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ICD 10 Common Hand Surgery Diagnosis Codes PDF
ICD 10 Common Hand Surgery Diagnosis Codes PDF
This is a list of common codes for diagnoses about the hand and wrist. This is not an exhaustive list of all upper extremity codes.
FORMAT of ICD-10:
ICD-10 codes have 3-7 digits (varies per code/diagnosis)
Format is XXX.XXXX
First is letter, second is number, remainder are letter or number; not case-sensitive
Some codes require a seventh character but not a fifth or sixth, so a ‘placeholder’ “X” is used (example: T84.9xxA)
For some fractures, the seventh character list is lengthy as seen here; for other fractures the list is more concise; use the list shown with each code.
A - initial encounter for closed fracture
B - initial encounter for open fracture type I or II
C - initial encounter for open fracture type IIIA, IIIB, or IIIC
D - subsequent encounter for closed fracture with routine healing
E - subsequent encounter for open fracture type I or II with routine healing
F - subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
G - subsequent encounter for closed fracture with delayed healing
H - subsequent encounter for open fracture type I or II with delayed healing
J - subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
K - subsequent encounter for closed fracture with nonunion
M - subsequent encounter for open fracture type I or II with nonunion
N - subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
P - subsequent encounter for closed fracture with malunion
Q - subsequent encounter for open fracture type I or II with malunion
R - subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
S - sequela
for torus: Initial fracture encounter (A=closed); Subsequent encounters: D=Routine Healing, G=Delayed Healing, K=Nonunion, P=Malunion; S=Sequela
S59.2_ _ _ Physeal fracture of lower end of radius
FIFTH CHARACTER 0=unspecified, 1=Salter-Harris I, 2=S-H II, 3=S-H III, 4=S-H IV, 9=other
SIXTH CHARACTER 1=right, 2=left, 9=unspecified
SEVENTH CHARACTER A=Initial fracture encounter; Subsequent encounters: D=Routine Healing, G=Delayed Healing, K=Nonunion, P=Malunion; S=Sequela
S52.6_ _ _ Fracture of lower end of ulna
FIFTH CHARACTER 0=unspecified, 1=ulnar styloid, 2=torus, 9=other
SIXTH CHARACTER 1=right, 2=left, 9=unspecified; FOR ULNAR STYLOID: 1=displaced right, 2=displaced left, 3=displaced unspecified, 4=nondisplaced right, 5=nondisplaced left, 6=nondisplaced unspecified
SEVENTH CHARACTER Initial fracture encounter (A=closed, B=open grade 1 or 2, C= open grade 3); Subsequent encounters: Routine Healing (D=closed, E=open 1 or 2, F=open 3)
Delayed Healing (G=closed, H=open 1 or 2, J=open 3), Nonunion (K=closed, M=open 1 or 2, N=open 3), Malunion (P=closed, Q=open 1 or 2, R=open 3); S=Sequela
for torus: Initial fracture encounter (A=closed); Subsequent encounters: D=Routine Healing, G=Delayed Healing, K=Nonunion, P=Malunion; S=Sequela
813.05 S52.12_ _ Fracture of head of radius
