Wiki Ulnar Collateral Ligament Sprain of Thumb ICD-10?

[littlelora]

Hi all....Im having a bit of trouble coding an ulnar collateral ligament sprain of the left thumb. Any help is very appreciated!

 

[Pam Warren]

I walked this through the encoder. If you code for the ulnar collateral ligament sprain, it points you to either elbow or traumatic rupture. Using thumb sprain, I came up with S63.682A Other sprain of left thumb, initial encounter. That's a weird one.

 

[littlelora]

That's where it kept leading me, the elbow. It is a weird one! Thanks for your help!

 

[AlanPechacek]

A "Sprain" of the Ulnar Collateral Ligament of the thumb as an acute or subacute injury (current), as opposed to a chronic condition, often goes by the name of Game Keeper's Thumb &/or Skier's Thumb. As a current injury, this would be S63.64 _ _ (Sprain of the Metacarpophalangeal Joint of the thumb, but without specifying radial or ulnar collateral ligaments). However, if this is an old sprain/ligamentous injury, i.e. a chronic condition, then it would come under M24.2: Disorder of the Ligaments (Chronic Instability secondary to old ligamentous injury). The 5th Character would be 4 for hand, and the 6th Character would be for laterality.

Hope this helps.

Respectfully submitted, Alan Pechacek, M.D.
icd10orthocoder.com

 

[NikoleMathis]

I would look at S63.642A for traumatic and M24.242 for chronic because sprain of the thumb is classified as a hand injury.

When you search for ulnar collateral ligament it leads you to S53.XXXX but S53 category is for the elbow.