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Thread: icd9 decreased rom elbow

  1. #1

    Question icd9 decreased rom elbow

    AAPC: Back to School
    Can someone tell me what ICD9 you would use for decreased range of motion for an elbow?

  2. #2


    How about 719.62 (Other symptoms referable to joint, upper arm)?

  3. #3

    Red face

    Thank you for yur help that will work.

  4. #4


    Glad to help!!

  5. #5
    Join Date
    Apr 2007
    Chennai India


    Hi I would suggest 719.52 - Stiffness of the joint this may lead to decreased range of movement instead of 719.62. Please add your inputs.

    Rajkumar Kuppuraj CPC, CCS
    AHIMA Approved ICD 10 CM/PCS Trainer / AHIMA ICD 10 Ambassador
    Assistant Manager

    Coding Department

    Fortune Towers,
    No.152, 200 ft Road,
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  6. #6


    Otherwise known as Elbow Mobility Deficits- ulnohumeral capsulitis Diagnosis code 812.40.

    The etiological factors could be trauma, stiffness following immobilization and healing processes; Pain at the end range of supination and/or pronation; Related to the reported activity limitation or participation restrictions

    Would it go with your case? Hope so!

  7. #7


    812.40 is fracture of the humerus, so that won't work.
    Julianne Sheetz, CPC

  8. #8


    I think using anything besides 719.62 is assuming the cause of the decreased ROM. It could be dislocated, nursemaid elbow, OA, etc.

  9. #9


    Well, instead of saying"That wont work , give your self to a little analysis.
    See ,I said (in dealing with the particular sequlae of a causation) the underlying pathophysiology (3salient features of ROM) here, is a trauma/injury to the lower end of the bone and as the sequlae of immobilization/stiffness/or during healing process this mobility dificit occurs.
    Just as we go with many other causative/underlying pathology(say like Diabetes,we always report it along with it sequlae).
    So here the primary Path is fracture of the lower end which causes the ulnohumeral deficit at elbow.
    Based on the salient features of the deficit process the major cause being Fracture of the lower end of humerus.
    719.12 though not to be denied , to make it more specifis and supportive the underlying pathology could be added.
    Tennis elbow, nurse elbow Arthritis,cubital tunnel Syndrome and so on are not categoried in ROM though we feel they could too.
    Are you all really satisfied with 719.62 alone to depicts ROM or do you feel particular catogorical causative factor could be included in event of 719.62 not being specific?

  10. #10
    Join Date
    Apr 2007
    Charleston, WV


    If all you have to code by is "decreased range of motion," 719.62 is the best (maybe only) choice. You cannot assume a cause. The elbow joint probably is stiff but we don't know that based on the documentation.

    This comes from the justcoding.com web site:

    "The OIG defines assumption coding as "assuming (and coding) from the clinical evidence on the patient’s record that the patient has certain diagnoses in the absence of the physician’s explicit documentation of the diagnosis." Assumption coding is a forbidden practice among coders.
    In other words, assumption coding occurs when the coder "assumes" certain facts about a patient’s condition although the physician has not specifically documented the level of detail that the coder is coding."

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