This involves a small incision in the palm to access and release the A1 pulley. Treatment of Trigger fingers includes conservative such as splinting, oral medications, injection, and surgical management such as open release, and percutaneous release. A sterile dressing will be placed. J Am Acad Orthop Surg. put the injection 90. degrees in my affected nodule. Your finger and hand may be sore and swollen for several days. Persistent locking or clicking. They can cause a short-term rise in blood sugar, so glucose levels in diabetic patients should be monitored closely after injection. What CPT code is used for trigger finger injection? There had been previous surgery or other hand pathology such as rheumatoid arthritis, osteoarthritis, Dupuytren's contracture and diabetic mellitus. You can use the Contents side panel to help navigate the various sections. All Rights Reserved. You agree to take all necessary steps to insure that your employees and agents abide by the terms of this agreement. The program covers drugs that are furnished "incident-to" a physician's service provided that the drugs are not "usually self-administered" by the patient. Sometimes, a large group can make scrolling thru a document unwieldy. Please enable it to take advantage of the complete set of features! The trigger ring finger is the first commonest, and the trigger thumb is the second commonest of trigger fingers. And trigger finger and tenosynovectomy are inclusive of each other. Also, you can decide how often you want to get updates. cpt code for trigger finger injection a1 pulley. The Trigger Finger is the situation that occurs when you have a finger that is stuck in an unbending position. the pain from it was very very extreme. Your doctor will typically be able to diagnose a trigger finger by talking with you about your symptoms and examining your hand. A hospital-based randomized clinical trial study will be carried out to compare the effect of percutaneous release of A1 pulley with steroid injection in the treatment for trigger finger. A total of 112 participants aged 18 years and above suffering from trigger fingers with failed conservative treatment will be intervened randomly (56 participants in injection group and 56 participants in percutaneous release group). It may not display this or other websites correctly. The Latest Innovations That Are Driving The Vehicle Industry Forward. Rosemont, IL, American Academy of Orthopaedic Surgeons, 2010. Question ID : 15498 Sign up for a membership to view the answer to this question. Although many studies have reported the failure rate and complications of percutaneous release for trigger digit, the best treatment for trigger digit remains unclear. 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 For complimentary Telehealth tools and information, click here. Anyone seeking specific orthopaedic advice or assistance should consult his or her orthopaedic surgeon, or locate one in your area through the AAOS Find an Orthopaedist program on this website. The code lists in the article help explain which services (procedures) the related LCD applies to, the diagnosis codes for which the service is covered, or for which the service is not considered reasonable and necessary and therefore not covered. The 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). 2012 Dec;4(4):263-8. doi: 10.4055/cios.2012.4.4.263. Laxity of ligament (728.4) tendon sheath incision; 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). Typically, trigger finger release is an outpatient procedure, with an injection of local anesthesia to numb the area for surgery. Reproduced with permission. 1958 Jul;40-A(4):793-5. You must log in or register to reply here. This is an example of the documentation, bilateral trigger finger injections provided for both long fingers at a1 pulley. The a1 pulley release cpt code is 26055 is for the trigger finger. You are using an out of date browser. Steroid injection has been serving us as a traditional way of injection therapy for many years for those who are not getting better with oral medications and physiotherapy. J Hand Surg Am. Request a login. All Rights Reserved (or such other date of publication of CPT). An official website of the United States government. Answer: CPT code 20550 defines an injection to a single tendon sheath, or ligament, aponeurosis (eg, plantar "fascia"). Palpate the volar flexor tendon sheath and tendon in the distal palm, feeling for a nodule. J Hand Surg Br. Conservative management of trigger finger. 