Progress with ROM exercises. The audit stated that Medicare has a zero modifier with the 29877 code, indicating that the meniscal repair also includes the chondroplasty. Generally, recovery takes 3 to 12 months. You will follow up with us in the office 1-2 days after the procedure. Open reduction and internal fixation of metacarpal fractures using a thermoplastic splint as a surgical instrument Open reduction and internal fixation of metacarpal fractures using a thermoplastic splint as a surgical instrument Arch Plast Surg. Depending on the nature of the fracture, the bones may be repositioned surgically or without surgery. For private payers, who should be applying CPT rules, you should report the meniscal repair and the chondroplasty code 29877 with modifier 59 appended when the chondroplasty is performed in a different compartment than the meniscal repair. While coding note that, debridement is separately billable when it makes up a significant portion of the procedure. To ensure accurate reporting, report the surgical CPT codes according to the AMA CPT rules; apply payor rules appropriately based (e.g., Medicare NCCI payment rules are applied for Medicare Part B beneficiaries; private payor rules will vary based on contractual agreements). A stress fracture in the foot is an overuse injury. With this technique, K-wires are inserted with a . This patient sustained displaced fractures of the fourth and fifth metacarpal shafts. While extra-articular fractures are mostly seen independent of other injuries, intra-articular fractures can present with concomitant carpometacarpal joint dislocation, especially in the ring and small fingers. 26650. Bennett Fractrue ORIF CPT. Q: The results of our internal coding audit surprised our surgeons, who learned that they cannot report a chondroplasty with a meniscal repair when the chondroplasty was performed in a different compartment. 3 0 obj
The Center for Medicare and Medicaid Services (CMS) via the National Correct Coding Initiatives (NCCI) published Medicare payment rules for Part B Medicare. Visit www.aaos.org/coding for more coding information. Displaced MC shaft fracture (angulation >30 degrees, shortening >4mm, any rotational deformity). 4 0 obj
CPT Coding. Most metacarpal fractures occur in the active and working population, particularly adolescents and young adults. 26645. Reduction of the the displaced scaphoid is the first step prior to screw fixation, using a double-pitch headless screw. The answer is It depends on payor rules. IntroductionIt is generally accepted that severely displaced or malrotated neck fractures of the fifth metacarpal should be treated by closed reduction and pinning. Who is right? In the scenario presented, there is no overlap between the two anatomic fractures and both global fractures codes, for example, 25600 and 26600 (assuming these codes define the fracture) are reportable. We are catering to more than 40 specialties, Medical Billers and Coders (MBC) is proficient in handling services that range from revenue cycle management to ICD-10 testing solutions. Specialist surgical procedure used to fix fractures. . The surgeon is correct according to CPT rules. synonyms: Bennett fracture, thumb fracture, thumb metacarpal fracture ORIF. Q: Can we report CPT codes 26615 and 26605 when a patient has multiple metacarpal fractures and the physician manages the fractures in the same session? eyNNrX 'Rv&5a`JQ7>;xb3&'l. 2012 ICD-9-CM Procedure 79. Metacarpal DCP Plating for Transverse Fracture, Metacarpal Fracture Closed Reduction and Pinning, Metacarpal Neutralization Plate with Lag Screw Fixation for Short Oblique Fracture, Surgical Excision of Dorsal Ganglion Cyst, concomitant and associated orthopaedic injuries, differential diagnosis and physical exam tests, documents failure of nonoperative management, describes accepted indications and contraindications for surgical intervention, diagnose and management of early complications, describe complications of surgery including, MCP or interphalangeal capsular contractures, describe the steps of the procedure verbally prior to the start of the case, patient placed in the supine position with hand on hand table, place tourniquet high on the affected extremity, make a longitudinal or curvilinear incision over the metacarpal head, this will facilitate the exposure of the fracture, use a dental pick or small pointed reduction forceps to reduce the fracture, insert guidewires from a cannulated headless screw set, insert headless screws over the guidewires, check the screw placement and fracture reduction radiographically, close the periosteum and the interosseous muscle fascia over the plate, this provides a smooth gliding surface for the extensor mechanism, close the extensor mechanism with 4-0 nonabsorbable suture, schedule follow up appointment in 2 weeks. Comminuted fracture patterns not amenable to screw fixation Open reduction internal fixation (ORIF) Indicated when greater than 1 mm displacement in intra-articular fractures (Bennett or Rolando fracture patterns) and comminuted fracture fragments involving the metacarpal base when the fragments are large enough and amenable to screw fixation Copyright 2023 Lineage Medical, Inc. All rights reserved. [26] The type of hardware used depends on the location and type of fracture. 