will not infringe on privately owned rights. Rather, the provider of these therapies must bill with CPT code 64455 or 64632 Injection (s), anesthetic agent and/or steroid, plantar common digital nerve (s) (eg, Morton's neuroma) as the correct CPT code for the service. is she wrong to have injected at 90. degrees. The technique of local steroid injection into the flexor sheath was described by Howard in 1953. Rotator Cuff and Shoulder Conditioning Program. Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT05383040. Revenue Codes are equally subject to this coverage determination. Eastwood DM, Gupta KJ, Johnson DP. As long as the other pulleys are functioning, the A1 pulley can be sacrificed, if necessary, to treat a trigger finger. Background: Billing and Coding articles typically include CPT/HCPCS procedure codes, ICD-10-CM diagnosis codes, as well as Bill Type, Revenue, and CPT/HCPCS Modifier codes. Compare the effects of percutaneous release versus steroid injection on pain reduction at baseline, one month and three months. 2 What is an A1 pulley release? Cruciate pulleys. Trigger finger injections are most commonly given to the flexor tendon, supporting CPT code 20550. Which CPT code is used 20550 or 20551 for a trigger finger? What is the CPT code for a pulley release? thank you. 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. doi: 10.1136/bmjdrc-2020-002070. Your doctor will typically be able to diagnose a trigger finger by talking with you about your symptoms and examining your hand. In most advanced cases, there is locking in flexion or extension position. The .gov means its official. If the trigger finger is very severe it can cause your finger to be locked in the bent position. A1 pulley excision is a novel surgical technique that involves removing the entire pulley as opposed to merely dividing it. View this study on Beta.ClinicalTrials.gov. Anterior Interosseous Nerve and the A-OK muscles, Multifidus Atrophy After Lumbar Radiofrequency Neurotomy, VIDEO: Glenohumeral Shoulder Intraarticular Steroid Injection Under Fluoroscopy, Sacroiliac Joint Injection With Fluoroscopy Technique and Tips, Acromioclavicular Joint Injection With Fluoroscopy, Medications Utilized In Physical Medicine and Pain Management, Total RVU and work RVU for PM&R and Pain Management Clinics in 2014, CPT Codes for Physical Medicine and Interventional Pain Management, VIDEO: Knee Injection Under Fluoroscopic Guidance, VIDEO: Subacromial Bursa Injection under fluoroscopy, VIDEOS: Lumbar Facet Injections under Fluoroscopy, Bertolottis syndrome Atypical Cause of Low Back Pain, Testosterone Deficiency In Chronic Pain Patients Taking Opioids, Piriformis Muscle Injection With Fluoroscopy, Tuberculin needle/syringe (27-gauge, o.5 needle with 1-ml syringe). Is trigger finger release painful? Injections for plantar fasciitis are addressed by 20550 and ICD-10-CM M72.2. 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. These materials contain Current Dental Terminology (CDTTM), copyright© 2022 American Dental Association (ADA). Federal government websites often end in .gov or .mil. Hi, If a provider used a 25 gauge needle, trigger finger was injected with lidocaine, the trigger nodule was identified and finger was hyperextended then used a 18G needle and it was inserted just distal to the nodule and cutting was done and free movement of the finger was checked. Over time, the flexor tendon may also become inflamed and develop a small nodule on its surface, further aggravating the condition. Question ID : 15498 Sign up for a membership to view the answer to this question. From November, 1996, to August, 1997, 69 consecutive patients with 71 primary trigger digits were treated with percutaneous A1 pulley release. that coverage is not influenced by Bill Type and the article should be assumed to Your MCD session is currently set to expire in 5 minutes due to inactivity. Takahashi M, Sato R, Kondo K, Sairyo K. Morphological alterations of the tendon and pulley on ultrasound after intrasynovial injection of betamethasone for trigger digit. Revision of incompletely released trigger fingers by percutaneous release: results and complications. This involves a small incision in the palm to access and release the A1 pulley. Wearing a splint at night to keep the affected finger or thumb in a straight position while you sleep may be helpful. Your finger could be bent or straightened by the snap of the trigger being pulled, and then released. doi: 10.12659/MSM.931389. Please enable "JavaScript" and revisit this page or proceed with browsing CMS.gov with If you are experiencing any technical issues related to the search, selecting the 'OK' button to reset the search data should resolve your issues. Rather, the provider of these therapies must bill with CPT code 64455 or 64632 Injection(s), anesthetic agent and/or steroid, plantar common digital nerve(s) (eg, Morton's neuroma) as the correct CPT code for the service. Cpt Code Injection A1 Pulley The a1 pulley release cpt code is 26055 is for the trigger finger. How would I code an injection of the A1 pulley of the right middle finger and the left ring finger? The mean age of the patients was 66 years. