ICD-10 codes Flashcards

1
Q

M47.12

And associated ortho cluster

A

Cervical Myelopathy

Hoffman's
Inverted Supinator
Babinski
Gait deviation
> 45 years old
2/5= 88 spec
3/5= 99 spec
4/5= 100 spec
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2
Q

M54.12

And associated ortho cluster

A

Cervical Radiculopathy

Upper Limb tension
Spurling’s A
Distraction
cervical rotation < 60 ipsilateral

2/4= .56 specificity
3/4 = .94 specificity
4/4= 99 specificity
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3
Q

G54.0

and associated ortho cluster

A

Thoracic outlet syndrome

Adson
Wright
Hyperabduction Test
Roo's 
Tinels

3-4 + Tests 85-90% SE; 30% SP
5/5 84% Specificity

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4
Q

M51.26

and associated ortho cluster

A

Lumbar Disc

SLR Sens 97, Spec 57
Slump's Sens 83, Spec 55
Crossed SLR (Well LR) Sens 28 Spec 90
L5/S1- Pain into S1 area,
Achilles reflex path.
S1 derm. Defect
L4/L5- extensor hallucis weakness
Pain L5 area
L5 derm.defect
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5
Q

M48.06

and associated ortho cluster

A

Lumbar Stenosis

Bilateral symptoms
Leg pain > Lumbar pain
pain with standing walking
pain relief sitting
patient > 48 year old

1/5: sens 96 spec 20
4/5: sens 6: spec 98

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6
Q

M53.3

and associated ortho cluster

A

SI Lesion

VanderWurff's Cluster (sens 85) spec 79
Gaenslen's
FABER
SI Compression
SI Distraction
Thigh thrust
Laslett's 2 (sens 91; spec 87)
SI Compression
SI Distraction 
Thigh Thrust
Gaenslen's Test
Sacral Thrust
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7
Q

M75.4_

and associated ortho cluster

A

Impingement Syndrome

Michener Impingment Cluster*
Painful ARC Test*
Hawkin's Kennedy Test*
Neer's Test*
Empty Can Test*
External Rotation Weakness*

Sens 75; Spec 74 for 3 or more pos. tests

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8
Q

S43.5_XA

and associated ortho cluster

A

AC

Chronopoulos AC Joint Cluster*
2 or more: Sens 81;Spec 89
O'Brien/Active Compression Test*
Cross-body Adduction*
AC Resisted Extension*
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9
Q

M16.1_

and associated ortho cluster

A
Sutlive's Clinical Prediction Rule OA
Scour Test
internal rotation < 25 degrees
pain with squatting 
pain with active hip flexion/extension
FABER
5/5 .14 sens; .98 spec
4/5 .48 sens; .98 spec
3/5 .71 sens; .86 spec
2/5 .81 sens; .61 spec
1/5 .95 sens; .18 spec
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10
Q

Cervical Myelopathy code

and associated clinical indicators

A

M47.12

bilateral symptoms
clumsiness of hands
difficulty walking
possible urinary dysfunction
possible shooting pain arms
> 45 years old
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11
Q

Cervical Radiculopathy code

and associated clinical indicators

A

M54.12

cervical rotation <60 ipsilateral
History of trauma
radiation pain often arm/hand
possible pain with Valsalva
pain worse with specific ROM
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12
Q

Thoracic outlet syndrome code

and associated clinical indicators

A

G54.0

insidious onset numbness/tingling, medial arm
pain upper limb
constant ache with parethesia
possible associated headache/neck pain
prior history cervical trauma
prior history repetitive activities
symptoms usually worse w/shoulder abduction

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13
Q

Lumbar Disc Code

and associated clinical indicators

A

M51.26

age 30-50
male > female
sudden onset LBP
potential leg pain
leg pain often greater
↑pain with sitting
pain below knee
paresthesia numbness/tingling
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14
Q

Lumbar Stenosis code

and associated clinical indicators

A

M48.06

Leg pain > Lumbar pain
pain with standing walking
pain relief sitting
patient > 48 year old

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15
Q

SI Lesion code

and associated clinical indicators

A

M53.3

local pain
possible low back, buttock radiation
ligamentous laxity
increased SI movement
leg length inequality
lack mobility contralateral side
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16
Q