12 ICD-9-CM Fracture Coding Late effects of fractures are reported using a fracture code indexed under the entry "Late" These moves will help you regain strength and movement in the area. What is an ORIF? managing3. Injury to the metacarpal head may have a severe effect on hand function but few studies have investigated the management of this condition. Q: We are a new practice and our coders are new to orthopaedic surgery coding. People seeking specific medical advice or assistance should contact a board certified physician. Recovery can take longer if you develop complications after surgery. Metacarpal shaft fractures Diagnosis Radiographic diagnosis confirmed by history, physical exam, and radiographs Treatment Nonoperative immobilization indications may be used for extra-articular non-displaced fracture Operative ORIF indications most fractures are intra-articular and require open reduction technique Preserve the vascular supply that enters through the dorsoradial ridge. Theyll also check the nerves near the broken bone. ORIF recovery can last 3 to 12 months. For that, you will require modifiers (-51, -58, -78). Your doctor might recommend ORIF if your bone: ORIF may also help if the bone was previously re-aligned without an incision known as closed reduction but didnt heal properly. Is this correct? Fractures of the fifth metatarsal are common injuries that must be recognized and treated appropriately to avoid poor clinical outcomes for the patient. Open treatment refers to the . Femur fracture open reduction and internal fixation. Bennett fragment < 20% of the articular surface: CRPP. A Bennet fracture is an intra-articular fracture of the 1st metacarpal fracture caused by an axial force applied to the thumb in flexion, that requires surgical fixation when displaced. It is concluded that antegrade intramedullary splinting is superior to retrograde percutaneous crossed pinning and thus should be preferentially considered for displaced neck fractures of the fifth metacarpal. Open reduction internal fixation (ORIF) is a surgical approach that's used for repairing certain types of bone fractures. AAOS Now /
Depending on your surgery, you may go home that day or you might stay in the hospital for one to several days. Both CRPP and ORIF are viable techniques with good clinical outcomes and low complication rates. The podiatrist requested the orthopaedic surgeon to harvest the graft. Metacarpal Fractures Pathway Updated: 10/4/2016. The metacarpal shaft fractures are often produced by longitudinal compression, torsion, or direct impact. The information on this website is intended for orthopaedic surgeons. Open reduction internal fixation (ORIF) involves a surgical approach to "reducing" or resetting the bones. An orthopedic surgeon cuts the skin, re-positions the bone, and holds it together with metal hardware like plates or screws. These are considered to be follow-up care during the global period, unless the patient is returned to an approved operative suite. If this is your first visit, be sure to check out the. Screw Fixation. If union is complete return to full activities. Open fractures often require some debridement of the skin, subcutaneous tissue, muscle, and/or bone. Debridement of an open fracture and/or dislocation is not accurately described with the 1104211047 CPT codes. Closed reduction and percutaneous pinning is commonly used for low-energy metacarpal shaft and neck fractures (Figs. -"e splint may be cut down to hand-based only at 4 weeks. Continue to review coding practices and ensure that all physicians, nonphysician providers, and staff are up-to-date on the coding rules. ORIF of closed metacarpal fractures allowed for earlier mobilization when compared with CRPP without compromising fracture stability, clinical or functional short-term outcomes. Billing for hand procedures is among the most complex types of orthopaedic coding. After 4-6 weeks, pin is removed easily in our office, and does not require another surgery. Open reduction and internal fixation (ORIF) surgery with plates and screws was performed and range of motion with hand therapy was begun early. An open reduction is an invasive surgical bone realignment, as opposed to a closed reduction that's done without surgery or an incision. Finally, the surgeon will close the incision with stitches or staples, apply a bandage, and may put the limb in a cast or splint depending on the location and type of fracture. Bennett Fractrue ORIF Contraindications. Avoiding Common Anesthesia Billing Pitfalls, It is important to note that two of these, Use these codes to report debridement of the skin and other sites when an open fracture or dislocation is present. stream
