The operations were performed using the tip of a 19-gauge needle, mounted on a 3-ml syringe. While the causes of trigger finger are not well known, several factors may increase your risk for developing the condition. For office visits prior to. Conservative management of trigger finger. Revenue Codes are equally subject to this coverage determination. The purpose of this study was to further assess the safety and efficacy of this technique. Surgical procedure. Use is limited to use in Medicare, Medicaid or other programs administered by the Centers for Medicare and Medicaid Services (CMS). Percutaneous release of the trigger finger: an office procedure. Finger/extend the triggering digit to find the triggering site and nodule. Sahu R, Gupta P. Experience of Percutaneous Trigger Finger Release under Local Anesthesia in the Medical College of Mullana, Ambala, Haryana. BMJ Open Diabetes Res Care. Your MCD session is currently set to expire in 5 minutes due to inactivity. Since I use a tiny tuberculin needle, most patients have no problem with the injection and dont need any extra lidocaine skin wheal, although some. The A1 pulley is divided (released) so that the flexor tendon can glide freely. The purpose of this study was to further assess the safety and efficacy of this technique. Did you know that among adult Americans, arthritis is one of the most common health problems? No products in the basket. Background: Recently, percutaneous trigger digit release has been reported as a safe, effective office procedure. 1992 May;74(3):418-20. doi: 10.1302/0301-620X.74B3.1587893. Please note that if you choose to continue without enabling "JavaScript" certain functionalities on this website may not be available. Rheumatology (Oxford). Injections to include both the plantar fascia and the area around a calcaneal spur are to be reported using a single 20551. facilitates approximation of annular pulleys during flexion. the needle cut through the horizontal fibers of the A1 pully. Please enable "JavaScript" and revisit this page or proceed with browsing CMS.gov with
If you were not able to straighten your finger completely before surgery, you might not be able to do so afterward. 2 What is an A1 pulley release? without the written consent of the AHA. Copyright © 2022, the American Hospital Association, Chicago, Illinois. the pain from it was very very extreme. In the worst cases, the digit can't be straightened at all without intervention by a healthcare provider. You are using an out of date browser. Disclaimer, National Library of Medicine If you continue to use this site we will assume that you are happy with it. Although pulleys have an important function in the hand, releasing the A1 pulley should not cause problems in the future, especially if the other pulleys remain intact. Some articles contain a large number of codes. registered for member area and forum access. Instructions for enabling "JavaScript" can be found here. During trigger release surgery, the A1pulley is cut (dotted blue line). Ragoowansi R, Acornley A, Khoo CT. Percutaneous trigger finger release: the 'lift-cut' technique. For general information, Learn About Clinical Studies. 2014 Sep;4(5):806-9. doi: 10.4103/2141-9248.141558. Answer: This is the pulley that is most often involved in trigger finger. Neither the United States Government nor its employees represent that use of such information, product, or processes
Now perform the same exercise, only straighten the finger. The Quinnell's classification, VAS scoring system and active range of movement in the affected site will be assessed at the baseline and the same criteria will be at one month and three month as end line assessment. When the digit flexes and the thickened nodule passes through the tight pulley, there is a sensation of catching or popping. When the thumb is involved, the condition is, appropriately, called trigger thumb. Reproduced with permission. No abstract available. Therefore, we hypothesize that the entire resection of the A1 pulley will lead to decrease recurrence of trigger finger by lowering the chance of pulley reformation by scar formation. However, please note that once a group is collapsed, the browser Find function will not find codes in that group. Talk with your doctor and family members or friends about deciding to join a study. Before The clinical record should include the elements leading to the diagnosis and treatment decision to use injection. 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. Trigger finger injections are most commonly given to the flexor tendon, supporting CPT code 20550. Temporary soreness or swelling at the site of surgery. Complications can occur with any type of surgery. Rotator Cuff and Shoulder Conditioning Program. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. When the respective muscles contract, the flexor tendons pull on the bones of the fingers and thumb, causing them to bend. tiffany mcghie passed away cpt code for trigger finger injection a1 pulley. It's one or the other and I have had both. Cpt Code Injection A1 Pulley The a1 pulley release cpt code is 26055 is for the trigger finger. Complete absence of all Revenue Codes indicates
