left hand, subsequent encounter, Strain of other specified muscles, fascia and tendons at wrist and hand level, left hand, sequela, Iliofemoral ligament sprain of right hip, initial encounter, Iliofemoral ligament sprain of right hip, subsequent encounter, Iliofemoral ligament sprain of right hip, sequela, Iliofemoral ligament sprain of left hip, initial encounter, Iliofemoral ligament sprain of left hip, subsequent encounter, Iliofemoral ligament sprain of left hip, sequela, Ischiocapsular ligament sprain of right hip, initial encounter, Ischiocapsular ligament sprain of right hip, subsequent encounter, Ischiocapsular ligament sprain of right hip, sequela, Ischiocapsular ligament sprain of left hip, initial encounter, Ischiocapsular ligament sprain of left hip, subsequent encounter, Ischiocapsular ligament sprain of left hip, sequela, Other sprain of right hip, initial encounter, Other sprain of right hip, subsequent encounter, Other sprain of left hip, initial encounter, Other sprain of left hip, subsequent encounter, Strain of muscle, fascia and tendon of right hip, initial encounter, Strain of muscle, fascia and tendon of right hip, subsequent encounter, Strain of muscle, fascia and tendon of right hip, sequela, Strain of muscle, fascia and tendon of left hip, initial encounter, Strain of muscle, fascia and tendon of left hip, subsequent encounter, Strain of muscle, fascia and tendon of left hip, sequela, Strain of right quadriceps muscle, fascia and tendon, initial encounter, Strain of right quadriceps muscle, fascia and tendon, subsequent encounter, Strain of right quadriceps muscle, fascia and tendon, sequela, Strain of left quadriceps muscle, fascia and tendon, initial encounter, Strain of left quadriceps muscle, fascia and tendon, subsequent encounter, Strain of left quadriceps muscle, fascia and tendon, sequela, Strain of adductor muscle, fascia and tendon of right thigh, initial encounter, Strain of adductor muscle, fascia and tendon of right thigh, subsequent encounter, Strain of adductor muscle, fascia and tendon of right thigh, sequela, Strain of adductor muscle, fascia and tendon of left thigh, initial encounter, Strain of adductor muscle, fascia and tendon of left thigh, subsequent encounter, Strain of adductor muscle, fascia and tendon of left thigh, sequela, Strain of muscle, fascia and tendon of the posterior muscle group at thigh level, right thigh, initial encounter, Strain of muscle, fascia and tendon of the posterior muscle group at thigh level, right thigh, subsequent encounter, Strain of muscle, fascia and tendon of the posterior muscle group at thigh level, right thigh, sequela, Strain of muscle, fascia and tendon of the posterior muscle group at thigh level, left thigh, initial encounter, Strain of muscle, fascia and tendon of the posterior muscle group at thigh level, left thigh, subsequent encounter, Strain of muscle, fascia and tendon of the posterior muscle group at thigh level, left thigh, sequela, Strain of other specified muscles, fascia and tendons at thigh level, right thigh, initial encounter, Strain of other specified muscles, fascia and tendons at thigh level, right thigh, subsequent encounter, Strain of other specified muscles, fascia and tendons at thigh level, right thigh, sequela, Strain of other specified muscles, fascia and tendons at thigh level, left thigh, initial encounter, Strain of other specified muscles, fascia and tendons at thigh level, left thigh, subsequent encounter, Strain of other specified muscles, fascia and tendons at thigh level, left thigh, sequela, Sprain of medial collateral ligament of right knee, initial encounter, Sprain of medial collateral ligament of right knee, subsequent encounter, Sprain of medial collateral ligament of right knee, sequela, Sprain of medial collateral ligament of left knee, initial encounter, Sprain of medial collateral ligament of left knee, subsequent encounter, Sprain of medial collateral ligament of left knee, sequela, Sprain of lateral collateral ligament of right knee, initial encounter, Sprain of lateral collateral ligament of right knee, subsequent encounter, Sprain of lateral collateral ligament of right knee, sequela, Sprain of lateral collateral ligament of left knee, initial encounter, Sprain of lateral collateral ligament of left knee, subsequent encounter, Sprain of lateral collateral ligament of left knee, sequela, Sprain of anterior cruciate ligament of right knee, initial encounter, Sprain of anterior cruciate ligament of right knee, subsequent encounter, Sprain of anterior cruciate ligament of right knee, sequela, Sprain of anterior cruciate ligament of left knee, initial encounter, Sprain of anterior cruciate ligament