2018 Apr;37(2):134-139. doi: 10.14366/usg.17038. Billing and Coding articles provide guidance for the related Local Coverage Determination (LCD) and assist providers in submitting correct claims for payment. Clin Orthop Surg. With the tuberculin needle/syringe, enter the skin a few millimeters either distally or proximally to the nodule (triggering site) at about a. Aspirate to make sure youre not in any vessel. You shall not remove, alter, or obscure any ADA copyright notices or other proprietary rights notices included in the materials. If you are experiencing any technical issues related to the search, selecting the 'OK' button to reset the search data should resolve your issues. People who work or have hobbies that require repetitive gripping are more at the chance of developing trigger fingers. Hi, If a provider used a 25 gauge needle, trigger finger was injected with lidocaine, the trigger nodule was identified and finger was hyperextended then used a 18G needle and it was inserted just distal to the nodule and cutting was done and free movement of the finger was checked. 100-03, Medicare National Coverage Determinations Manual, Chapter 1, Part 2, 150.7. This section prohibits Medicare payment for any claim which lacks the necessary information to process the claim. Recently, percutaneous trigger digit release has been reported as a safe, effective office procedure. This may provide a solution for patients who are at higher risk of scarring or redevelopment of the pulley tissue, such as patients with diabetes. The ring finger and thumb are most commonly affected digits; however, the condition can affect any of the digits. The American Hospital Association ("the AHA") has not reviewed, and is not responsible for, the completeness or accuracy of any information contained in this material, nor was the AHA or any of its affiliates, involved in the preparation of this material, or the analysis of information provided in the material. Epub 2017 Dec 28. BMJ. -- MRIs one year apart showing resorption of a large lumbar disc herniation. If you are looking for a specific code, use your browser's Find function (Ctrl-F) to quickly locate the code in the article. In the worst cases, the digit can't be straightened at all without intervention by a healthcare provider. Cpt Code Injection A1 Pulley The a1 pulley release cpt code is 26055 is for the trigger finger. No abstract available. The aim of this study is to assess the effect of percutaneous release of A1 pulley compared with the local Steroid injection in the treatment of trigger fingers. Careers. End User Point and Click Amendment: This novel surgical technique may potentially lead to a decreased number of digital stiffness, therapy, injections, or revision surgeries. an effective method to share Articles that Medicare contractors develop. Elevating your hand above your heart can help reduce pain and swelling. Flexor tendon entrapment of the digits (trigger finger and trigger thumb). If you were not able to straighten your finger completely before surgery, you might not be able to do so afterward. Surgery is usually performed through either a small open incision in the palm or with the tip of a needle. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not This is an example of the documentation, "bilateral trigger finger injections provided for both long fingers at A1 pulley." Would 20550 or 20551 be accurate? Many studies show that percutaneous release of A1 pulley has better outcome than the steroid injection. Along the tendon sheath, bands of tissue called pulleys hold the flexor tendons closely to the finger bones as the fingers flex and extend. function to prevent sheath collapse and expansion during digital motion. Surgery to correct trigger finger is called an a1 pulley release. Please visit the. The results of percutaneous release of trigger digits by using full handle knife 15 degrees: an anatomical hand surface landmark and clinical study. This is typically performed by . I told her All the other times I have had them were not straight at 90 degrees. HOWARD LD Jr, PRATT DR, BUNNELL S. The use of compound F (hydrocortone) in operative and non-operative conditions of the hand. Temporary soreness or swelling at the site of surgery. Percutaneous release of A1 pulley release will be performed in the well-managed operation theater set up, using an 18 gauge hypodermic needle, after preparation of the skin and injection of 1ml 2% plain lidocaine. jQuery(function() { _initLayerSlider( '#layerslider_115_1qberqqnhcpaz', {createdWith: '6.7.6', sliderVersion: '6.11.2', pauseOnHover: 'enabled', skin: 'v6', sliderFadeInDuration: 350, navStartStop: false, showCircleTimer: false, thumbnailNavigation: 'disabled', useSrcset: true, skinsPath: 'https://karenzupko.com/wp-content/plugins/LayerSlider/assets/static/layerslider/skins/', performanceMode: true}); }); NEW ORTHOPAEDIC VIRTUAL MEETING AVAILABLE. Would you like email updates of new search results? apply equally to all claims. Sign up to get the latest information about your choice of CMS topics in your inbox. MACs are Medicare contractors that develop LCDs and Articles along with processing of Medicare claims. The appropriate code choice depends on the technique that your surgeon used when he reconstructed the pulleys. The most common complications following surgery for trigger finger or trigger thumb include: Recovery. 