You are on page 1of 9

Common Hand Surgery Diagnosis Codes – ICD-10

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)

FORMAT OF THIS LIST:


For each ICD-10 code, use the list immediately below the code to “complete” the code (“fill in the blanks”). One must carry each code to the last character listed, unless otherwise
stated. The leftmost column lists the similar ICD-9 Code. This is not always a direct translation so read the description and use the correct code.
Abbreviations for Fingers: R=right, L=left; 1=thumb, 2=index, 3=long/middle, 4=ring, 5=small/little.
Example: Initial encounter for a grade 3 open left Colles’ fracture = S52.5 32C
S52.5_ _ _ Fracture of lower end of radius
FIFTH CHARACTER 0=unspecified, 1=radial styloid, 2=torus, 3=Colles’, 4=Smith’s, 5=Other Extraarticular, 6=Barton’s, 7=Other Intraarticular, 9=Other Fracture
SIXTH CHARACTER 1=right, 2=left, 9=unspecified; FOR RADIAL 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

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

1 | Common Hand Surgery Diagnosis Codes – ICD-10


Fractures
ICD-9 Code ICD-10 Codes
813 S52.5_ _ _ Fracture of lower end of radius
FIFTH CHARACTER 0=unspecified, 1=radial styloid, 2=torus, 3=Colles’, 4=Smith’s, 5=Other Extraarticular, 6=Barton’s, 7=Other Intraarticular, 9=Other Fracture
SIXTH CHARACTER 1=right, 2=left, 9=unspecified; FOR RADIAL 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
Distal Radius Fractures

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=right, 2=left, 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
S62.0_ _ _ Specific Fracture of navicular [scaphoid] bone of wrist
FIFTH CHARACTER 1=distal pole, 2=middle third, 3=proximal third
SIXTH CHARACTER 1=displaced right, 2=displaced left, 3=displaced unspecified side; 4=nondisplaced R, 5=nondisplaced L, 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
814 S62.10_ _ Fracture of unspecified carpal bone of wrist (not scaphoid)
Other Carpal Bone

SIXTH CHARACTER 1=right, 2=left, 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
Fractures

S62.1_ _ _ Fracture of specific carpal bone of wrist (not scaphoid)


FIFTH CHARACTER 1=triquetrum, 2=lunate, 3=capitate, 4=hamate body, 5=hamate hook, 6=pisiform, 7=trapezium, 8=trapezoid
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); Subsequent encounters: D=Routine Healing, G=Delayed Healing, K=Nonunion, P=Malunion; S=Sequela

2 | Common Hand Surgery Diagnosis Codes – ICD-10


Fractures
ICD-9 Code ICD-10 Codes
815 S62.20_ _ Unspecified fracture of first metacarpal bone
SIXTH CHARACTER 1=right, 2=left, 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
S62.21_ _ Bennett’s fracture
SIXTH CHARACTER 1=right, 2=left, 3=unspecified
SEVENTH CHARACTER Initial fracture encounter (A=closed, B=open); Subsequent encounters: D=Routine Healing, G=Delayed Healing, K=Nonunion, P=Malunion; S=Sequela
Metacarpal Fractures

S62.2_ _ _ Fracture of first metacarpal bone


FIFTH CHARACTER 2=Rolando’s, 3=base, 4=shaft, 5=neck
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
S62.29_ _ Other fracture of first metacarpal bone
SIXTH CHARACTER 1=right, 2=left, 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
S62.3_ _ _ Fracture of other and unspecified metacarpal bone
FIFTH CHARACTER 0=unspecified, 1=displaced base, 2=displaced shaft, 3=displaced neck, 4=nondisplaced base, 5=nondisplaced shaft, 6=nondisplaced neck, 9=other
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
816 S62.50_ _ Fracture of unspecified phalanx of thumb
SIXTH CHARACTER 1=right, 2=left, 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
S62.5_ _ _ Fracture of specific phalanx of thumb
FIFTH CHARACTER 1=proximal phalanx, 2=distal phalanx
Phalanx 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

3 | Common Hand Surgery Diagnosis Codes – ICD-10


Joints/Sprains
ICD-9 Code ICD-10 Codes
834 S63.2_ _ _ Subluxation and dislocation of other finger(s) (not thumb)
FIFTH CHARACTER Subluxation: 0=unspecified, 1=MPJ, 2=any IPJ, 3=PIP, 4=DIP; Dislocation: 5=unspecified, 6=MPJ, 7=any IPJ, 8=PIP, 9=DIP
Subluxations, Dislocations,

