SPINE TUMOR CERVICAL SPINE BENIGN BONE

Transcription

1 SPINE TUMOR CERVICAL SPINE BENIGN BONE cervical pain arm - forearm contusion 920 hand sprain/strain pelvis hnp femur - tibia - fibula degenerative disc foot THORACIC SPINE unicameral bone cyst thoracic pain aneurysmal bone cyst contusion compression fx BENIGN SOFT TISSUE fx rib [y = how many ribs?] 807.0y upper limb fx mult rib lower limb pelvis LUMBAR SPINE lumbar pain ARTHRITIS contusion sprain/strain gout fracture- no cord injury djd-generalized [9] herniated disc djd-primary [1-8] 715.1X degenerative disc djd secondary [1-8] 715.2x spinal stenosis spondylolisthesis post-traumatic [1-8] 716.1X sciatica septic [1-8] 711.0X rheumatoid CELLULITIS / ABSCESS ["x" equals] upper arm SHOULDER = 1 forearm ARM = 2 hand FOREARM = 3 finger 681 HAND = 4 fingernail felon PELVIS = 5 fingernail paronychia LOWER LEG = 6 thigh-leg ANKLE/FOOT = 7 foot OTHER = 8 toe MULTIPLE = 9 toenail paronychia MOST COMMON OTHER impingement syndrome rotator cuff tear no disease found V65.5 lateral epicondylitis AVN hip distal radius fracture malunion torus fracture non union

2 carpal tunnel syndrome 354 osteoporosis metacarpal fracture malingering V65.2 phalanx fracture aftercare/joint V54.8 pubic fracture epiphyseal arrest intertrochanteric hip fx femoral neck hip fx medial mensicus tear lateral meniscus tear acl tear tibia - fibula fx medial malleolus fx 824 lateral malleolus fx bimalleolar ankle fx metatarsal fx LOWER EXTREMITY PELVIS KNEE pain - pelvis knee pain contusion contusion SI sprain LCL sprain acetab fx MCL sprain pubis fx ACL sprain iliac fx PCL sprain ischium fx plica multiple fx lower limb pain sacrum/coccyx fx acute MM tear stress fx pelvis acute LM tear meralgia paresthetica chronic ph MM tear chronic ph LM tear HIP chonric bh mm tear hip pain chronic bh lm tear contusion chronic LCL tear sprain/strain chronic MCL tear subcap fx chronic ACL tear fem nk fx chronic PCL tear gr troch fx unspec. instability IT fx loose body subtroch fx chondromalacia pat post dislocation effusion bursitis/tendinitis hemarthrosis AVN joint pain septic hip chondromal [x-pat.] viral synovitis patella fx/closed SCFE patella fx/open 822.1

3 LCP patella dislocation unilateral DDH quad tendon rupt bilateral DDH popliteal cyst unilateral hip subluxation septic knee bilateral hip subluxation pes bursitis fem anteversion patellar tendinitis stress fx femoral neck pre-pat. bursitis pat. tend rupture lac/simple FEMUR/THIGH lac/complex thigh pain lac w/tendon contusion 924 Osgood-Schlatter's ham/quad strain OCD femur fx/closed stiff knee femur fx/open condylar fx distal fem. physis fx supracondylar fx T-supracond fx multiple fx lac/simple lac/complex lac w/ tendon a/k amp - traumatic

4 icd code is to the right of words COMPLICATIONS ARM implant loose upper arm pain implant disloc contusion peri-prosthetic fx humerus fx implant malposition open humerus fx infect. total joint radial n. injury infect. other implant other total compl other implant compl ELBOW hemorrhage/clot wound dehiscence elbow pain postop infection contusion unspecified compl sprain/strain phlebitis/dvt laceration/simple laceration/complicated laceration with tendon SOFT TISSUE DISEASE supracondylar fx lat condyle fx atrophy medial condyle fx hypermobility T-condylar fx spasm olecranon fx limb swelling open olec. fx cramps rad head fx rad neck fx UPPER EXTREMITY dislocation/closed [1a,2p] 832.0x med. epicondylitis SHOULDER lat. epicondylitis shoulder pain olec. bursitis contusion 923 ulnar n. injury AC sprain cubital tunnel syndrome infraspinatus sprain Monteggia fx rotator cuff sprain Nursemaid's elbow supraspinatus sprain clavicle fx FOREARM prox hum fx gr. tuberosity fx forearm pain AC sep contusion ant disloc sprain/strain post disloc simple laceration recurrent disloc complicated lac adhesive capsulitis tendon laceration rc tendinitis radius shaft fx calcific tendinitis ulna shaft fx bicipital tendinitis radius & ulna fx subacromial bursitis open radius/ulna