SIXTH CHARACTER 1=displaced right, 2=displaced left, 3=displaced unspecified, 4=nondisplaced right, 5=nondisplaced left, 6=nondisplaced unspecified
Radial Head/Neck
SEVENTH CHARACTER Initial fracture encounter (A=closed, B=open grade 1 or 2, C= open grade 3); Subsequent encounters: Routine Healing (D=closed, E=open 1 or 2, F=open 3)
Fractures
Delayed Healing (G=closed, H=open 1 or 2, J=open 3), Nonunion (K=closed, M=open 1 or 2, N=open 3), Malunion (P=closed, Q=open 1 or 2, R=open 3); S=Sequela
S52.13_ _ Fracture of neck of radius
SIXTH CHARACTER 1=displaced right, 2=displaced left, 3=displaced unspecified, 4=nondisplaced right, 5=nondisplaced left, 6=nondisplaced unspecified
SEVENTH CHARACTER Initial fracture encounter (A=closed, B=open grade 1 or 2, C= open grade 3); Subsequent encounters: Routine Healing (D=closed, E=open 1 or 2, F=open 3)
Delayed Healing (G=closed, H=open 1 or 2, J=open 3), Nonunion (K=closed, M=open 1 or 2, N=open 3), Malunion (P=closed, Q=open 1 or 2, R=open 3); S=Sequela
814.01 S62.00_ _ Unspecified fracture of navicular [scaphoid] bone of wrist
Scaphoid Fractures
SIXTH CHARACTER 1=displaced right, 2=displaced left, 3=displaced unspecified side, 4=nondisplaced right, 5=nondisplaced left, 6=nondisplaced unspecified side
SEVENTH CHARACTER Initial fracture encounter (A=closed, B=open); Subsequent encounters: D=Routine Healing, G=Delayed Healing, K=Nonunion, P=Malunion; S=Sequela
S62.60_ _ Fracture of unspecified phalanx of finger
SIXTH CHARACTER 0=R2, 1=L2, 2=R3, 3=L3, 4=R4, 5=L4, 6=R5, 7=L5, 8=OTHER, 9=UNSPECIFIED
SEVENTH CHARACTER Initial fracture encounter (A=closed, B=open); Subsequent encounters: D=Routine Healing, G=Delayed Healing, K=Nonunion, P=Malunion; S=Sequela
S62.6_ _ _ Fracture of specific phalanx of finger
FIFTH CHARACTER 1=displaced proximal phalanx, 2=displaced middle phalanx, 3=displaced distal phalanx, 4=nondisplaced proximal phalanx, 5=nondisplaced middle phalanx, 6=nondisplaced distal phalanx
SIXTH CHARACTER 0=R2, 1=L2, 2=R3, 3=L3, 4=R4, 5=L4, 6=R5, 7=L5, 8=OTHER, 9=UNSPECIFIED
SEVENTH CHARACTER Initial fracture encounter (A=closed, B=open); Subsequent encounters: D=Routine Healing, G=Delayed Healing, K=Nonunion, P=Malunion; S=Sequela
SIXTH CHARACTER 0=R2, 1=L2, 2=R3, 3=L3, 4=R4, 5=L4, 6=R5, 7=L5, 8=OTHER, 9=UNSPECIFIED
SEVENTH CHARACTER A=initial encounter, D=subsequent encounter, S=sequela
Sprains of Digits
S63.4_ _ _ Traumatic rupture of ligament of finger at metacarpophalangeal and interphalangeal joint(s) (MP or IP is not specified)
FIFTH CHARACTER 0=unspecified ligament, 1=collateral ligament, 2=palmar ligament, 3=volar plate, 9=other ligament
SIXTH CHARACTER 0=R2, 1=L2, 2=R3, 3=L3, 4=R4, 5=L4, 6=R5, 7=L5, 8=OTHER, 9=UNSPECIFIED
SEVENTH CHARACTER A=initial encounter, D=subsequent encounter, S=sequela
842.1 S63.6_ _ _ Other and unspecified sprain of thumb/finger(s)
FIFTH CHARACTER THUMB: 0=unspecified, 2=IP, 4=MP, 8=other; FINGER: 1=unspecified, 3=IP, 5=MP, 9=other
SIXTH CHARACTER THUMB: 1=R1, 2=L1, 9=unspecified; FINGER: 0=R2, 1=L2, 2=R3, 3=L3, 4=R4, 5=L4, 6=R5, 7=L5, 8=OTHER, 9=UNSPECIFIED