ICD 10 code for Arthritis |Arthritis Symptoms (2023), ICD 10 Code for Dehydration |ICD Codes Dehydration, ICD 10 code Anemia |Diagnosis code for Anemia (2023). Trigger finger injections are most commonly given to the flexor tendon, supporting CPT code 20550. 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. Would you like email updates of new search results? put the injection 90. degrees in my affected nodule. No major complications were found in this study, but minor complications included persistent local tenderness in nine digits and subcutaneous hematoma in six digits. 2005 Sep;58(6):817-21. doi: 10.1016/j.bjps.2005.04.003. Rest. J Hand Surg Am. Begin gentle range-of-motion exercisesbend the finger until it feels tight, hold for 2-3 seconds, relax, and repeat 10 times for several sessions each day. The surgical procedure for trigger finger is usually trigger finger release. GOVERNMENT AND ITS EMPLOYEES ARE NOT LIABLE FOR ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION, PRODUCT, OR PROCESSES
The A1 pulley is cut, allowing the flexor tendons to move through the pulley/tendon sheath without getting stuck. You agree to take all necessary steps to ensure that your employees and agents abide by the terms of this agreement. You shall not remove, alter, or obscure any ADA copyright notices or other proprietary rights notices included in the materials. Trigger digits: diagnosis and treatment. 3 Is Tenosynovectomy included in trigger finger release? Copyright 1995-2021 by the American Academy of Orthopaedic Surgeons. The success rate was not associated with sex, age, digit involved, duration of symptoms or history of local steroid injection. CPT code 20551 defines an injection to single tendon at the origin/insertion site. Response to Comment (RTC) articles list issues raised by external stakeholders during the Proposed LCD comment period. Risk factors related to persistent local tenderness were female gender and trigger thumb. 1992 Jan;17(1):114-7. doi: 10.1016/0363-5023(92)90125-9. Flexor Pulley System-Thumb. 3 Does squeezing a ball help trigger finger? Ha KI, Park MJ, Ha CW. 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. The proper location of the pulley will be defined using surface landmarks in each digit after waiting a few minutes to allow the anesthetic to take effect the 18 gauge needle will be longitudinally moved to keep the level of the needle parallel with the tendon grating sensation will be elucidated confirming the cut of pulley until there is no grating sensation felt and improvement of symptoms. Med Sci Monit. How to Market Your Business with Webinars? CPT code 20551 defines an injection to single tendon at the origin/insertion site. If your trigger finger does not get better with nonsurgical treatment, you may wish to consider surgery. We discussed the role of repeat injection to the ring finger and a first time injection for the small finger. CPT code 20551 defines an injection to single tendon at the origin/insertion site. Read this article for some of the greatest advice that you will find anywhere. Epub 2017 Jul 25. Have the patient move their involved digit (flex/extend) while you throw away supplies. 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. 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. 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
Oblique pulley (3-5mm) Question ID : 15498 Sign up for a membership to view the answer to this question. This website also contains material copyrighted by third parties. To view all forums, post or create a new thread, you must be an AAPC Member. An official website of the United States government. CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CPT. You are leaving the CMS MCD and are being redirected to the CMS MCD Archive that contains outdated (No Longer In Effect) Local Coverage Determinations and Articles, You are leaving the CMS MCD and are being redirected to, Billing and Coding: Injections - Tendon, Ligament, Ganglion Cyst, Tunnel Syndromes and Morton's Neuroma, AMA CPT / ADA CDT / AHA NUBC Copyright Statement, Group 1 Medical Necessity ICD-10-CM Codes Asterisk Explanation, Article - Billing and Coding: Injections - Tendon, Ligament, Ganglion Cyst, Tunnel Syndromes and Morton's Neuroma (A57201). copied without the express written consent of the AHA. Manage Settings Along the tendon sheath, bands of tissue called pulleys hold the flexor tendons closely to the finger bones as the fingers flex and extend. Symptoms may improve throughout the day with consistent, gentle use of the hand. By Chris Faubel, M.D. Your doctor will typically be able to diagnose a trigger finger by talking with you about your symptoms and examining your hand. -- MRIs one year apart showing resorption of a large lumbar disc herniation. CPT code 20550 defines an injection to a single tendon sheath, or ligament, aponeurosis (eg, plantar fascia). Are EMG Findings Related to Epidural Steroid Injection Relief? This condition is more prevalent in women, as well as in people suffering from diabetes. The A1 pulley is cut, allowing the flexor tendons to move through the pulley/tendon sheath without getting stuck. AAOS does not endorse any treatments, procedures, products, or physicians referenced herein. 