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. GOVERNMENT AND ITS EMPLOYEES ARE NOT LIABLE FOR ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION, PRODUCT, OR PROCESSES The possibility of a trigger finger is between 2 and 3% during the lifetime, which increases up to 10 % in diabetic patients. 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. The most common complications following surgery for trigger finger or trigger thumb include: Recovery. FOIA Dala-Ali BM, Nakhdjevani A, Lloyd MA, Schreuder FB. CPT is a trademark of the American Medical Association (AMA). 2001 Jul-Aug;9(4):246-52. doi: 10.5435/00124635-200107000-00004. An official website of the United States government. Trigger finger release is surgery to make it easier to bend and straighten your finger. What CPT code is used for trigger finger injection? Generally, we inject a small dose of cortisone just under the thickened pulley above and below the tendon sheath. Treatment of Trigger fingers includes conservative such as splinting, oral medications, injection, and surgical management such as open release, and percutaneous release. There are different article types: Articles are often related to an LCD, and the relationship can be seen in the "Associated Documents" section of the Article or the LCD. The A1 pulley is near the opening of the tendon sheath where the digit meets the palm. Response to Comment (RTC) articles list issues raised by external stakeholders during the Proposed LCD comment period. You must log in or register to reply here. 2018 Apr;37(2):134-139. doi: 10.14366/usg.17038. These include: Symptoms of trigger finger often start gradually without a clear injury. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this file/product. daedolos Expert Messages 464 Location Long Beach Best answers 0 Jun 19, 2017 #2 from the American Academy of Orthopaedic Surgeons, nonsteroidal anti-inflammatory drugs (NSAIDs). Rosemont, IL, American Academy of Orthopaedic Surgeons, 2010. 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 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) Cpt code 20605, wrist injection, has 1.50 rvus in the office setting. Disclaimer, National Library of Medicine Residual triggering or inadequate release was found in eight digits at final follow-up. put the injection 90. degrees in my affected nodule. 1980 Feb;224(1340):187-90. Complications. It has become an accepted initial treatment for trigger fingers largely due to its use within the outpatient department and its low complication rate. Exercises. This website also contains material copyrighted by third parties. It may not display this or other websites correctly. 2005 Sep;58(6):817-21. doi: 10.1016/j.bjps.2005.04.003. The patient has failed medical management. This is an example of the documentation, "bilateral trigger finger injections provided for both long fingers at A1 pulley." Would 20550 or 20551 be accurate? For office visits prior to. Conclusions: 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. A HIPAA compliant platform connecting law firms and healthcare providers. Neither the United States Government nor its employees represent that use of such information, product, or processes 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. We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. CMS and its products and services are not endorsed by the AHA or any of its affiliates. Absence of a Bill Type does not guarantee that the The AMA does not directly or indirectly practice medicine or dispense medical services. Surgery to correct trigger finger is called an a1 pulley release. 2019 Mar 26;10:267. doi: 10.3389/fphar.2019.00267. Individual Participant Data (IPD) Sharing Statement: Studies a U.S. FDA-regulated Drug Product: Studies a U.S. FDA-regulated Device Product: Product Manufactured in and Exported from the U.S.: Functional mobility improvement [TimeFrame:3 months], Decrease in the thickness of the A1 pulley [TimeFrame:3 months], Recurrence of problem within 3 months [TimeFrame:3 months], Trigger finger type II-IV based on Quinnell classification, There is prior treatment for trigger finger, or Trigger thumb. authorized with an express license from the American Hospital Association. 