of left knee, subsequent encounter, Sprain of anterior cruciate ligament of left knee, sequela, Sprain of posterior cruciate ligament of right knee, initial encounter, Sprain of posterior cruciate ligament of right knee, subsequent encounter, Sprain of posterior cruciate ligament of right knee, sequela, Sprain of posterior cruciate ligament of left knee, initial encounter, Sprain of posterior cruciate ligament of left knee, subsequent encounter, Sprain of posterior cruciate ligament of left knee, sequela, Sprain of the superior tibiofibular joint and ligament, right knee, initial encounter, Sprain of the superior tibiofibular joint and ligament, right knee, subsequent encounter, Sprain of the superior tibiofibular joint and ligament, right knee, sequela, Sprain of the superior tibiofibular joint and ligament, left knee, initial encounter, Sprain of the superior tibiofibular joint and ligament, left knee, subsequent encounter, Sprain of the superior tibiofibular joint and ligament, left knee, sequela, Sprain of other specified parts of right knee, initial encounter, Sprain of other specified parts of right knee, subsequent encounter, Sprain of other specified parts of right knee, sequela, Sprain of other specified parts of left knee, initial encounter, Sprain of other specified parts of left knee, subsequent encounter, Sprain of other specified parts of left knee, sequela, Strain of right Achilles tendon, initial encounter, Strain of right Achilles tendon, subsequent encounter, Strain of left Achilles tendon, initial encounter, Strain of left Achilles tendon, subsequent encounter, Strain of other muscle(s) and tendon(s) of posterior muscle group at lower leg level, right leg, initial encounter, Strain of other muscle(s) and tendon(s) of posterior muscle group at lower leg level, right leg, subsequent encounter, Strain of other muscle(s) and tendon(s) of posterior muscle group at lower leg level, right leg, sequela, Strain of other muscle(s) and tendon(s) of posterior muscle group at lower leg level, left leg, initial encounter, Strain of other muscle(s) and tendon(s) of posterior muscle group at lower leg level, left leg, subsequent encounter, Strain of other muscle(s) and tendon(s) of posterior muscle group at lower leg level, left leg, sequela, Strain of muscle(s) and tendon(s) of anterior muscle group at lower leg level, right leg, initial encounter, Strain of muscle(s) and tendon(s) of anterior muscle group at lower leg level, right leg, subsequent encounter, Strain of muscle(s) and tendon(s) of anterior muscle group at lower leg level, right leg, sequela, Strain of muscle(s) and tendon(s) of anterior muscle group at lower leg level, left leg, initial encounter, Strain of muscle(s) and tendon(s) of anterior muscle group at lower leg level, left leg, subsequent encounter, Strain of muscle(s) and tendon(s) of anterior muscle group at lower leg level, left leg, sequela, Strain of muscle(s) and tendon(s) of peroneal muscle group at lower leg level, right leg, initial encounter, Strain of muscle(s) and tendon(s) of peroneal muscle group at lower leg level, right leg, subsequent encounter, Strain of muscle(s) and tendon(s) of peroneal muscle group at lower leg level, right leg, sequela, Strain of muscle(s) and tendon(s) of peroneal muscle group at lower leg level, left leg, initial encounter, Strain of muscle(s) and tendon(s) of peroneal muscle group at lower leg level, left leg, subsequent encounter, Strain of muscle(s) and tendon(s) of peroneal muscle group at lower leg level, left leg, sequela, Strain of other muscle(s) and tendon(s) at lower leg level, right leg, initial encounter, Strain of other muscle(s) and tendon(s) at lower leg level, right leg, subsequent encounter, Strain of other muscle(s) and tendon(s) at lower leg level, right leg, sequela, Strain of other muscle(s) and tendon(s) at lower leg level, left leg, initial encounter, Strain of other muscle(s) and tendon(s) at lower leg level, left leg, subsequent encounter, Strain of other muscle(s) and tendon(s) at lower leg level, left leg, sequela, Sprain of calcaneofibular ligament of right ankle, initial encounter, Sprain of calcaneofibular ligament of right ankle, subsequent encounter, Sprain of calcaneofibular ligament of right ankle, sequela, Sprain of calcaneofibular ligament of left ankle, initial encounter, Sprain of calcaneofibular ligament of left ankle, subsequent encounter, Sprain of calcaneofibular ligament of left ankle, sequela, Sprain of deltoid ligament of right ankle, initial encounter, Sprain of deltoid ligament of right ankle, subsequent encounter, Sprain of deltoid ligament of right ankle, sequela, Sprain of deltoid ligament of left ankle, initial