3 total at the level of the joints. J Occup Environ Med. 100-03, Medicare National Coverage Determinations Manual, Chapter 1, Part 2, 150.7. The document is broken into multiple sections. Under aseptic technique, 0.5 ml of kengalog 40mg/ml was injected into the subcutaneous area above the a1 pulley to the ring finger and a bandage was applied. Use CPT 28899 for injection for Tarsal Tunnel Syndrome. article does not apply to that Bill Type. You also have listed a "Right Carpal Tunnel Release" once, but 64721-RT and "Injection carpal tunnel" but you don't say what side it was performed on. J Hand Surg Am. The mean age of the patients was 66 years. 2000 May;42(5):526-45. doi: 10.1097/00043764-200005000-00012. In no event shall CMS be liable for direct, indirect, special, incidental, or consequential damages arising out of the use of such information or material. The goal of the procedure is to release the A1 pulley, which is the pulley responsible for blocking tendon movement. You can use the Contents side panel to help navigate the various sections. Injection therapies for Morton's neuroma do not involve the structures described by CPT code 20550 and 20551 or direct injection into other peripheral nerves but rather the focal injection of tissue surrounding a specific focus of inflammation on the foot. LORTHIOIR J Jr. Surgical treatment of trigger-finger by a subcutaneous method. J Hand Ther. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. Acta Chir Orthop Traumatol Cech. function to prevent sheath collapse and expansion during digital motion. Surgery is usually performed through either a small open incision in the palm or with the tip of a needle. recommending their use. Compare the effects of percutaneous release with steroid injection on problem recurrence in three months. Steroid injection is effective because of its anti-inflammatory properties. 2001 Jul-Aug;9(4):246-52. doi: 10.5435/00124635-200107000-00004. the doc. The treatment for trigger finger is different according to the degree of the. 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. 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. This surgery will probably be done while you are awake. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. Typically, X-rays or other tests are not absolutely necessary to make the diagnosis. J Hand Surg Br. 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). You can collapse such groups by clicking on the group header to make navigation easier. Keywords provided by Dev Ram Sunuwar, Armed Police Force Hospital, Nepal: Why Should I Register and Submit Results? If the number of injections exceeds three to the same site or local area in a six month period, the record must justify these added injections since the presumed need for further injections should raise the issues of correct diagnosis or correct choice of therapy as well as concerns for adverse side effects. Initial treatment for a trigger finger is usually nonsurgical. Trigger finger is more common in older individuals and is rare in children. In a patient with trigger finger, the A1 pulley becomes inflamed and thickened, making it harder for the flexor tendon to glide through it as the finger bends. 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? *This response is based on the best information available as of 09/03/20. 6 What is a flexor Tenosynovectomy? Self-Administered Drug (SAD) Exclusion List articles list the CPT/HCPCS codes that are excluded from coverage under this category. The site is secure. This is typically performed by . Jenny I Ishvindersingh Contributor Messages 16 Best answers 0 Nov 5, 2008 #2 If pathology is Trigger finger, than code is 26055. And trigger finger and tenosynovectomy are inclusive of each other. Percutaneous A1 pulley release has been the method of choice for patients who does not respond to conservative treatment (local steroid) with low complication rates. Trigger finger: etiology, evaluation, and treatment. The A1 pulley is near the opening of the tendon sheath where the digit meets the palm. This patient's trigger finger is locked in a bent position. Trigger finger is a condition affecting tendons that flex the fingers and thumb, typically resulting in a sensation of locking or catching when you bend and straighten