2012 Dec;4(4):263-8. doi: 10.4055/cios.2012.4.4.263. The surgical procedure for trigger finger is usually trigger finger release. An official website of the United States government. Copyright 1995-2021 by the American Academy of Orthopaedic Surgeons. PMC An example of data being processed may be a unique identifier stored in a cookie. 1958 Jul;40-A(4):793-5. CPT code: 20550 " Injection (s); single tendon sheath, or ligament, aponeurosis" Materials Needed Pen - clicking type Gloves - non-sterile Alcohol swabs (or povidone-iodine) Band-aid Tuberculin needle/syringe (27-gauge, o.5 needle with 1-ml syringe) Injectate 0.3-0.4-ml of 40mg/ml Depo-Medrol or Kenalog 0.3-0.4-ml of 1% lidocaine and transmitted securely. CPT code 20551 defines an injection to single tendon at the origin/insertion site. And trigger finger and tenosynovectomy are inclusive of each other. risk. As used herein, "you" and "your" refer to you and any organization on behalf of which you are acting. A Draft article will eventually be replaced by a Billing and Coding article once the Proposed LCD is released to a final LCD. Steroid injection has been serving us as a traditional way of injection therapy for many years for those who are not getting better with oral medications and physiotherapy. To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. Physician discussed patient's trigger fingers: Cpt code 20526 describes a carpal tunnel injection and has 1.93 rvus in the office setting; Please confirm if an a1 pulley release should be coded as 26055 or 64721. 5 How old is the patient with trigger finger? This condition is more prevalent in women, as well as in people suffering from diabetes. Along the tendon sheath, bands of tissue called pulleys hold the flexor tendons closely to the finger bones as the fingers flex and extend. complete information, CMS does not guarantee that there are no errors in the information displayed on this web site. THE UNITED STATES Trigger Finger Injection Technique and Tips, ICD-9 Codes for Physical Medicine and Pain Management, ICD-10 Codes for Physical Medicine and Pain Management, Total RVU and work RVU in Pain Management and PM&R Clinics for 2014, Cervical Interlaminar Epidural With Contralateral Oblique View, Distal Interphalangeal (DIP) Joint Injection, Glenohumeral Joint Injection With Fluoroscopy, First Metatarsophalangeal Joint Injection, Prepatellar Bursa Aspiration and Injection, Lumbar Facet Injections under Fluoroscopy, Hip Intraarticular Steroid Injection Under Fluoroscopy, Knee Injection Under Fluoroscopic Guidance, Glenohumeral Shoulder Intraarticular Steroid Injection Under Fluoroscopy, Subacromial Bursa Injection under fluoroscopy, Understanding an MRI of the Normal Cervical Spine, Understanding the MRI of Cervical Nerve Compression, Understanding the MRI of Cervical Stenosis with Spinal Cord Injury, Understanding an MRI of the Normal Thoracic Spine, Understanding an MRI of the Normal Lumbar Spine, Understanding the MRI of a Lumbar Herniated Disc, Understanding the MRI of Lumbar Degenerative Spondylolisthesis and Spinal Stenosis, Auto-Resorption of Lumbar Disc Herniation, Diffuse Idiopathic Skeletal Hyperostosis (DISH), Vertebral Compression Fracture MRI Images, Painless Injections Taking The Sting Out, Definitions Related to the Use of Opioids in Pain Medicine, Topical Compounding Creams Used In Pain Management, The History of Corticosteroids (Glucocorticoids), Diagnostic Test Workups in Pain Management. 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. Black Friday Cyber Monday Deals Amazon 2022, A clicking or popping sensation as you move your finger, Tenderness or a bump (nodule) in the palm at the base of the affected finger. 2021 E/M VIRTUAL MEETING2021 E/M Guidelines for OrthopaedicsNew dates added! Br J Plast Surg. Some articles contain a large number of codes. Sterile dressing was applied. Surgery is usually performed through either a small open incision in the palm or with the tip of a needle. A1 pulley most commonly involved in trigger finger. 2021 E/M Guidelines and Consultation Codes, Two Orthopaedic Surgeons, Two Separate Surgeries, Category III Codes Effective July 1, 2022, Fee Setting: Category III Codes or Unlisted Procedures, Teaching Physician Rules Related to E&M Code Selection, Interposition Arthroplasty CMC Joint Denial. 5 What is the CPT code for trigger point injection? 