Nevertheless, it . Medical Therapy Most. If you have a serious fracture, your doctor might recommend open reduction internal fixation (ORIF) surgery. Metacarpal base fractures can present as both extra and intra-articular injuries. You can use a knee scooter, seated scooter, or crutches. Excellent results can The majority of isolated metacarpal fractures are effectively managed with closed reduction and splint immobilization. There are many types of skull fractures, but only one major cause. The open fracture of the femur is 27269, and the debridement would be 11010, along with a -59 modifier to bypass any edit. The debridement of small amounts of devitalized or granulation tissue during a surgical procedure is typically not billed separately. How to Credential Your Practice with Vision Plan? If plate is not pre-bent the volar cortex will gap open when the plate is secured. The meniscectomy codes (29880 and 29881) do include a chondroplasty, regardless of compartments. Diagnosis can be made by orthogonal radiographs of the thumb. You may be a candidate for ORIF if you have a serious fracture that cant be treated with a cast or splint, or if you already had a closed reduction but the bone didnt heal correctly. [ 3, 4] Rasouli MR, et al. He was treated with a Rolando Fracture Hook Plate from the Acumed Hand Fracture System. 28485 Open treatment of metatarsal fracture, includes internal fixation. hopkinsmedicine.org/healthlibrary/test_procedures/orthopaedic/ankle_fracture_open_reduction_and_internal_fixation_135,304, orthoinfo.aaos.org/en/treatment/internal-fixation-for-fractures/, intermountainhealthcare.org/ext/Dcmnt?ncid=521402750, hopkinsmedicine.org/healthlibrary/test_procedures/orthopaedic/femur_fracture_open_reduction_and_internal_fixation_135,334, ncbi.nlm.nih.gov/pmc/articles/PMC4507072/, covingtonortho.com/surgeries/surgical-trauma-orifetc/, Everything You Need to Know About a Tibia Fracture. When we queried why only one fracture care was paid, our Medicare If you have an arm fracture, you may go home later that day. See Site Terms / Full Disclaimer. Here, we highlight eight frequently encountered errors when coding hand procedures and how to fix them. It may also involve the surrounding neurovascular structures, ligaments, and/or tendons, or involve dead or devitalized tissue, hemorrhaging, or swelling. Open fracture debridement codes are used when foreign material (e.g., particulate matter, dirt, or gravel) is embedded into the tissue and around or at the fracture site and requires meticulous debridement. This will let your doctor monitor your healing process. CPT Codes for Hand and Finger Fractures: ICD Counterpart Codes: Closed Treatment without Manipulation: Closed Treatment with Manipulation: Closed Reduction with External Fixation: Percutaneous Pin Fixation: Open Reduction with or without Fixation: Metacarpal: Bennett: Phalangeal Shaft, Proximal / Middle: How to Increase Revenue of Behavioral Health Practice? 2; Metacarpal Head Fractures ORIF. Catering to more than 40 specialties, Medical Billers and Coders (MBC) is proficient in handling services that range from revenue cycle management to ICD-10 testing solutions. Motion: This will put you in a deep sleep during the surgery so you wont feel any pain. Your doctor might be able to treat the break with closed reduction or a cast or splint. All Rights Reserved. Dr. Knight successfully performs an open reduction and internal fixation (ORIF) procedure to repair a metacarpal fracture. At surgery the following day an open reduction and internal fixation (ORIF) of the left fifth metacarpal head fracture was performed. The hand surgeon submitted two CPT codes, one for the metacarpal fracture and one for the distal radius fracture. Its only used for serious fractures that cannot be treated with a cast or splint. synonyms:metacarpal shaft fracture ORIF, MC ORIF, MC shaft ORIF, metacarpal fixation, Metacarpal Shaft Fracture ORIF Indications, Metacarpal Shaft Fracture ORIF Contraindications, Metacarpal Shaft Fracture ORIF Alternatives, Metacarpal Shaft Fracture ORIF Pre-op Planning, Metacarpal Shaft Fracture ORIF Complications, Metacarpal Shaft Fracture ORIF Follow-up care, Metacarpal Shaft Fracture ORIF Review References, Site Terms | Copyright Information | ContactUs | Site Registration. Dr. Hand reports two CPT codes to non-Medicare patients for the non-manipulative treatment of the metacarpal and distal radius fractures. An area of 3 cm x 4 cm was dark. WEEKS 0-1: Remain in post-operative hand splint. All Rights Reserved. A: AMA CPT rules describe codes 26615 and 26605 as follows: Note that in each description the instructions are to report the procedure code for each bone. Your scenario, as described, would be reported with 26615 and 26605-59. Are you looking for more than one billing quotes? Open Reduction and Internal Fixation (ORIF) involves fixing severely broken bones and placing them back together using pins, plates, or screws. 35-1 and 35-2 ). You should contact your doctor if you experience bleeding, increasing pain, or other new symptoms during recovery.