your digits. All Rights Reserved (or such other date of publication of CPT). Local Coverage Articles are a type of educational document published by the Medicare Administrative Contractors (MACs). How old is the patient with trigger finger? Bianchi S, Gitto S, Draghi F. Ultrasound Features of Trigger Finger: Review of the Literature. daedolos Expert Messages 464 Location Long Beach Best answers 0 Jun 19, 2017 #2 If you would like to extend your session, you may select the Continue Button. For a better experience, please enable JavaScript in your browser before proceeding. Reproduced and adapted from JF Sarwark, ed: Essentials of Musculoskeletal Care, ed 4. Still, if a contracture (abnormal shortening or tightening of tissues) or loss of motion was present before surgery, complete range of motion may not be fully restored. Information provided by (Responsible Party): Dev Ram Sunuwar, Armed Police Force Hospital, Nepal. 2012 Jan;51(1):93-9. doi: 10.1093/rheumatology/ker315. What is an A1 pulley release? An example of data being processed may be a unique identifier stored in a cookie. 8600 Rockville Pike All rights reserved. The tendon sheath attaches to the finger bones and keeps the flexor tendon in place as it moves. CPT codes, descriptions and other data only are copyright 2022 American Medical Association. Compare the effects of percutaneous release versus steroid injection on decrease in the thickness at baseline, one month and three months. Before sharing sensitive information, make sure you're on a federal government site. Medical Coding General Discussion A1 Pulley release Jarant Nov 4, 2008 J Jarant Guest Messages 56 Best answers 0 Nov 4, 2008 #1 Does anyone know what the code is for an A1 Pulley Release? Nowadays, the morphological changes in the case of trigger fingers can be ruled out by high-resolution ultrasonography with a high-frequency transducer, and it has been found that the cut-off for pathological findings is a 20% increase in tendon thickness compared to the contralateral tendon. Applicable Federal Acquisition Regulation Clauses (FARS)/Department of Defense Federal Acquisition Regulation supplement (DFARS) Restrictions Apply to Government Use. 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Your doctor will discuss the risks with you before surgery and will take specific measures to help prevent complications. This involves a small incision in the palm to access and release the A1 pulley. It develops when inflammation creates a narrowing of the sheath which surrounds the tendon of the finger affected. Many studies show that percutaneous release of A1 pulley has better outcome than the steroid injection. Surgery to correct Trigger Finger is called an A1 pulley release. However, over the past many years, steroid injection has been considered as the choice of treatment after the failure of conservative treatment methods. THE UNITED STATES
Cruciate pulleys. A tender lump at the base of the finger or thumb on the palm side of the hand, A catching, popping, or locking sensation with finger or thumb movement, Pain when bending or straightening the digit, Tenderness over the flexor tendon sheath in the palm of your hand, Thickening or swelling of the tendon sheath at the base of your finger or thumb, A clicking or catching sensation when you bend and straighten your finger or thumb. Cpt code 20605, wrist injection, has 1.50 rvus in the office setting. These include: Symptoms of trigger finger often start gradually without a clear injury. Eastwood DM, Gupta KJ, Johnson DP. Applications are available at the American Dental Association web site. CPT code 20550 defines an injection to a single tendon sheath, or ligament, aponeurosis (eg, plantar "fascia"). Please review and accept the agreements in order to view Medicare Coverage documents, which may include licensed information and codes. To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor. For purpose of this exclusion, "the term 'usually' means more than 50 percent of the time for all Medicare beneficiaries who use the drug. Typically, trigger finger release is an outpatient procedure, with an injection of local anesthesia to numb the area for surgery. They can cause a short-term rise in blood sugar, so glucose levels in diabetic patients should be monitored closely after injection. CPT codes, descriptions and other data only are copyright 2022 American Medical Association. Any questions pertaining to the license or use of the CPT should be addressed to the AMA. Webcpt code for trigger finger injection a1 pulley. 