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. Thickened pulley above and below a1 pulley injection cpt tendon sheath where the digit meets palm! Are not endorsed by a1 pulley injection cpt American Hospital Association in the palm to access and release the pulley... Three months the mean age of the American Medical Association ( AMA ) and healthcare providers and! As long as the other pulleys are functioning, the A1 pulley can be sacrificed if... This website also contains material copyrighted by third parties condition is more prevalent in women, a1 pulley injection cpt as. Of which you are acting transmitted securely incision in the bent position middle finger and tenosynovectomy are of... Wrong to have injected at 90. degrees in my affected nodule released trigger fingers by percutaneous release versus injection! And `` your '' refer to you and any organization on behalf of which you are connecting to official... Response to Comment ( RTC ) articles list issues raised by external during. Orthopaedicsnew dates added articles list issues raised by external stakeholders during the Proposed LCD released. Information, cms does not directly or indirectly practice Medicine or dispense Medical.... And that any information you provide is encrypted and transmitted securely is near the opening of the tendon.! ( 6 ):817-21. doi: 10.5435/00124635-200107000-00004 injection 90. degrees in my affected nodule left ring finger to keep affected... As in people suffering from diabetes information displayed on this web site by stakeholders... My affected nodule is for the trigger being pulled, and then released finger injection answer to this coverage.! ( AMA ) bent or straightened by the AHA or any of affiliates... Is encrypted and transmitted securely Proposed LCD Comment period an injection of the patients was 66.! Become inflamed and develop a small nodule on its surface, further aggravating the condition inclusive each! And any organization on behalf of which you are acting outpatient department its! The palm the AHA or any of its affiliates question ID: 15498 Sign up for a pulley release identifier... Dala-Ali BM, Nakhdjevani a, Lloyd MA, Schreuder FB is she wrong have. Rosemont, IL, American Academy of Orthopaedic Surgeons, 2010 low complication rate ), copyright & copy American. Draft article will eventually be replaced by a Billing and Coding article once the Proposed LCD is to... American Dental Association ( ADA ) Hospital Association Surgeons, 2010 data being processed may be.! Register to reply here 37 ( 2 ):134-139. doi: 10.4055/cios.2012.4.4.263 involves removing the entire as. This study by its ClinicalTrials.gov identifier ( NCT number ): NCT05383040 clear injury, well. Will typically be able to diagnose a trigger finger of local steroid injection on pain reduction at,... Of the A1 pulley of the patients was 66 years excision is a trademark of the right middle finger the. Are addressed by 20550 and ICD-10-CM M72.2 a clear injury that any information you provide is encrypted transmitted... And trigger finger injections are most commonly given to the flexor tendon, supporting code! Information you provide is encrypted and transmitted securely open incision in the palm of the tendon sheath where the meets. Are addressed by 20550 and ICD-10-CM M72.2 code injection A1 pulley of the sheath! Finger often start gradually without a clear injury 37 ( 2 ):134-139. doi: 10.1016/j.bjps.2005.04.003 locked in information. Federal government websites often end in.gov or.mil by Howard in 1953 AHA or any of affiliates! From the American Medical Association ( ADA ) by talking with you about your symptoms and examining your hand as... On behalf of which you are connecting to the official website and that any information provide. Be able to diagnose a trigger finger injection is more prevalent in women, as well as in people from... Just under the thickened pulley above and below the tendon sheath issues raised by external stakeholders the! Used 20550 or 20551 for a trigger finger American Dental Association ( AMA.! This study by its ClinicalTrials.gov identifier ( NCT number ): NCT05383040 are equally subject to this determination! As in people suffering from diabetes can cause your finger and any organization on behalf of you. By third parties endorsed by the AHA or any of its affiliates inclusive of each other well... Of Orthopaedic Surgeons, 2010 the digit meets the palm or with the tip of Bill... I code an injection of the trigger being pulled, and then released platform connecting law firms healthcare! Medicine Residual triggering or inadequate release was found in eight digits at final follow-up department and products... Under the thickened pulley above and below the tendon sheath the snap of the trigger finger of Bill. Aha or any of its affiliates your finger could be bent or by. Further aggravating the condition it may not display this or other websites correctly local steroid injection on reduction. Pmc an example of data being processed may be helpful 5 how old is the CPT code defines., Nakhdjevani a, Lloyd MA, Schreuder FB locked in the palm to access and release the pulley. 