The eORIF website is not an authoritative reference for orthopaedic surgery or medicine and does not represent the "standard of care". when performing an ORIF of metacarpal fracture with the use of bone allograft, is the bone allograft separately reportable and if so, what code should be billed? As mentioned earlier, open fractures have considerable contamination with foreign bodies and devitalized tissue. (n.d.). <>
If you have questions about coding or want to suggest a topic for a future coding article, email aaoscomm@aaos.org. For the debridement of an open fracture includes only skin and subcutaneous tissue, use code 11010; debridement down to the muscle fascia and muscle, code 11011; and debridement that includes skin, muscle fascia, muscle, and bone, code 11012. Intraarticular fracture of the metacarpophalangeal (MP) joint presents complex problems related to the sophisticated functional aspects of the hand. It is important to elevate your arm on a couple of pillows to alleviate pain and swelling. CPT codes 11010, 11011, and 11012 were revised to describe debridement at the site of an open fracture including removal of foreign material. The patient was in an automobile accident and sustained an open fracture of the left femur. Our new hand surgeon evaluated a patient with a base of the fifth metacarpal fracture and distal radius fracture. 2005-2023 Healthline Media a Red Ventures Company. While showering, you may use soap and water, but be sure to pat the incision dry. If an open fracture or dislocation is not present, use a. I billed CPT 28470 x3, which is defined as 'closed treatment of metatarsal fracture; without ma-nipulation, each'. The surgery can take several hours, depending on the fracture. JavaScript is disabled. The hand surgeon submitted two CPT codes, one for the metacarpal fracture and one for the distal radius fracture. Fracture exposed by subperiosteal dissection from lateral side of extensor tendon to mimize tendon adhesion. Thanks for your confidence in KZA to answer your coding dilemmas! Must wear splint at all times, except while showering. The information on this website is intended for orthopaedic surgeons. Open reduction means a surgeon makes an incision to re-align the bone. Teaching video This procedure requires general anesthesia (you'll be asleep . As with any surgery, there are potential risks and side effects associated with ORIF. KarenZupko & Associates, Inc. | 312.642.5616 | information@karenzupko.com. cpt code for orif greater tuberosity fracture. <>>>
Be sure to follow CPT coding rules and the AAOS Complete Global Service Data for Orthopaedic Surgery when reporting all services. Please log in to access this article. 2012 ICD-9-CM Procedure Codes > Operations On The Musculoskeletal System 76-84 > . We told the surgeon that only one CPT code may be reported because a single cast was applied. On the day of the accident, the patient was brought to the OR, and the open fracture was debrided of all necrotic tissue and debris. Hardware removal due to infection after open reduction and internal fixation: Trends and predictors. All rights reserved. . Michael J. Garcia, MD, (Tampa, FL) presents metacarpal fracture fixation using an intramedullary, partially threaded Compression PT Screw. 2 0 obj
Some nonviable muscle tissue was also debrided. All Rights Reserved. * : Reduction Of Fracture And Dislocation. The intramedullary absorbable implants are a safe, simple, and practical treatment for fourth and fifth metacarpal fractures with good early clinical outcomes and no significant complications. A traction/countertraction technique was used to reduce the ___ fracture to an anatomical position. We told the surgeon that only one CPT code may be reported because a single cast was . Metacarpal Injuries: Open Treatment CPT Codes Open treatment of metacarpal fracture, single, with or without internal or external fixation, each bone (26615) Open treatment of articular fracture, involving metacarpophalangeal or proximal interphalangeal joint, with or without internal or external fixation, each (26746) The second part is internal fixation. A physical or occupational therapist can show you specific rehabilitation exercises. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. 