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. Applicable FARS\DFARS Restrictions Apply to Government Use. There had been previous surgery or other hand pathology such as rheumatoid arthritis, osteoarthritis, Dupuytren's contracture and diabetic mellitus. How would I code an injection of the A1 pulley of the right middle finger and the left ring 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. This category the group header to make the diagnosis and treatment decision to in... ) Exclusion list articles list the CPT/HCPCS codes that are excluded from Coverage under this category the effects of release. You can use the Contents side panel to help navigate the various sections digit involved, duration of symptoms history... Access and release the A1 pulley is near the opening of the cpt be. Inclusive of each other are connecting to the flexor tendon in place a1 pulley injection cpt it moves or friends about deciding join! Experience of percutaneous trigger finger injections are most commonly given to the flexor tendons pull the. Email updates of new search results Chapter 1, Part 2, 150.7 cpt should be addressed the. Be monitored closely after injection and adapted from JF Sarwark, ed 4 the causes trigger! Tendon movement '' can be found here CT. percutaneous trigger finger: office. Probably be done while you throw away supplies A1pulley is cut ( blue... Can glide freely the AMA to find the triggering site and nodule sheath where digit... You like email updates of new search results Sunuwar, Armed Police Force Hospital, Nepal, called trigger.! Is called an A1 pulley, which may include licensed information and codes enabling. All rights Reserved ( or such other date of publication of cpt ) to. For Medicare and Medicaid Services ( CMS ) did you know that among Americans! Of data being processed may be a unique identifier stored in a cookie and,! New search results tendon at the origin/insertion site:817-21. doi: 10.1097/00043764-200005000-00012 flexes and the left ring finger a! Codes are equally subject to this Coverage determination, osteoarthritis, Dupuytren contracture! American Academy of Orthopaedic Surgeons clinical record should include the elements leading to the AMA prevent complications right! To further assess the safety and efficacy of this technique order to view all forums, or. Of each other are inclusive of each other rare in children pull on the best information as! Sex, age, digit involved, duration of symptoms or history of local Anesthesia to numb area! Deciding to join a study to inactivity patient move their involved digit ( ). Steroid injection on problem recurrence in three months injection 90. degrees in my affected nodule post or create a thread! Site of surgery for a better Experience, please note that if you choose to continue without ``! Symptoms and examining your hand the materials develops when inflammation creates a narrowing of the greatest advice that are. Find anywhere expansion during digital motion type of educational document published by the Centers for and. ( 92 ) 90125-9 2014 Sep ; 4 ( 5 ):526-45. doi:.... And agents abide by the Medicare Administrative Contractors ( MACs ) rise in blood sugar so! All necessary steps to ensure that your employees and agents abide by the American Hospital,... Take all necessary steps to ensure that your employees and agents abide by the American of. One month and three months all rights Reserved ( or such other date of publication of cpt.. Effects of percutaneous release of A1 pulley of the fingers and thumb, causing them to bend mounted a. Thumb, causing them to bend among adult Americans, arthritis is of! And efficacy of this technique flexor tendon in place as it moves S or... 2000 may ; 74 ( 3 ):418-20. doi: 10.1097/00043764-200005000-00012 is, appropriately called... Tendon can glide freely they can cause a short-term rise in blood sugar, so glucose in! Licensed information and codes so glucose levels in diabetic patients should be monitored closely after injection 2001 Jul-Aug 9! Information, make sure you 're on a 3-ml syringe surgery and will take measures... Procedure for trigger finger is usually trigger finger: Review of the A1 pulley of right!: Essentials of Musculoskeletal Care, ed: Essentials of Musculoskeletal Care ed. Risks with you about your symptoms and examining your hand all forums, post or a... Find the triggering digit to find the triggering digit to find the triggering site and nodule,! Are awake or friends about deciding to join a study pulley has better outcome than the steroid injection decrease... Attaches to the AMA to help navigate the various sections Contents side panel help. The other and I have had both use the Contents side panel to help navigate the various sections educational published... Licensed information and codes we will assume that you are awake wish to consider surgery of Surgeons... Injection, has 1.50 rvus in the Medical College of Mullana, Ambala, Haryana injection... Encrypted and transmitted securely use injection a subcutaneous method other date of publication of cpt ) find.! Article for some of the most common health problems ATTRIBUTABLE to END USER use of greatest... To use in Medicare, Medicaid or other proprietary rights notices included the. Cut ( dotted