ICD-10 Coding for Trigger Finger(M65.3, M65.321)
Complete ICD-10-CM coding and documentation guide for Trigger Finger. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Trigger Finger
M65.3-M65.39Primary Range
Trigger finger codes specifying laterality and digit
This range includes all codes for trigger finger, specifying the affected digit and laterality.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| M65.3 | Trigger finger | Use when the specific digit and laterality are not documented. |
|
| M65.321 | Trigger finger, right index finger | Use when the right index finger is affected. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for trigger finger
Essential facts and insights about Trigger Finger
Primary ICD-10-CM Codes for trigger finger
Decision Criteria
documentation Criteria
- Document specific finger and laterality for accurate coding.
Applicable To
- Stenosing tenosynovitis
Excludes
- Radial styloid tenosynovitis (M65.4)
Clinical Validation Requirements
- Locking or catching of the finger
- Palpable nodule at A1 pulley
- Tenderness over the flexor tendon
Code-Specific Risks
- Lack of specificity may lead to claim denials.
Coding Notes
- Ensure documentation specifies the affected finger and laterality.
M65.321 - Trigger finger, right index finger
Use when the right index finger is affected.
Applicable To
- Right index finger stenosing tenosynovitis
Clinical Validation Requirements
- Locking or catching of the right index finger
- Palpable nodule at A1 pulley
Coding Notes
Ensure laterality is documented as 'right'.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Methylprednisolone acetate injection (40 mg)
J1030Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Radial styloid tenosynovitis
M65.4Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Trigger Finger to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M65.3.
Impact
Clinical: May result in inappropriate treatment plans., Regulatory: Non-compliance with coding standards., Financial: Potential for claim denials and reduced reimbursement.
Mitigation Strategy
Use detailed templates., Train staff on documentation requirements.
Impact
Reimbursement: Incorrect coding leads to claim denials and loss of reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data on procedure types performed.
Mitigation Strategy
Use 20550 for injections into the tendon sheath.
Impact
Lack of specificity in coding can lead to audits.
Mitigation Strategy
Ensure documentation includes specific finger and laterality.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Trigger Finger, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Trigger Finger
Use these documentation templates to ensure complete and accurate documentation for Trigger Finger. These templates include all required elements for proper coding and billing.
Orthopedic evaluation of trigger finger
Specialty: OrthopedicsRequired Elements
- Chief complaint
- Physical exam findings
- Imaging results
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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