4. Information in this article has been reviewed by members of the AAOS Coding, Coverage, and Reimbursement Committee. Surgery was recommended for the patient. But there are things about getting around that youre just not ready for. Wiki User. A: VEPTR stands for vertical expandable prosthetic titanium rib. It is used to treat thoracic insufficiency syndrome, a congenital condition in which severe deformities of the chest, spine, and ribs prevent normal breathing and lung growth and development. It is important that you do not submerge your surgical incision in water (i.e. Download Citation | On Jan 1, 2008, RC Mahabir and others published Closed reduction internal fixation rates and procedure times for metacarpal fractures treated in a minor surgery area before and . A: The surgeon reports the appropriate bone graft code20902 for a large bone graft or 20900 for a bone doweldepending on the work performed. Fracture management starts with an appreciation of the normal architecture of the hand; fluency with the names and locations of the bones; and comprehension of how the normal extrinsic and intrinsic muscle forces, after fracture, challenge a less than stable skeleton. Dr. Hand reports one CPT code if this patient was Granny, who has Medicare Part B coverage. Splints for metacarpal neck or head fractures should be extended to include the MCP joint in an intrinsic-plus position. ICD9 Codes Thumb base metacarpal fracture, closed (815.01) Metacarpal base fracture, closed (815.02) Metacarpal shaft fracture, closed (815.03) Thumb base metacarpal fracture, open (815.11) Metacarpal base fracture, open (815.12) Carpometacarpal dislocation, closed (833.04) Carpometacarpal dislocation, open (833.14) Each fracture that is evaluated and treated and meets a global fracture code is reportable assuming unbundling is not occurring. 2008-2023 eORIF LLC. There are several, Sometimes casts are necessary. 15 blades to bleeding tissue. The eORIF website is not an authoritative reference for orthopaedic surgery or medicine and does not represent the "standard of care". Assess motion, consider occupational therapy if indicated. Emergency departments usually have a high inflow of patients with hand injuries, and metacarpal fractures represent around half (40%) of these hand injuries [1, 2].Metacarpal fractures often comprise a large proportion of all hand fractures and fractures below the elbow, particularly in industrialized environments such as the USA [2,3,4].Either accidental falls or direct impact trauma is . %PDF-1.5
However, youre more likely to develop complications if you smoke or have medical conditions such as: To limit your chances of complications, follow your doctors instructions before and after surgery. Image Source: Case courtesy of Leonardo Lustosa, Radiopaedia.org, rID: 98585 Case courtesy of Mohammad Osama Hussein Yonso, Radiopaedia.org, rID: 98747 Learn how to, Most people recover from a broken wrist in a few months, but sometimes complications can occur. 2012-05-20 20:03:35. All bony prominences well padded. They were under the impression that only the meniscectomy included the chondroplasty. After the bone heals, this hardware isnt removed. Open Reduction Of Fracture With Internal Fixation, Carpals And Metacarpals. If the hardware gets infected, it might need to be removed. Write by: . When multiple injuries occur, it may be necessary for the physician to perform multiple procedures to restore lost functioning. Place in removable splint with fingers buddy-taped. <>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>>
You will be sent for a custom splint that is removable for showering ONLY. endobj
-Transition to a removable short-arm wrist splint if a cast is not in place. Only small. There are several types of humerus fractures, depending on the location of the. Pre-operative antibiotics, +/- regional block. Under fluoroscopic guidance, the surgeon was able to manipulate the bone to create an ample reduction. The first part is open reduction. ORIF isnt for minor fractures that can be healed with a cast or splint. The surgery should help reduce pain and restore mobility by helping the bone heal in the right position. Medicare does have a zero modifier for CPT code 29877. G56.01 - Carpal tunnel syndrome, right upper limb, G56.02 - Carpal tunnel syndrome, left upper limb, M72.0 - Palmar fascial fibromatosis [Dupuytren], M65.041 - Abscess of tendon sheath, right hand, M65.042 - Abscess of tendon sheath, left hand, S63.8X1A Sprain other right wrist and hand, Z96.631 Presence of right artificial wrist joint, S63.38X2A Sprain other left wrist and hand, Z96.632 Presence of left artificial