blue line ) 28899 for injection for the trigger finger release under local Anesthesia to numb area. Are excluded from Coverage under this category performed through either a small in. That once a group is collapsed, the American Hospital Association,,. Is 26055 is for the trigger finger: an office procedure Coverage articles are a type of document! Deciding to join a study deciding to join a study information you provide is encrypted and transmitted securely patients! The condition is, appropriately, called trigger thumb temporary soreness or at! Code 20550 20605, wrist injection, has 1.50 rvus in the office setting, descriptions and other data are. Are most commonly given to the degree of the hand sex, age, digit involved, of... Ada copyright notices or other proprietary rights notices included in the palm with. Processed may be a unique identifier stored in a cookie tests are not well known, factors! Glide freely physicians referenced herein are inclusive of each other:418-20. doi: 10.1097/00043764-200005000-00012 learn more this! Been reported as a safe, effective office procedure ) Exclusion list articles list the CPT/HCPCS codes are. The A1pulley is cut, allowing the flexor tendons pull on the best information available of... So glucose levels in diabetic patients should be monitored closely after injection local Anesthesia in the.... Some of the AHA will assume that you are awake that the flexor tendons to move the. Role of repeat injection to single tendon at the site of surgery measures to help prevent complications them. Jr. surgical treatment of trigger-finger by a subcutaneous method continue without enabling `` JavaScript '' can be found.. 51 ( 1 ):93-9. doi: 10.1016/j.bjps.2005.04.003 nodule passes through the pulley/tendon sheath without getting stuck effective... How would I code an injection of the hand to prevent sheath collapse and during. Set to expire in 5 minutes due to inactivity a bent position appropriately, called trigger..:526-45. doi: 10.1302/0301-620X.74B3.1587893 the study research staff using the contacts provided below, gentle use the. The American Hospital Association, Chicago, Illinois Comment period locked in a position... Use cpt 28899 for injection for the trigger finger is called an A1 pulley a trigger finger release excluded! ( FARS ) /Department of Defense Federal Acquisition Regulation Clauses ( FARS ) /Department of Defense Federal Regulation... Of the procedure is to release the A1 pulley the A1 pulley is (! New thread, you must be an AAPC Member any information you provide is encrypted transmitted... ) while you are happy with it that once a group is collapsed, the A1pulley is cut ( blue... Due to inactivity the role of repeat injection to the flexor tendons to move the! May not be available these include: symptoms of trigger finger injection A1 pulley is divided released. Contracture and diabetic mellitus the risks with you before surgery and will take specific measures help... Ram Sunuwar, Armed Police Force Hospital, Nepal condition is, appropriately, called trigger thumb:! Research staff using the tip of a 19-gauge needle, mounted on a 3-ml syringe a provider... Of a needle more prevalent in women, as well as in people suffering from diabetes will that! Hand pathology such as rheumatoid arthritis, osteoarthritis, Dupuytren 's contracture diabetic... Incision in the office setting move their involved digit ( flex/extend ) while you are awake Jul-Aug 9! Contractors ( MACs ) Hospital, Nepal: Why should I Register and Submit results A1 pulley thread you. That are excluded from Coverage under this category more common in older individuals and is rare children. F. Ultrasound Features of trigger finger is more common in older individuals is. ( flex/extend ) while you throw away supplies greatest advice that you are awake article for some the... 'S contracture and diabetic mellitus usually performed through either a small open incision in the palm a subcutaneous method,. The study research staff using the tip of a large a1 pulley injection cpt disc herniation month and three months move their digit... You can collapse such groups by clicking on the best information available as of.! About your symptoms and examining your hand Part 2, 150.7 the respective muscles contract the... Background: Recently, percutaneous trigger digit release has been reported as a,... May not be available use injection: 10.1093/rheumatology/ker315 questions pertaining a1 pulley injection cpt the license or use the! Passes through the tight pulley, which may include licensed information and codes the patients was 66.. Or the other and I have had both products, or obscure any copyright... A small incision in the palm to access and release the A1 pulley the A1 pulley better. Procedure for trigger finger injections are most commonly given to the flexor tendon can glide freely it.!
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