5 rotator cuff tear biceps rupture [prox] WRIST axillary nerve injury wrist pain type 2 dist clav fx contusion stiff shoulder sprain/strain lac - simple lac. - complicated lac with tendon Colles fx other distal radius fx distal ulna fx distal radius/ulna fx open Colles fx open fx dist rad [other] open fx distal ulna open fx distal radius/ulna torus fx - radius alone torus fx - ulna alone torus fx - radius and ulna icd code is to the right of words LOWER EXTREMITY LEG/TIBIA-FIBULA FOOT pain - leg foot pain contusion contusion crush injury crush tib plateau fx Achilles sprain tib shaft fx TMT sprain open tib shaft fx calcaneus fx fib fx/proximal talus fx fib shaft fx metatarsal fx tib/fib shaft fx Achilles tendinitis open tib/fib fx ant/post tib tendinitis peroneal n. injury calcaneal spur leg length discrepancy tendinitis - other int/ext torsion plantar fasciitis physiologic bowing tenosynovitis lac/simple metatarsalgia lac/complex apophysitis/avn stress fx tibia tarsal tunnel syndrome Morton's neuroma ANKLE club foot residual foreign body ankle pain superficial foreign body contusion infected superf. fb crush injury metatarsus varus deltoid sprain flatfoot - acquired 734. calc-fib sprain cavus foot - acquired tib-fib sprain metatarsal stress fx

6 other sprain Achilles tendon rupture lat mal fx med mal fx bimal fx trimal fx distal tib physis fx distal fib physis fx pilon fx TOES toe pain contusion MTP sprain IP sprain crush fx/closed fx/open MTP dislocation IP dislocation ingrown toenail corns/calluses 700. foot ulcer hallux valgus hammer toe claw toe toe amp/simple/trauma toe amp/complex/trauma bunion hallux rigidus 735.2

7 WRIST (CONTINUED) carpal fx [x by menmonic] 814.0x scaphoid fx radio-ulnar dislocation radio-carpal dislocation dequervain's tenosynovitis tenosynovitis extensor tendon rupture flexor tendon rupture scaphoid non-union / carpal tunnel syndrome ganglion cyst - joint ganglion cyst- tendon sheath HAND hand pain contusion crush injury CMC sprain/strain MCP sprain/strain lac, simple lac, complex lac w/tendon Bennett's fx mc base fx mc shaft fx MC neck fx multiple fx of single mc FB superficial [hand/finger] FB superf. infected ganglion/ joint ganglion/ tendon sheath multiple hand fx multiple open hand fx Dupuytren's contracture FINGERS finger pain contusion mp sprain ip sprain crush lac/simple lac/complex lac w/tendon 883.2

8 amp/simple/traumatic amp/complex/traumatic prox phal fx mid phal fx dist phal fx multiple hand fx multiple open hand fx MP dislocation PIP disloc DIP disloc gct of tend sheath trigger finger mallet finger digital nerve injury boutonniere deformity swan neck deformity CPT MODIFIERS prolonged eval/mgt 21 unusual procedure 22 unrelated eval/mgt postop 24 eval/mgt with procedure 25 professional component 26 anesthesia by surgeon 47 bilateral 50 multiple 51 reduced services 52 surgical service only 54 postop service only 55 decision to operate 57 staged procedure 58 co-surgeon 62 repeat procedure-same dr. 76 repeat "- different dr. 77 related procedure postop 78 unrelated procedure-postop 79 assistant surgeon 80 same day-different service 59 V-CODES [aftercare] [V] fit/adjust cast or brace 53.7 removal internal hardware 54.O change/remove cast,splint, 54.8

9 or external fixator fracture aftercare 54.9 dressing change/sut. reml child abuse cancelled surg-contraind cancelled surg-pt choice 64.2 malingerer 65.2 patient education no problems found 65.5 postop followup 67 post-fx followup/healed 67.4 other treatment-followup routine medical exam 70.9 observation after accident 71.4 pre-operative exam child abuse