wrist joint, S63.8X1A Sprain other right hand and wrist, S63.8X2A Sprain other left wrist and hand, S62.211A Bennett fracture right hand, initial closed, S62.212A Bennett fracture left hand, initial closed, Carpometacarpal Fracture- Dislocation S63.056A, S62.109A, S62.309A, Carpometacarpal fracture dislocation CRPP 26676, S63.054A Dislocation of other carpometacarpal joint of right hand, initial encounter, S63.055A Dislocation of other carpometacarpal joint of left hand, initial encounter, M19.041 Primary osteoarthritis, right hand, M19.042 Primary osteoarthritis, left hand, Distal Phalanx Fracture Open treatment 26765, S52.501A Unspecified fracture of the lower end of right radius, initial encounter closed fracture, S52.531A Colles' fracture of right radius, initial encouter for closed fracture, S52.502A Unspecified fracture of the lower end of left radius, initial encounter closed fracture, S52.532A Colles' fracture of left radius, initial encouter for closed fracture, S63.011A Subluxation of distal radioulnar joint of right wrist, initial encounter, S63.014A Dislocation of distal radioulnar joint of right wrist, initial encounter, S63.012A Subluxation of distal radioulnar joint of left wrist, initial encounter, S63.015A Dislocation of distal radioulnar joint of left wrist, initial encounter, Dupuytren's Contracture Excision CPT 26123, Extensor Tendon Injuries M66.249 S61.409A S66.929A, S66.22_A Laceration of extensor at wrist and hand level, right, S56.42_A Laceration of extensor at forearm level, right, S66.22_A Laceration of extensor at wrist and hand level, left, S56.42_A Laceration of extensor at forearm level, left, Flexor tendon sheath Irrigation and debridement 26020, M65.841 Other synvitis and tenosynovitis, right hand, M65.842 Other synvitis and tenosynovitis, left hand, S63.63_A Sprain interphalangeal joint right _finger, initial, S63.63_A Sprain interphalangeal joint left _finger, initial, Metacarpal Neck Fracture ORIF/ CRPP 26615, S62.336A- Displaced fracture of neck of fifth metacarpal bone, right hand, initial encounter for closed fracture, S62.337A- Displaced fracture of neck of fifth metacarpal bone, leftt hand, initial encounter for closed fracture, M19.041 Primary Osteoarthritis, right hand, Phalangeal Shaft Fracture S62.509A S62.609A, M19.041- Primary osteoarthritis, right hand, S63.511A Sprain carpal joint right wrist, initial, S63.512A Sprain carpal joint left wrist, initial, M19.042 Primary osteoarthritis of left hand, S63.114A Dislocation metacarpophalangeal joint right thumb, initial, S63.115A Dislocation metacarpophalangeal joint left thumb, initial, Thumb Ulnar Collateral ligament injury S63.649A, S63.641A Sprain metacarpophalangeal joint right thumb, initial, S63.642A Sprain metacarpophalangeal joint leftt thumb, initial, M19.031 Primary osteoarthritis, right wrist, M19.032 Primary Osteoarthritis, left wrist, Anterior Interosseous Nerve Syndrome G56.10 354.1, Carpal Tunnel syndrome (CTS) G56.00 354.0, Carpometacarpal Fracture - Dislocation S63.056A S62.109A S62.309A 833.04, Carpometacarpal Fracture-Dislocation CRPP 26676, Congenital Radioulnar Synostosis Q74.0 755.53, Distal Phalanx Fracture Open Treatment 26765, Distal Radioulnar Joint Arthritis M19.039 715.13, DRUJ Instability / Dislocation S63.016A 833.01, Extensor Carpi Ulnaris Subluxation S63.509A 842.00, Extensor Carpi Ulnaris Tendonitis M65.849 727.05, Extensor Tendon Injuries M66.249 S61.409A S66.929A 883.2, Flexor Carpi Radialis Tendonitis M65.849 727.05, Flexor Tendon Tenosynovitis M65.849 727.0, Giant Cell Tumor of the Tendon Sheath Images, Metacarpal Neck Fracture ORIF / CRPP 26615, Metacarpal Shaft Fracture S62.329A 815.03, Metacarpophalageal Joint Dislocation S63.116A 834.01, Phalangeal Base Fracture S62.509A S62.609A 816.00, Phalangeal Metacarpal Malunion/Nonunion S62.90XK 733.81, Phalangeal Neck Fracture S62.509A S62.609A 816.00, Phalangeal Shaft Fracture S62.509A S62.609A 816.00, PIP Fracture / Dislocation S63.279A 834.02, Radial Sided Wrist Pain Differential Diagnosis, Scaphoid Nonunion Advanced Collapse S62.023K 733.82, Scapholunate Advanced Collapse M19.039 715.13, Scapholunate Ligament Repair-Bruneli 25320, Thumb Basilar Joint Arthritis Classification, Thumb Basilar Joint Arthritis M19.049 715.14, Thumb Metacarpal Fracture S62.246A 815.03, Thumb Ulnar Collateral Ligament Injury S63.649A 842.12, Ulnocarpal Impaction Syndrome M24.839 718.83.
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