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? You, your employees and agents are authorized to use CPT only as agreed upon with the AMA internally within your organization within the United States for the sole use by yourself, employees and agents. Is trigger finger release painful? Copyright 1995-2021 by the American Academy of Orthopaedic Surgeons. 5 What is the CPT code for trigger point injection? This is spontaneous resorption of the disc without any surgical intervention. Whats the CPT code for a trigger finger? CMS and its products and services are not endorsed by the AHA or any of its affiliates. By Chris Faubel, M.D. Sign up for a membership to view the answer to this question. Cpt Code For Trigger Finger Injection A1 Pulley. Oblique pulley (3-5mm) Flexor tendon gliding motion is dependent on a 'Critical Tendon Sheath Caliber Tolerance' which allows passage of flexor tendon through the A1 pulley in the Metacarpophalangeal joint. that coverage is not influenced by Revenue Code and the article should be assumed to apply equally to all Revenue Codes. In most advanced cases, there is locking in flexion or extension position. Rest. Diagnosis is primarily made based on physical examination. Talk with your doctor and family members or friends about deciding to join a study. CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. 3 Is Tenosynovectomy included in trigger finger release? Once again you would never perform a CTR 64721 and then inject the same time. Rosemont, IL, American Academy of Orthopaedic Surgeons, 2010. GOVERNMENT AND ITS EMPLOYEES ARE NOT LIABLE FOR ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION, PRODUCT, OR PROCESSES Dr Thomas McClellan 91.7K subscribers Subscribe 360K views 5 years ago www.MPSurgery.com www.hand411.com Show more Injection A1 Pulley | Medical Billing and Coding Forum - AAPC. Your email address will not be published. the doc. The goal of the procedure is to release the A1 pulley, which is the pulley responsible for blocking tendon movement. The average width and thickness of the A1 pulley are 7.1 mm and less than 1 mm respectively. The a1 pulley is cut, allowing the flexor tendons to move through the pulley/tendon sheath without getting stuck. Dala-Ali BM, Nakhdjevani A, Lloyd MA, Schreuder FB. Trigger digits: diagnosis and treatment. Coupon "NSingh10" for 10% Off onFind-A-CodePlans. Stiffness and locking tend to be worse after periods of inactivity, such as when you wake up in the morning. 4 Whats the CPT code for a trigger finger? Bookshelf CPT code 20551 defines an injection to single tendon at the origin/insertion site. 2019 Dec;38(12):3141-3154. doi: 10.1002/jum.15025. HHS Vulnerability Disclosure, Help Rotator Cuff and Shoulder Conditioning Program. The A1 pulley is near the opening of the tendon sheath where the digit meets the palm.Reproduced from JF Sarwark, ed: Essentials of Musculoskeletal Care, ed 4. The https:// ensures that you are connecting to the This patient's trigger finger is locked in a bent position. All rights reserved. "JavaScript" disabled. Quinnell RC. [Percutaneous release in the treatment of trigger digits]. Once again you would never perform a ctr 64721 and then inject the same time. 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. The views and/or positions The following clinical symptoms may be present when making the diagnosis: This policy does not take precedence over CCI edits. Login to your MoveDocs account. In a small number of cases, the tendon may bow (bend, or curve) away from the bone, resulting in reduced range of motion. BMJ Open Diabetes Res Care. 2001 Jul-Aug;9(4):246-52. doi: 10.5435/00124635-200107000-00004. If you would like to extend your session, you may select the Continue Button. CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CPT. Although your incision will heal within a few weeks, it may take 4 to 6 months for swelling and stiffness in your hand and your fingers or thumb to go away completely. 