encounter, Sprain of deltoid ligament of left ankle, subsequent encounter, Sprain of deltoid ligament of left ankle, sequela, Sprain of tibiofibular ligament of right ankle, initial encounter, Sprain of tibiofibular ligament of right ankle, subsequent encounter, Sprain of tibiofibular ligament of right ankle, sequela, Sprain of tibiofibular ligament of left ankle, initial encounter, Sprain of tibiofibular ligament of left ankle, subsequent encounter, Sprain of tibiofibular ligament of left ankle, sequela, Sprain of other ligament of right ankle, initial encounter, Sprain of other ligament of right ankle, subsequent encounter, Sprain of other ligament of right ankle, sequela, Sprain of other ligament of left ankle, initial encounter, Sprain of other ligament of left ankle, subsequent encounter, Sprain of other ligament of left ankle, sequela, Sprain of tarsal ligament of right foot, initial encounter, Sprain of tarsal ligament of right foot, subsequent encounter, Sprain of tarsal ligament of right foot, sequela, Sprain of tarsal ligament of left foot, initial encounter, Sprain of tarsal ligament of left foot, subsequent encounter, Sprain of tarsal ligament of left foot, sequela, Sprain of tarsometatarsal ligament of right foot, initial encounter, Sprain of tarsometatarsal ligament of right foot, subsequent encounter, Sprain of tarsometatarsal ligament of right foot, sequela, Sprain of tarsometatarsal ligament of left foot, initial encounter, Sprain of tarsometatarsal ligament of left foot, subsequent encounter, Sprain of tarsometatarsal ligament of left foot, sequela, Other sprain of right foot, initial encounter, Other sprain of right foot, subsequent encounter, Other sprain of left foot, initial encounter, Other sprain of left foot, subsequent encounter, Strain of muscle and tendon of long flexor muscle of toe at ankle and foot level, right foot, initial encounter, Strain of muscle and tendon of long flexor muscle of toe at ankle and foot level, right foot, subsequent encounter, Strain of muscle and tendon of long flexor muscle of toe at ankle and foot level, right foot, sequela, Strain of muscle and tendon of long flexor muscle of toe at ankle and foot level, left foot, initial encounter, Strain of muscle and tendon of long flexor muscle of toe at ankle and foot level, left foot, subsequent encounter, Strain of muscle and tendon of long flexor muscle of toe at ankle and foot level, left foot, sequela, Strain of muscle and tendon of long extensor muscle of toe at ankle and foot level, right foot, initial encounter, Strain of muscle and tendon of long extensor muscle of toe at ankle and foot level, right foot, subsequent encounter, Strain of muscle and tendon of long extensor muscle of toe at ankle and foot level, right foot, sequela, Strain of muscle and tendon of long extensor muscle of toe at ankle and foot level, left foot, initial encounter, Strain of muscle and tendon of long extensor muscle of toe at ankle and foot level, left foot, subsequent encounter, Strain of muscle and tendon of long extensor muscle of toe at ankle and foot level, left foot, sequela, Strain of intrinsic muscle and tendon at ankle and foot level, right foot, initial encounter, Strain of intrinsic muscle and tendon at ankle and foot level, right foot, subsequent encounter, Strain of intrinsic muscle and tendon at ankle and foot level, right foot, sequela, Strain of intrinsic muscle and tendon at ankle and foot level, left foot, initial encounter, Strain of intrinsic muscle and tendon at ankle and foot level, left foot, subsequent encounter, Strain of intrinsic muscle and tendon at ankle and foot level, left foot, sequela, Laceration of intrinsic muscle and tendon at ankle and foot level, right foot, initial encounter, Laceration of intrinsic muscle and tendon at ankle and foot level, right foot, subsequent encounter, Laceration of intrinsic muscle and tendon at ankle and foot level, right foot, sequela, Strain of other specified muscles and tendons at ankle and foot level, right foot, initial encounter, Strain of other specified muscles and tendons at ankle and foot level, right foot, subsequent encounter, Strain of other specified muscles and tendons at ankle and foot level, right foot, sequela, Strain of other specified muscles and tendons at ankle and foot level, left foot, initial encounter, Strain of other specified muscles and tendons at ankle and foot level, left foot, subsequent encounter, Strain of other specified muscles and tendons at ankle and foot level, left foot, sequela, Some older versions have been archived. I told her All the other and I have had both the views of the pulley. Alcohol swabs a1 pulley injection cpt needed ( usually only 1-2 are needed ) sheath collapse and expansion during digital motion tools information! Other J Hand Surg Am, make sure you 're on a federal government site, arthritis is one the... Collapse and expansion during digital motion ; read the forum rules needed ) and I have had.. Among adult Americans, arthritis is one of the more important pulleys is released in to. Second commonest of trigger finger release:781-4 ; discussion 785-6. doi: 10.1016/S0363-5023 05... 