SEVENTH CHARACTER A=initial encounter, D=subsequent encounter, S=sequela
718 M24._ _ _ Other specific joint derangements of elbow, wrist, hand
FOURTH CHARACTER 0=loose body, 1=other articular cartilage disorders, 2=disorder of ligament, 3=pathologic dislocation, 4=recurrent dislocation, 5=contracture, 6=ankylosis, 8=other
Joint Derangement
FIFTH CHARACTER 0=unspecified, 1=DRUJ, 2=radiocarpal, 3=midcarpal, 4=thumb CMC, 5=other CMC, 6=proximal metacarpal, 7=distal ulna, 9=other
Dislocation
SIXTH CHARACTER Subluxation: 1=right, 2=left, 3=unspecified; Dislocation: 4=right, 5=left, 6=unspecified
Masses
215.2 D21.1_ Benign neoplasm of connective and other soft tissue of upper limb
Masses
727.42 FIFTH CHARACTER 0=unspecified site, 2=elbow, 3=wrist, 4=hand, 8=other site, 9=multiple sites
SIXTH CHARACTER ONLY IF FIFTH CHARACTER IS 2, 3, or 4, must use SIXTH CHARACTER: 1=right, 2=left, 9=unspecified
FOURTH CHARACTER 0=bilateral primary, 1=unilateral primary, 2=bilateral post-traumatic, 3=unilateral post-traumatic, 4=other bilateral secondary, 5=other unilateral secondary, 9=unspecified
FIFTH CHARACTER use only for unilateral FOURTH character: 0=unspecified, 1=right, 2=left
715.14 M19.0_ _ _ Primary osteoarthritis, elbow, wrist, hand
Osteoarthritis
SIXTH CHARACTER ONLY IF FIFTH CHARACTER IS 1, 2, 3 or 4, must use SIXTH CHARACTER: 1=right, 2=left, 9=unspecified
M05.9 Rheumatoid arthritis with rheumatoid factor, unspecified
(no additional characters)
M06.0_ _ Rheumatoid arthritis without rheumatoid factor
FIFTH CHARACTER 0=unspecified site, 9= multiple sites, 1=shoulder, 2=elbow, 3=wrist, 4=hand.
SIXTH CHARACTER ONLY IF FIFTH CHARACTER IS 1,2,3 or 4, must use SIXTH CHARACTER: 1=right, 2=left, 9=unspecified
M06.2_ _ Rheumatoid bursitis
FIFTH CHARACTER 0=unspecified site, 9= multiple sites, 1=shoulder, 2=elbow, 3=wrist, 4=hand.
SIXTH CHARACTER ONLY IF FIFTH CHARACTER IS 1, 2, 3 or 4, must use SIXTH CHARACTER: 1=right, 2=left, 9=unspecified
M06.3_ _ Rheumatoid nodule
FIFTH CHARACTER 0=unspecified site, 9= multiple sites, 1=shoulder, 2=elbow, 3=wrist, 4=hand.
SIXTH CHARACTER ONLY IF FIFTH CHARACTER IS 1, 2, 3 or 4, must use SIXTH CHARACTER: 1=right, 2=left, 9=unspecified
M06.80_ _ Other specified rheumatoid arthritis
FIFTH CHARACTER 0=unspecified site, 9= multiple sites, 1=shoulder, 2=elbow, 3=wrist, 4=hand.
SIXTH CHARACTER ONLY IF FIFTH CHARACTER IS 1, 2, 3 or 4, must use SIXTH CHARACTER: 1=right, 2=left, 9=unspecified
M06.9 Rheumatoid arthritis, unspecified
(no additional characters)
FOURTH CHARACTER 0=thumb flexor, 1=finger flexor, 2=thumb extensor, 3=finger extensor, 4=thumb intrinsic, 5=finger intrinsic, 8=other, 9=unspecified
FIFTH CHARACTER 0=unspecified, 1=strain, 2=laceration, 9=other
SIXTH CHARACTER THUMB: 1=R1, 2=L1, 9=unspecified; FINGER: 0=R2, 1=L2, 2=R3, 3=L3, 4=R4, 5=L4, 6=R5, 7=L5, 8=OTHER, 9=UNSPECIFIED
SEVENTH CHARACTER A=initial encounter, D=subsequent encounter, S=sequela
923 S60._ _ _ _ Contusion of wrist, hand and fingers