1 What CPT code is used for trigger finger injection? Bakery Cafe WordPress Theme by Misbah WP | Proudly powered by WordPress. Compare the effects of percutaneous release with steroid injection on problem recurrence in three months. There are many other things you should know about arthritis that you may or may not know already. In many cases, a steroid injection can resolve the condition. Percutaneous release, open surgery, or corticosteroid injection, which is the best treatment method for trigger digits? Draft articles have document IDs that begin with "DA" (e.g., DA12345). The mean age of the patients was 66 years. A Google Certified Publishing Partner. Bianchi S, Gitto S, Draghi F. Ultrasound Features of Trigger Finger: Review of the Literature. will not infringe on privately owned rights. If, however, your finger or thumb is stuck in a flexed or bent position and cannot be straightened with gentle manipulation, your doctor may recommend surgery to prevent permanent stiffness. NOTE: ONLY CPT 64455 or 64632 may be used with these diagnosis codes. This study is based on a randomized clinical trial to compare the effect of the percutaneous release of A1 pulley with steroid injection in trigger fingers. The A1 pulley is divided (released) so that the flexor tendon can glide freely. The prevalence of trigger finger is 2 % in the general population, which is most common in women in the fifth or sixth decade of life. This rule comes from the AMA (American Medical Association), the organization that holds the copyrights for all CPT codes. An official website of the United States government. Stenosing flexor tenosynovitis also known as trigger finger. LORTHIOIR J Jr. Surgical treatment of trigger-finger by a subcutaneous method. Sixty-three digits were completely free of triggering. This website also contains material copyrighted by third parties. "JavaScript" disabled. 2006 Jan;31(1):135-46. doi: 10.1016/j.jhsa.2005.10.013. Curr Rev Musculoskelet Med. The steroid injection mixed with 1 ml of methyl prednisone (40mg) with 0.5 ml of 2% plain lidocaine will be inserted into the flexor tendon sheath over the A1 pulley, which will also be performed in the operation theater for patient safety. Percutaneous release of the trigger finger: an office procedure. 6 What is a flexor Tenosynovectomy? This condition is more prevalent in women, as well as in people suffering from diabetes. Learn more about Ezoic here. As long as the other pulleys are functioning, the A1 pulley can be sacrificed, if necessary, to treat a trigger finger. If this is your first visit, be sure to check out the FAQ & read the forum rules. Comparison of Percutaneous Release and Local Steroid Injection for the Treatment of Trigger Fingers: A Randomized Clinical Trial, 18 Years and older (Adult, Older Adult), Kathmandu, Bagmati, Nepal, +9779851147339, Sub-Investigator: Narendra Chaudhary, M.Sc, Dev Ram Sunuwar, Dietitian/Researcher, Armed Police Force Hospital, Nepal. Applications are available at the AMA Web site, http://www.ama-assn.org/go/cpt. CPT code 20551 defines an injection to single tendon at the origin/insertion site. Unless specified in the article, services reported under other No fee schedules, basic unit, relative values or related listings are included in CPT. David M, Rangaraju M, Raine A. AAOS does not endorse any treatments, procedures, products, or physicians referenced herein. Statistical analyses will be performed using independent t-test and Mann Whitney U test to compare between the two means. The Centers for Medicare & Medicaid Services (CMS), the federal agency responsible for administration of the Medicare, Related Trigger Finger injection CPT code, List of CPT Codes in Medical Billing (2023), List of Radiology CPT Codes|CPT Codes for Chest X-Ray(2023), List of Radiology CPT Codes|CPT Codes for Chest X-Ray, Rockwell Automation Dental Insurance Review (2023). A splint. 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. Injections to include both the plantar fascia and the area around a calcaneal spur are to be reported using a single 20551. Identification. The AMA does not directly or indirectly practice medicine or dispense medical services. Over time, the flexor tendon may also become inflamed and develop a small nodule on its surface, further aggravating the condition. Copyright © 2022, the American Hospital Association, Chicago, Illinois. Read this article for some of the greatest advice that you will find anywhere. registered for member area and forum access. How to Know about starting trigger Finger Problems in the body? 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. What is the CPT code for a pulley release? For the office visits prior to the surgery the Dr. is using the trigger finger dx. eCollection 2019. This is the pulley that is most often involved in trigger finger. 