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 2=elbow, 3=wrist, 4=hand


SIXTH CHARACTER 1=right, 2=left, 9=unspecified
716.13 M12.53_ Traumatic arthropathy, wrist
SIXTH CHARACTER 1=right, 2=left, 9=unspecified
733.49 M93.1 Kienbock’s disease of adults
(no additional characters)
833 S63.0_ _ _ Subluxation and dislocation of wrist joints
Wrist Subluxation/

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

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

726.1 M75.4_ Impingement syndrome of shoulder


Impingement
Shoulder

FIFTH CHARACTER 0=unspecified, 1=right, 2=left

Masses
215.2 D21.1_ Benign neoplasm of connective and other soft tissue of upper limb
Masses

FIFTH CHARACTER 0=unspecified, 1=right. 2=left


239.2 D49.2 Neoplasm of unspecified behavior of bone, soft tissue, and skin
(no additional characters)
727.41 M67.4_ _ Ganglion (joint or tendon)
Ganglions

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

4 | Common Hand Surgery Diagnosis Codes – ICD-10


Arthritis
ICD-9 Code ICD-10 Codes
715.14 M18._ _ Osteoarthritis of first carpometacarpal joint
Thumb
CMC

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

FOURTH CHARACTER 0=primary, 1=post-traumatic


FIFTH CHARACTER 2=elbow, 3=wrist, 4=hand
SIXTH CHARACTER 1=right, 2=left, 9=unspecified
715.04 M15._ Polyosteoarthritis
FOURTH CHARACTER 0=primary generalized osteoarthritis, 1=Heberden’s nodes, 2=Bouchard’s nodes, 3=secondary multiple arthritis (post-traumatic), 4=erosive, 5=other, 9=unspecified
714.0 Rheumatoid arthritis
M05.4_ _ Rheumatoid myopathy with 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
M05.5_ _ Rheumatoid polyneuropathy with 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
M05.7_ _ Rheumatoid arthritis with rheumatoid factor without organ or systems involvement
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
M05.8_ _ Other rheumatoid arthritis with rheumatoid factor
FIFTH CHARACTER 0=unspecified site, 9= multiple sites, 1=shoulder, 2=elbow, 3=wrist, 4=hand.
Rheumatoid Arthritis

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)

5 | Common Hand Surgery Diagnosis Codes – ICD-10


Injury/Crush
ICD-9 Code ICD-10 Codes
883 S66._ _ _ _ Injury of muscle, fascia and tendon at wrist and hand level
Tendon Injury

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, 1=shoulder, 2=upper arm, 3=forearm, 4=hand


SIXTH CHARACTER 1=right, 2=left, 9=unspecified (Sixth character not used if Fifth character is 0)
727.64 M66.3_ _ Spontaneous rupture of flexor tendons
FIFTH CHARACTER 0=unspecified, 1=shoulder, 2=upper arm, 3=forearm, 4=hand
SIXTH CHARACTER 1=right, 2=left, 9=unspecified (Sixth character not used if Fifth character is 0)

6 | Common Hand Surgery Diagnosis Codes – ICD-10


Tendonitis
ICD-9 Code ICD-10 Codes
726.3 M77._ _ Epicondylitis
Epicondylitis

FOURTH CHARACTER 0=medial, 1=lateral

FIFTH CHARACTER 0=unspecified, 1=right, 2=left

727.03 M65.3_ _ Trigger finger


Trigger
Finger

FIFTH CHARACTER 0=unspecified, 1=thumb, 2=index, 3=middle, 4=ring, 5=small


SIXTH CHARACTER ONLY IF FIFTH CHARACTER IS 1, 2, 3, 4, or 5 must use SIXTH CHARACTER: 1=right, 2=left, 9=unspecified
727.04 M65.4 Radial styloid tenosynovitis [de Quervain]
deQuervain’s

(no additional characters)

727.05 M65.8_ _ Other synovitis and tenosynovitis


Synovitis, Tenosynovitis,

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

M67.8_ _ Other specified disorders of synovium and tendon (adhesions, etc.)