Contusion
FOURTH CHARACTER 0=finger without nail damage, 1=finger with nail damage, 2=wrist/hand
FIFTH CHARACTER FINGERS: 0=unspecified, 1=thumb, 2=index, 3=middle, 4=ring, 5=small; WRIST/HAND: 1=wrist, 2=hand
SIXTH CHARACTER 1=right, 2=left, 9=unspecified
SEVENTH CHARACTER A=initial encounter, D=subsequent encounter, S=sequela
S60._ _ _ _ Abrasion/Foreign Body/Bite of wrist, hand and fingers
FOURTH CHARACTER 3=thumb, 4=fingers, 5=hand
Injury
FIFTH CHARACTER 1=abrasion, 2=blister, 5=foreign body, 6=nonvenomous insect bite, 7=other bite
SIXTH CHARACTER THUMB or HAND: 1=right, 2=left, 9=unspecified; FINGER: 0=R2, 1=L2, 2=R3, 3=L3, 4=R4, 5=L4, 6=R5, 7=L5, 8=OTHER, 9=UNSPECIFIED
SEVENTH CHARACTER A=initial encounter, D=subsequent encounter, S=sequela
927.3 S67._ _ _ _ Crushing injury of wrist, hand and fingers
FOURTH CHARACTER 0=thumb, 1=fingers, 2=hand, 3=wrist, 4=wrist & hand, 9=unspecified
Crush
FIFTH CHARACTER FINGERS: 0=unspecified, 9=specific finger clarified with Sixth Character; THUMB, WRIST, HAND: 0=unspecified, 1=right, 2=left
SIXTH CHARACTER FINGERS: 0=R2, 1=L2, 2=R3, 3=L3, 4=R4, 5=L4, 6=R5, 7=L5, 8=other; THUMB, WRIST, HAND: no Sixth Character used
SEVENTH CHARACTER A=initial encounter, D=subsequent encounter, S=sequela
882/883 S61._ _ _ _ Open wound of wrist, hand and fingers
FOURTH CHARACTER 0=thumb, no nail; 1=thumb with nail; 2=finger, no nail; 3=finger with nail; 4=hand; 5=wrist
Wounds
FIFTH CHARACTER 0=unspecified, 1=laceration without FB, 2=laceration with FB, 3=puncture without FB, 4=puncture with FB, 5=bite
SIXTH CHARACTER FINGERS: 0=R2, 1=L2, 2=R3, 3=L3, 4=R4, 5=L4, 6=R5, 7=L5, 8=other, 9=unspecified; THUMB, WRIST, HAND: 1=right, 2=left, 9=unspecified
SEVENTH CHARACTER A=initial encounter, D=subsequent encounter, S=sequela
886 S68._ _ _ _ Traumatic amputation
Amputation
FOURTH CHARACTER 0=thumb MP, 1=finger MP, 4=wrist, 5=thumb transphalangeal, 6=finger transphalangeal 7=hand transmetacarpal
FIFTH CHARACTER 1=complete, 2=partial
SIXTH CHARACTER FINGERS: 0=R2, 1=L2, 2=R3, 3=L3, 4=R4, 5=L4, 6=R5, 7=L5, 8=other, 9=unspecified; THUMB, WRIST, HAND: 1=right, 2=left, 9=unspecified
SEVENTH CHARACTER A=initial encounter, D=subsequent encounter, S=sequela
727.63 M66.2_ _ Spontaneous rupture of extensor tendons
Tendon Rupture
Spontaneous
FIFTH CHARACTER 0=unspecified site, 1=shoulder, 2=upper arm, 3=forearm, 4=hand, 8=other, 9=multiple sites
Adhesions
SIXTH CHARACTER FOR SHOULDER, ARM, FOREARM, HAND: 1=right, 2=left, 9=unspecified
Pediatrics
733.91 M89.13_ Physeal arrest, forearm
Physeal
Arrest
SIXTH CHARACTER 1= complete right distal radius, 2=complete left distal radius, 3=partial right distal radius, 4=partial left distal radius, 8=other, 9=unspecified
755.01 Q69._ Polydactyly
FOURTH CHARACTER 0=accessory finger(s), 1=accessory thumb(s), 9=unspecified
755.11 Q70._ _ Syndactyly
755.12 FOURTH CHARACTER 0=complex, 1=simple, 4=polysyndactyly unspecified, 9=symphalangy
FIFTH CHARACTER 0=unspecified, 1=right, 2=left, 3=bilateral; (Fifth character only used with Fourth character is 0 or 1)