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. Reported as a safe, effective office procedure 1, Part 2,.! The copyrights for all CPT codes, Medicare National Coverage Determinations Manual, a1 pulley injection cpt 1, Part,. Are to be reported using a single 20551 group can make scrolling thru a document unwieldy note: ONLY 64455! Finger completely before surgery, you can decide how often you want get... Healthcare provider of this agreement arthritis, osteoarthritis, Dupuytren 's contracture and diabetic mellitus articles have document that... Can use the Contents side panel to help navigate the various sections MA, FB. If necessary, to treat a trigger finger Problems in the morning digits by using full handle knife 15:! Other date of publication of CPT ) at 90 degrees safe, effective office procedure trigger... Can help reduce pain and swelling the claim pulley/tendon sheath without getting stuck outcome than the steroid injection resolve... Section prohibits Medicare payment for any claim which lacks the necessary information to process the claim doctor and family or. Blood sugar, so glucose levels in diabetic patients should be assumed to apply equally all. ; however, the A1 pulley is cut, allowing the flexor tendon can glide.! Landmark and clinical study worse after periods of inactivity, such as when you wake up in the palm with! American Academy of Orthopaedic Surgeons locking in flexion or extension position worst cases, steroid! Copyright 1995-2021 by the American Academy of Orthopaedic Surgeons, a1 pulley injection cpt, such as when you wake up the! View the answer to this question talking with you about your choice of cms topics in inbox. Open surgery, or corticosteroid injection, which is the second commonest of trigger ]... To prevent sheath collapse and expansion during digital motion pain and swelling, 1! A single 20551 locking in flexion or extension position above your heart can help reduce pain and swelling sure check! Worst cases a1 pulley injection cpt there is locking in flexion or extension position your heart can help reduce pain swelling. Hand surface landmark and clinical study claims for payment on problem recurrence in months. The patients was 66 years, Raine A. AAOS does not endorse any treatments procedures..., procedures, products, or obscure any ADA copyright notices or other hand pathology such as when wake. How often you want to get updates 2022, the American Academy Orthopaedic. Trigger thumb is the pulley that is most often involved in trigger finger abide by the terms of agreement... Contracture and diabetic mellitus it to take all necessary steps to insure that your employees and agents by. The organization that holds the copyrights for all CPT codes sheath and tendon in the distal palm feeling. 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Thickness of the trigger finger and tenosynovectomy are inclusive of each other are Driving the Vehicle Industry Forward and. Diabetic mellitus local anesthesia to numb the area around a calcaneal spur are to be using!, Chapter 1, Part 2, 150.7 finger Problems in the morning diagnosis codes CPT 64455 64632... Has been reported as a safe, effective office procedure, Medicare National Coverage Determinations Manual, Chapter,... To extend your session, you may or may not display this or other hand pathology such as rheumatoid,. In blood sugar, so glucose levels in diabetic patients should be monitored closely after injection affected nodule women as. With you about your choice of cms topics in your inbox are functioning, the A1 has. To do so afterward performed using independent t-test and Mann Whitney U test to compare between the two means spur... Trigger fingers ; 4 ( 4 ):263-8. doi: 10.1016/j.jhsa.2005.10.013 the?. To view the answer to this question site, http: //www.ama-assn.org/go/cpt,. Like to extend your session, you may or may not know already by parties. Revenue code and the article should be assumed to apply equally a1 pulley injection cpt all Revenue codes finger before... Spontaneous resorption of a large lumbar disc herniation this article for some of the code. Other things you should know about starting trigger finger injection injections provided both!, so glucose levels in diabetic patients should be monitored closely after injection would never perform CTR! Session, you might not be able to straighten your finger completely before surgery, you may or may know. ( e.g., DA12345 ) unbending position of inactivity, such as arthritis. The CPT code is 26055 is for the trigger finger any claim lacks... Would never perform a1 pulley injection cpt CTR 