FIFTH CHARACTER 0=unspecified site, 1=shoulder, 2=elbow, 3=wrist, 4=hand, 8=other, 9=multiple sites
SIXTH CHARACTER FOR SHOULDER, ELBOW, WRIST, HAND: 1=synovium right, 2=synovium left, 3=tendon right, 4=tendon 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

755.59 Q74.8 Other specified congenital malformation of limb(s)


(no additional character needed, includes camptodactyly, clinodactyly, clasped thumb)
755.55 Q68.1 Congenital deformity of finger(s) and hand .vc 
(no additional character needed, includes Spade like hand (Apert’s hand))
755.21 Q71._ _ Reduction defects of upper limb
755.23 FOURTH CHARACTER 0=complete absence, 1=with hand present, 2=absence of forearm & hand, 3=absence of hand & finger, 4=longitudinal reduction defect of radius (clubhand),
755.24 5=longitudinal reduction defect of ulna, 6=lobster claw, 9=unspecified
755.25 FIFTH CHARACTER 0=unspecified, 1=right, 2=left, 3=bilateral
755.26 Q71.8_ _ Other reduction defects of upper limb
755.27
FIFTH CHARACTER 1=congenital shortening, 9=other reduction defects
755.58
SIXTH CHARACTER 1=right, 2=left, 3=bilateral, 9=unspecified

7 | Common Hand Surgery Diagnosis Codes – ICD-10


Infections
ICD-9 Code ICD-10 Codes
681.00 L02.51_ Cutaneous abscess of hand
SIXTH CHARACTER 1=right, 2=left, 9=unspecified
681.01 L03.01_ Cellulitis of finger (Felon, Paronychia)
SIXTH CHARACTER 1=right, 2=left, 9=unspecified
Abscess/Cellulitis

L03.02_ Acute lymphangitis of finger


SIXTH CHARACTER 1=right, 2=left, 9=unspecified
682.4 L03.11_ Cellulitis of other parts of limb (not fingers)
SIXTH CHARACTER 3=right, 4=left, 9=unspecified
L03.12_ Acute lymphangitis of other parts of limb (not fingers)
SIXTH CHARACTER 3=right, 4=left, 9=unspecified
711.03 M00.03_ _ Staphylococcal arthritis, wrist or hand
FIFTH CHARACTER 3=wrist, 4=hand
SIXTH CHARACTER 1=right, 2=left, 9=unspecified
730 M86._ _ _ Osteomyelitis
FOURTH CHARACTER 0=acute hematogenous 1=other acute 2=subacute 3=chronic multifocal 4=chronic multifocal with draining sinus, 5=other chronic hematogenous, 6=other chronic
Osteomyelitis

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

728.6 M72.0 Palmar fascial fibromatosis [Dupuytren]


Dupy

(no additional characters)

703.8 L60._ Nail disorders


Nails

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

L91.0 Hypertrophic scar (keloid)


(no additional characters)

8 | Common Hand Surgery Diagnosis Codes – ICD-10


Nerves
ICD-9 Code ICD-10 Codes
354.0 G56.0_ Carpal tunnel syndrome
Median
Nerve

FIFTH CHARACTER 0=unspecified, 1=right, 2=left


354.1 G56.1_ Other lesions of median nerve (pronator, etc.)
FIFTH CHARACTER 0=unspecified, 1=right, 2=left
354.2 G56.2_ Lesion of ulnar nerve
Nerve
Ulnar

FIFTH CHARACTER 0=unspecified, 1=right, 2=left

354.3 G56.3_ Lesion of radial nerve


Radial
Nerve

FIFTH CHARACTER 0=unspecified, 1=right, 2=left

955 S64._ _ _ _ Injury of nerves at wrist and hand level


FOURTH CHARACTER 0=ulnar nerve, 1=median nerve, 2=radial nerve, 3=digital nerve of thumb, 4=digital nerve of finger, 9=unspecified
0=unspecified, 1=right, 2=left, 9=specific finger (MUST use 9 if FOURTH CHARACTER is 4)
Nerve Injury

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

M25.5_ _ Pain in joint


FIFTH CHARACTER 0=unspecified joint, 1=shoulder, 2=elbow, 3=wrist (for hand or fingers use M79.6)
SIXTH CHARACTER SIXTH CHARACTER used ONLY if FIFTH CHARACTER is 1, 2, 3: 1=right, 2=left, 9=unspecified
782.0 R20._ Disturbances of skin sensation
FOURTH CHARACTER 0=anesthesia, 1=hypoesthesia, 2=paresthesia, 3=hyperesthesia, 8=other, 9=unspecified
337.21 G90.51_ Complex regional pain syndrome I of Upper Limb (CRPS I)
CRPS

SIXTH CHARACTER 1=right, 2=left, 3=bilateral, 9=unspecified

9 | Common Hand Surgery Diagnosis Codes – ICD-10

You might also like