Impingement syndrome code

and associated clinical indicators

A
M75.4_
dull achy shoulder pain 
worse with abduction above 80 degrees
worse overhead activity, excessive use
sudden onsent sharp pain 
tearing sensation suggests rotator cuff tear
gradual increase pain shouder activities
worse after sleep arm abducted overhead
17
Q

99213

A

established patient exam with pre-existing condition (less than 3 years) in the group C/D Dx

18
Q

99214

A

established patient with new condition

19
Q

99202

A

New Pt with group A/B diagnosis

20
Q

99203

A

New patient with group C/D diagnosis

21
Q

99212

A

Established patient w/ Group A/B Dx

22
Q

AC ICD-10 Code

associated clinical indicators

A

S43.5_XA

FOOSH
Drop Affected Shoulder
Antalgic Posture

23
Q

Hip osteoarthritis ICD-10 Code

associated clinical indicators

A

M16.1_

Insidious/gradual onset
deep achy pain
Prior history of sprain, strain, and/or overuse
Over 60 years of age
Pain w/ stiffness in hip
possible radiation to groin
24
Q

Meniscal Tear ICD-10 Code

associated clinical indicators

A

S81.21_A
S83.25_A

Pain after rotational injury (Wt bearing)
knee may lock
clicking on flexion

25
Q

Tibial Meniscus Tear Ortho Cluster

A
Joint Line Tendeness
Bohler Test
McMurrays
Steinman 1
Apley's Test
Payr Test
.97 sens; .87 spec

joint line tenderness + Thessalys
(20 degrees)
medial .93 sens; .92 spec
lateral .78 sens; .99 spec

Joint line tendersness+McMurray
Medial .91 sens., .91 spec
Lateral .75 sens, .99 spec

26
Q

Cervical radiculopathy ortho cluster

-Wainner’s

A
Wainner's Cluster
Upper Limb tension
Spurling's A
Distraction 
cervical rotation < 60 ipsilateral
2/4= .56 specificity
3/4 = .94 specificity
4/4= 99 specificity
27
Q

TOS Ortho Cluster

-Gillard’s

A
Gillards Cluster
Adson
Wright
Hyperabduction Test
Roo's 
Tinels
3-4 + Tests 85-90% SE; 30% SP
5/5 84% Specificity
28
Q

Lumbar Disc Ortho Cluster

-Souza

A
Disc Cluster (Souza)
SLR Sens 97, Spec 57
Slump's Sens 83, Spec 55
Crossed SLR (Well LR) Sens 28
Spec 90
L5/S1- Pain into S1 area, Achilles
reflex path., S1 derm. Defect
L4/L5- extensor hallucis weakness
Pain L5 area, L5 derm.defect
29
Q

Lumbar Stenosis ortho cluster

A
Cook's Clinical Prediction Rule
Bilateral symptoms
Leg pain > Lumbar pain
pain with standing walking
pain relief sitting
patient > 48 year old
1/5: sens 96 spec 20
4/5: sens 6: spec 98
30
Q

Sacroiliac Lesion Ortho Cluster

  • Vanderwurff’s Cluster
  • Laslett’s 2
A
VanderWurff's Cluster (sens 85) spec 79
Gaenslen's
FABER
SI Compression
SI Distraction
Thigh thrust
Laslett's 2 (sens 91; spec 87)
SI Compression
SI Distraction 
Thigh Thrust
Gaenslen's Test
Sacral Thrust
31
Q

Impingement Syndrome Ortho Cluster

A
Michener Impingment Cluster*
Painful ARC Test*
Hawkin's Kennedy Test*
Neer's Test*
Empty Can Test*
External Rotation Weakness*
Sens 75; Spec 74 for 3 or more pos. tests
32
Q

AC Ortho Cluster

-Chonopoulos

A
Chronopoulos AC Joint Cluster*
2 or more: Sens 81;Spec 89
O'Brien/Active Compression Test*
Cross-body Adduction*
AC Resisted Extension*
33
Q

Hip Osteoarthritis Ortho Cluster

-Sutlive’s

A
Sutlive's Clinical Prediction Rule OA
Scour Test
internal rotation < 25 degrees
pain with squatting 
pain with active hip flexion/extension
FABER
5/5 .14 sens; .98 spec
4/5 .48 sens; .98 spec
3/5 .71 sens; .86 spec
2/5 .81 sens; .61 spec
1/5 .95 sens; .18 spec