Jan-07 Fernald Medical Monitoring Program Sort Code Physician Exam - Extremities Exam Codes

Transcription

1 Jan-07 Fernald Medical Monitoring Program Sort Code Physician Exam - Extremities Exam Codes Code Description coldness increased pallor delayed color return arterial insufficiency dermatitis without ulceration psoriatic rash cellulitis necrotic skin changes deformity R hand deformity R arm deformity L hand deformity L arm deformity R foot deformity R leg deformity L foot deformity L leg mild joint deformity deformed finger/s Osteogenesis Imperecta pallor or cyanosis of fingers Raynaud's phenomenon mycosis (fungal infection of nails) nail bites degeneration of metatarsal phalanges joints moderate contractures of fingers decreased ROM, fingers cyst on finger amputation of fingers swollen fingers scarring of nail bed clubbing of nails arm tender diminished radial pulses diminished R radial pulse diminished L radial pulse absent radial pulses absent R radial pulse absent L radial pulse degenerative changes noted of metacarpal-phalangeal joints enlargement of TP joints of fingers crepitus in wrists swelling wrist cyst on wrist 48

2 2529 subluxation of interphalangeal joint (IJ) protusion of proximal head of radius thenar atrophy carpal tunnel syndrome Dupuytren's contracture ganglion cyst R thenar tender L thenar tender thenarward subluxation Swan's neck deformity tingle sensation of extremities; + Tinel's sign boutonniere deformity neck pain tender post scapular area of neck tendinitis of R shoulder tendinitis of L shoulder winged scapula crepitus of shoulder shoulder joint unable to rise above horizontal dec ROM of shoulder one shoulder higher than the other R tennis elbow L tennis elbow decreased elbow ROM decreased elbow extension elbow pain lipoma on arm decreased motor strength in arms torn biceps muscle muscle atrophy upper extremities ingrown toenail hammer toe corn callus absent toes R great toe bony spur L great toe bony spur hallux valgus (angulation of the great toe away from the midline of the body) in-toeing flexion contracture of toe prominent foot deformity 98

3 2692 claw toe deformity of feet toenails yellow and thickened nail bed removal bunion cyanosis/ blue/ lead colored/ areas on toes webbed toes heel spurs missing phalange(s) flat feet high arches diabetic hyperkeratosis-feet diminished pedal pulses absent pedal pulses diminished posterior tibial pulses absent posterior tibial pulses plantar wart ulcer feet with lesion/ infection feet tender bilateral foot ruber (redness) decreased ROM ankle crepitus ankle fused ankles tender achilles tendon one foot smaller than other jobst stocking cogwheeling prosthetic arm/leg ankylosis of joint (immobility) pain in joint paresthesia pitting edema - fluid edema non-pitting edema - hypothyroid edema lower extremities ankle edema pedal edema trace edema edema - more than trace lymphedema venous stasis ulcer 148

4 2598 darkened, swelling of lower extremity ankle jerk bilateral scar/ healed incision on thigh/ leg (unspecified) scar/ healed incision R thigh/ leg scar/ healed incision L thigh/ leg diminished popliteal pulses diminished R popliteal pulse diminished L popliteal pulse absent popliteal pulses absent R popliteal pulse absent L popliteal pulse foot drop deformity muscular atrophy of lower extremities muscular atrophy of left lower extremity/leg muscular atrophy of right lower extremity/leg spasticity of extremities one leg shorter than the other femoral bruits palpable mass on calf leg cyst total hip replacement decreased ROM of hip crepitus of hip joint right hip painful left hip painful pain over S-I joint decreased strength hip phlebitis varicose veins varicosities with mod stasis spider veins thrombophlebitis subcutaneous hematoma enlarged knee joints knees locking and painful scar on knee knee painful with pressure crepitus knee decreased mobility knee decreased ROM knee 198

5 2626 non-tender prominentia subpatellar (tibia) tender over tibial tuberosities patellar subluxation with grinding sensation prosthetic knee/ scar exostosis (benign bony growth projecting outward) of patellar tendon lesion on knee bursa cyst on knee Genu valgum (knock-knees) warm, tender joints mild joint deformity rheumatoid arthritis gout gouty arthritis osteoarthritis olecranon (bony projection of the ulna at the elbow) bursitis Arthritis, unspecified arthritic swelling of hands enlargement of IP joints of fingers degeneration of IP joints decreased flexion in IP joint contracture of PIPJ (finger) rheumatic MTP and PIP of feet missing PIP clubbing of hands/feet multi-joint deformities Heberden's Nodes on hands/ Bouchard's Nodes small hard elevation on lower limb limited back flexion pain with back motion scoliosis kyphosis lumbar sacral spasm lordosis decreased ROM L/S spine synovial thickening synovitis surgical scar scar due to injury multiple graft scars on legs scar on foot/feet

6 2677 decreased ROM all major joints pain on weight bearing amputee cast Harrington rod brace fractured bone growing pains pes cavvs arthritis (unspecified) foot cramps toe numbness; pain shoulder pain claudication peripheral neuropathy dec ROM cervical spine fused wrist onychomycosis scar on shoulder below knee amputation harrington rod L. tennis elbow pedal edema decreased ROM fingers genu valgum (knocked knees) tender over tibial tuberosities in-toeing crepitus ankle fractured bone lordosis torn biceps muscle muscle atrophy-upper extremities dec. ROM L/S spine patellar sublaxation w/grinding sensation growing pains clubbing of nails clubbing of hands/feet nail bites Wrist Pain Hand pain/ weakness/ numbness Trigger finger/ thumb Chronis venous stasis Heel spur

7 4524 Claudication/ calf pain from walking leg pain/ fatigue leg weakness shoulder pain Sciatica foot pain/ toe pain abnormal cramping osteogenesis imperfecta extremities missing phalanges or toes arthritis unspecified toe numbness, pain tendintis Knee pain back Curvature toe numbness, foot numbness, weakness Asymmetric musculature Musculo-skeletal exam. Normal Pulses decreased/absent Arm numbness/pain/weakness/tingling Shoulder injury/rotator cuff injury/deformity Leg numbness/tingling effusion of joint (swelling) osteoporosis/osteopenia Palmer erthema hairless legs Hip pain Ankle pain, tenderness Restless legs thigh pain Piantar fasciitis (fibro)myalgia AV fistula-acess port loss of height Hand and Feet Acromegalic/Acromegally Buritis Unequal leg Size Axillary pain/tendeness 346