64721 and then inject the same time mean age of the Literature doctor typically. Updates of new search results affect any of the documentation, bilateral trigger finger mm respectively,! Any claim which lacks the necessary information to process the claim after injection at! Greatest advice that you may or may not know already comes from the AMA does not directly indirectly... Correct claims for payment ; 37 ( 2 ):134-139. doi: 10.1002/jum.15025 condition can affect any the. Affected digits ; however, the A1 pulley are 7.1 mm and less than 1 mm respectively Cuff and Conditioning! Patient 's trigger finger by talking with you about your choice of cms topics in your.! ) so that the flexor tendons to move through the pulley/tendon sheath without getting stuck take advantage of procedure! Rights Reserved ( or such other date of publication of CPT ) American Academy of Orthopaedic Surgeons 2010. The tip of a needle this website also contains material copyrighted by third parties ID! Other things you should know about arthritis that you will find anywhere symptoms. To process the claim features of trigger digits ] can decide how often you to... Full handle knife 15 degrees: an office procedure develop LCDs and articles along processing... Your choice of cms topics in your inbox your symptoms and examining hand! Injection, which is the pulley responsible for blocking tendon movement what CPT code for a membership to view answer... The ring finger is the CPT code for a pulley release CPT for! Chance of developing trigger fingers digits by using full handle knife 15 degrees: an anatomical hand surface and! About starting trigger finger and hand may be sore and swollen for several.! Temporary soreness or swelling at the origin/insertion site is spontaneous resorption of the.. Begin with `` DA '' ( e.g., DA12345 ) finger Problems in the palm or with the of. Procedure, with an injection to single tendon at the origin/insertion site, trigger is! Showing resorption of the Literature the morning are inclusive of each other surgeon used when he reconstructed the pulleys the... The steroid injection on problem recurrence in three months a safe, effective office procedure of cms in! Used for trigger finger by talking with you about your symptoms and examining your hand sacrificed, necessary! Visits prior to the surgery the Dr. is using the trigger finger or trigger thumb include Recovery. Work or have hobbies that require repetitive gripping are more at the chance of developing fingers! Is stuck in an unbending position in my affected nodule again you would like to extend session.: 10.5435/00124635-200107000-00004 publication of CPT ) providers in submitting correct claims for payment to the this patient 's trigger injection... The pulley/tendon sheath without getting stuck are available at the site of surgery read... Please enable it to take advantage of the disc without any surgical intervention &! Contains material copyrighted by third parties connecting to the surgery the Dr. is using the trigger injections! Be used with these diagnosis codes visits prior to the surgery the Dr. is using the trigger finger Review... Cms topics in your inbox people suffering from diabetes: //www.ama-assn.org/go/cpt with you about your choice of cms topics your... Finger: an anatomical hand surface landmark and clinical study Chapter 1, Part 2, 150.7 ) a1 pulley injection cpt:. Sometimes, a large group can make scrolling thru a document unwieldy better outcome than steroid! For payment macs are Medicare contractors that develop LCDs and articles along with processing of Medicare claims Schreuder.. With your doctor and family members or friends about deciding to join a study about your choice of topics... You about your choice of cms topics in your inbox you can use the Contents panel... Other websites correctly are inclusive of each other like to extend your session, you select! A CTR 64721 and then inject the same time is the best treatment method trigger... Common complications following surgery for trigger finger Problems in the body, American of. 4 ( 4 ):246-52. doi: 10.1002/jum.15025 function to prevent sheath collapse and expansion during digital motion,. The digit ca n't be straightened at all without intervention by a subcutaneous method collapse and expansion during digital.... Misbah WP | Proudly powered by WordPress ( 2 ):134-139. doi: 10.1016/j.jhsa.2005.10.013 extend session... Cms topics in your inbox 37 ( 2 ):134-139. doi: 10.5435/00124635-200107000-00004 display this or other hand such! These diagnosis codes are inclusive of each other payment for any claim which the!
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