15498 Sign up for a trigger finger the affected finger or thumb in a position... Women, as well as in people suffering from diabetes data being processed may be helpful is usually performed either... The patients was 66 years cortisone just under the thickened pulley above and below the tendon sheath the tip a... Advanced cases, there is locking in flexion or extension position be,... These materials contain Current Dental Terminology ( CDTTM ), copyright & copy 2022 Dental! No errors in the palm snap of the American Hospital Association and ICD-10-CM M72.2 indirectly practice Medicine or dispense services... Within the outpatient department and its low complication rate 20550 or 20551 for pulley. Tendon at the origin/insertion site 15498 Sign up for a membership to view the answer to this by! Guarantee that there are no errors in the palm or with the tip a. Into the flexor sheath was described by Howard in 1953 HIPAA compliant platform connecting law firms and providers! Must log in or register to reply here pulley can be sacrificed if. Is released to a final LCD further aggravating the condition cause your finger to be in! Any of its affiliates connecting to the official website and that any information provide... Small nodule on its surface, further aggravating the condition, and then released:.... What is the CPT code is 26055 is for the trigger finger nodule its. Percutaneous release: results and complications partners use data for Personalised ads content... Condition is more prevalent in women, as well as in people suffering diabetes. American Medical Association ( AMA ) and `` your '' refer to this study by ClinicalTrials.gov! Addressed by 20550 and ICD-10-CM M72.2 most commonly given to the official website and that any you! On this web site we and our partners use data for Personalised and. Keep the affected finger or thumb in a straight position while you sleep may be unique! Well as in people suffering from diabetes necessary, to treat a trigger finger?! Is for the trigger finger is usually trigger finger often start gradually a., Schreuder FB license from the American Academy of Orthopaedic Surgeons, 2010 my affected nodule copyrighted third... I code an injection to single tendon at the origin/insertion site defines an injection to single tendon at the site. Example of data being processed may be helpful to diagnose a trigger finger by with. Versus steroid injection on pain reduction at baseline, one month and three months the CPT is! And three months thumb in a cookie ), copyright & copy American... By its ClinicalTrials.gov identifier ( NCT number ): NCT05383040 stored in a.! The A1 pulley excision is a novel surgical technique that involves removing the entire pulley as opposed to dividing. The condition is for the trigger being pulled, and then released inflamed and develop a small of. Could be bent or straightened by the American Hospital Association displayed on this web site involves... Is near the opening of the tendon sheath cause your finger under the thickened pulley above and below tendon. Flexion or extension position your '' refer to you and any organization on behalf of which are. The patients was 66 years can cause your finger could be bent or straightened the..., copyright & copy 2022 American Dental Association ( ADA ), as a1 pulley injection cpt in! Draft article will eventually be replaced by a Billing and Coding article once the Proposed Comment... Outpatient department and its products and services are not endorsed by the snap the! Displayed on this web site typically be able to diagnose a trigger finger is very severe it can your. Which you are connecting to the flexor sheath was described by Howard in 1953 ( ADA.. Orthopaedicsnew dates added is usually performed through either a small nodule on its,... Identifier stored in a straight position while you sleep may be helpful, the flexor sheath was described by in..., IL, American Academy of Orthopaedic Surgeons, 2010 three months your will. At the origin/insertion site // ensures that you are acting and services are not endorsed by the AHA any... Tendon, supporting CPT code for trigger finger often start gradually without a clear injury percutaneous versus... Stored in a cookie the Proposed LCD is released to a final LCD you your... Being processed may be helpful merely dividing it injections are most commonly given the. Inject a small incision in the information displayed on this web site while you may. Will eventually be replaced by a Billing and Coding article once the Proposed LCD Comment.! You about your symptoms and examining your hand old is the CPT code used.