755.53 Q74.0 Other congenital malformations of upper limb(s), including shoulder girdle
755.54
755.56 (no additional character needed, includes Accessory carpal bones, Macrodactyly (fingers), Madelung’s deformity, Radioulnar synostosis, Triphalangeal thumb)
755.57
Congenital
FIFTH CHARACTER 0=unspecified, 1=shoulder, 2=humerus, 3=radius/ulna, 4=hand, 8=other site, 9=multiple sites
SIXTH CHARACTER ONLY IF FIFTH CHARACTER IS 1, 2, 3 or 4, must use SIXTH CHARACTER: 1=right, 2=left, 9=unspecified
M86.8x_ Other osteomyelitis (Brodie’s abscess) (keep x as Fifth character)
SIXTH CHARACTER 0=multiple sites, 1=shoulder, 2=upper arm, 3=forearm, 4=hand, 8=other, 9=unspecified
M86.9 Osteomyelitis, unspecified
(no additional characters)
996.78 T84.60_ Infection and inflammatory reaction due to internal fixation device of unspecified site
SEVENTH CHARACTER A=initial encounter, D=subsequent encounter, S=sequela
Implant Infection
T84.61_ Infection and inflammatory reaction due to internal fixation device of arm
SIXTH CHARACTER 0=right humerus, 1=left humerus, 2=right radius, 3=left radius, 4=right ulna, 5=left ulna, 9=unspecified bone of arm
SEVENTH CHARACTER A=initial encounter, D=subsequent encounter, S=sequela
T84.9xx_ Unspecified complication of internal orthopedic prosthetic device, implant and graft (keep xx as Fifth and Sixth characters)
SEVENTH CHARACTER A=initial encounter, D=subsequent encounter, S=sequela (no fifth or sixth character so use xx)
T81.4xx_ Infection following a procedure (keep xx as Fifth and Sixth characters)
SEVENTH CHARACTER A=initial encounter, D=subsequent encounter, S=sequela (no fifth or sixth character so use xx)
Deformity
736.1 M20.0_ _ Deformity of finger(s)
Deforrmity
736.21 FIFTH CHARACTER 0=unspecified deformity, 1=mallet, 2=boutonniere, 3=swan-neck, 9=other deformity
736.22 SIXTH CHARACTER 1=right, 2=left, 9=unspecified
FOURTH CHARACTER 0=ingrowing, 1=oncholysis, 2=onchogryphosis, 3=nail dystrophy, 4=Beau’s lines, 5=yellow nail syndrome, 8=other nail disorders, 9=unspecified
709.2 L90.5 Scar conditions and fibrosis of skin (cicatrix, fibrosis, scar) (excludes hypertrophic scar/keloid)
Scar
FIFTH CHARACTER
SIXTH CHARACTER used for specific finger (SIXTH CHARACTER used ONLY if FIFTH CHARACTER is 9): 0=R2, 1=L2, 2=R3, 3=L3, 4=R4, 5=L4, 6=R5, 7=L5, 8=OTHER
SEVENTH CHARACTER A=initial encounter, D=subsequent encounter, S=sequela
S64.8X_ _ Injury of other nerves at wrist and hand level
SIXTH CHARACTER 1=right, 2=left, 9=unspecified
SEVENTH CHARACTER A=initial encounter, D=subsequent encounter, S=sequela
Pain
719 M79.6_ _ Pain in limb, hand, fingers
FIFTH CHARACTER 0=unspecified site, 2=upper arm, 3=forearm, 4=hand/fingers
SIXTH CHARACTER For unspecified site: 1=right arm, 2=left arm, 3=unspecified arm, 9=unspecified limb
For upper arm or forearm: 1=right, 2=left, 9=unspecified
For hand/fingers: 1=right hand, 2=left hand, 3=unspecified hand, 4=right fingers, 5=left fingers, 6=unspecified fingers
Pain