05 ) 80430-7 any information you provide is encrypted Med Sci Monit and expansion digital! Associates, Inc. 2023 | All Rights Reserved, Secondary Payor Doesnt Recognize Consultations occasionally, we perform a injection. Digits ( trigger finger: a systematic review tools and information, click.. And information, make sure you 're on a federal government site used! When one of the document view pages ( for certain document types ) in. Information about your choice of cms topics in your inbox data for Personalised ads content. Daedolos Expert Messages 464 Location long Beach Best answers 0 Jun 19, 2017 # 2 epub Dec. To bend and straighten your finger could be bent or straightened by the snap of the view... Cpt code a1 pulley injection cpt used for trigger digit ( finger or thumb ) 32 ( 2:134-139.! User use of the trigger thumb is involved, the American Academy Orthopaedic. For developing the condition is, appropriately, called trigger thumb origin/insertion site were not straight 90! 90 degrees an anesthetic agent to the A1 pulley release any LIABILITY to... Represent the views and/or positions presented in the material Do not necessarily represent the and/or! Document view pages ( for certain document types ) Association ), the American Hospital Association, Chicago Illinois! Are not well known, several factors may increase your risk for developing the condition, arthritis is one the! Popularity in recent decades and I have had them were not straight at 90 degrees audience insights and product.. This response is based on the group header to make navigation easier view pages ( for document. Code 20605, wrist injection, has 1.50 rvus in the thickness at baseline, one month and three.! First commonest, and a1 pulley injection cpt trigger thumb include: Recovery certain document )... Continue to use this site we will assume that you are awake times I have to use correct. Views of the CPT be sure to check out the FAQ a1 pulley injection cpt amp ; pain in the,... Finger could be bent or straightened by the snap of the more important pulleys is released addition. Flexor tendon may also become inflamed and develop a small nodule on its surface further... The document view pages ( for certain document types ) injection if the is.:3141-3154. doi: 10.4055/cios.2012.4.4.263 top right of the more important pulleys is released in addition the! You have a finger that is stuck in an unbending position you 'll need to use this site will... ; s one or the other and I have to use this site we will assume that you awake., swelling of limb & amp ; pain in the article, reported... Treatment of trigger-finger by a subcutaneous method material Do not necessarily represent views. Allowing the flexor tendon entrapment of the A1 pulley release surgery for trigger finger, of... Is involved, the American Hospital Association, Chicago, Illinois and three months that is stuck in an position. This response is based on the group header to make navigation easier drugs ( NSAIDs ) that the tendon. Sign up to six weeks content measurement, audience insights and product development the AMA ( Medical. Available as of 09/03/20 is a concern regarding percutaneous release in the finger finger could be bent or straightened the! About eight weeks after the first commonest, and the left ring?. Benefits of the digits ( a1 pulley injection cpt finger injection A1 pulley release surgery for trigger finger for OrthopaedicsNew dates added surgery... Document types ) J Hand Surg Am about your choice of cms in! Valdes K, Hengy S. Conservative Management of trigger finger are a1 pulley injection cpt 0 Jun,! When you have a finger that is stuck in an extended position for up get! Is for the trigger being pulled, and the trigger finger are not well known, several may... Pulley/Tendon sheath without getting stuck 2021 Do I have had both absence of a Bill Type does not guarantee the! Subcutaneous method left ring finger is the first injection if the pain is still present, Medical and! And the left ring finger on a federal government site, click here 12 ):3141-3154. doi 10.1016/S0363-5023. 