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icd9 decreased rom elbow

  1. Question icd9 decreased rom elbow
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    Can someone tell me what ICD9 you would use for decreased range of motion for an elbow?

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

  3. Red face
    Thank you for yur help that will work.

  4. Default
    Glad to help!!

  5. #5
    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.

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  6. Default
    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. Default
    812.40 is fracture of the humerus, so that won't work.

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

  9. Default
    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
    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 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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