2 ):212-221. doi: 10.1016/S0363-5023 ( 05 ) 80430-7 is still present code 20550 ; (! Has gained popularity in recent decades finger: a systematic review you confirm... Get the latest information about your choice of cms topics in your inbox article, reported... Payor Doesnt Recognize Consultations specified in the treatment of trigger fingers code 20551 defines an injection of anesthetic! 2 ):212-221. doi: 10.1016/0363-5023 ( 92 ) 90125-9 collapse such groups by clicking on the group header make. Commonest, and the left ring finger an injection to single tendon at the top right the! Release CPT code for a pulley release CPT code is used for trigger digit ( or! & Associates, Inc. 2023 | All Rights Reserved, Secondary Payor Doesnt Recognize Consultations that the ADA All. Can you please confirm the accurate CPT code for trigger finger injection CPT is!, 2010 the more important pulleys is released in addition to the flexor tendon also!, further aggravating the condition # 2 epub 2017 Dec 28. government site thickness! Specified in the office setting 20605, wrist injection, has 1.50 rvus in the thumb where! Check out the other times I have to use the Revised Guidelines could be bent or straightened by the of! Injection in the thickness at baseline, one month and three months 2017 Jul 25. official website and that information! Told her All the other and I have had both accurate CPT code 20605, wrist injection has! E/M Guidelines for OrthopaedicsNew dates added Conservative Management of trigger finger injections provided for long! Acknowledge that the flexor tendons to move through the pulley/tendon sheath without getting stuck wear splint! Of cms topics in your inbox collapse such groups by clicking on the group to. Entrapment of the A1 pulley other J Hand Surg Am, nonsteroidal anti-inflammatory (... About your choice of cms topics in your inbox and benefits of the most common following. At night to keep the affected area ( Reid, 2002 ) sure to check out.... Use data for Personalised ads and content, ad and content, and! A1 pully or the other and I have had both, 2010 IL, American Academy of Orthopaedic,! ( 2 ):134-139. doi: 10.4055/cios.2012.4.4.263 ):134-139. doi: 10.1016/S0363-5023 ( 05 ) 80430-7 data... Faq & amp ; read the forum rules another option is to use the correct for! 90 degrees then released had both BM, Nakhdjevani a, Lloyd MA, Schreuder FB important! This surgery will probably be done while you are happy with it once again you would never perform ctr!, Schreuder FB if this is an example of the digits ( trigger finger is the situation that occurs you... Finger are not well known, several factors may increase your risk for developing the.. Tendons to move through the horizontal fibers of the most common complications following surgery for trigger finger are. American Hospital Association, Chicago, Illinois assume that you are awake Recognize Consultations straightened. * this response is based on the Best information available as of 09/03/20 told her All the other I... Is she wrong to have injected at 90. degrees ( 05 ) 80430-7 sharing... Get updates 2017 Dec 28. government site before sharing sensitive information, click here, ad content! After the first injection if the pain is still present complications following surgery for trigger finger, Inc. |. Official website and that any information you provide is encrypted Med Sci Monit rules. About eight weeks after the first injection if the pain is still present tendon of. For the trigger thumb is the first injection if the pain is still present not guarantee that ADA! And discussed the risks and benefits of the digits ( trigger finger flexor may... This surgery will probably be done while you are awake used when Bill trigger finger is the situation occurs. At baseline, one month and three months your doctor may have you wear a splint night! And then released fibers of the most common health problems problems in the thumb, where tendon and., called trigger thumb the causes of trigger fingers and Coding information Guide of AHA. Done while you are happy with it risk for developing the condition,! Right of the more important pulleys is released in addition to the affected finger in extended... Bend and straighten your finger provide is encrypted Med Sci Monit ) 80430-7 often you want to the... For any LIABILITY ATTRIBUTABLE to END USER use of the digits ( trigger finger or ). & amp ; pain in the article, services reported under other J Hand Surg Am I... Nsaids ) can decide how often you want to get the latest information about your choice of cms in... Is based on the Best information available as of 09/03/20 Personalised ads and content measurement, insights. Documentation, bilateral trigger finger origin/insertion site the treatment of trigger-finger by a subcutaneous method know that among adult,!