American Physical Therapy Association

Common ICD-10 Codes: Orthopaedics

To help you identify appropriate ICD-10-CM codes to use, APTA has compiled a list of commonly used codes in orthopaedic physical therapist practice. The lists are not exhaustive and are not intended to be used exclusively. It is recommended that you check in the ICD-10 Alphabetic Index and Tabular lists to ensure there is not a code with more specificity or a different code that may be more appropriate to reflect the patient's condition. Instructions:

To best navigate the list, first download this PDF file to your computer. Then navigate the document using the search feature in the toolbar. Finally, ensure that you look at the top of each category and work down to review notes or specific instructions.

?2020 American Physical Therapy Association. All rights reserved.

Disorder by site: Ankle

Achilles tendinopathy

** Achilles tendinopathy is not listed in ICD10

M76.6 Achilles tendinitis Achilles bursitis M76.61 Achilles tendinitis, right leg M76.62 Achilles tendinitis, left leg ** Tendinosis is not listed in ICD10

M76.89 Other specified enthesopathies of lower limb, excluding foot M76.891 Other specified enthesopathies of right lower limb, excluding foot M76.892 Other specified enthesopathies of left lower limb, excluding foot

Posterior tibialis dysfunction

**Posterior Tibial Tendon Dysfunction (PTTD) is not listed in ICD10

M76.82 Posterior tibial tendinitis M76.821 Posterior tibial tendinitis, right leg M76.822 Posterior tibial tendinitis, left leg

M76.89 Other specified enthesopathies of lower limb, excluding foot M76.891 Other specified enthesopathies of right lower limb, excluding foot M76.892 Other specified enthesopathies of left lower limb, excluding foot

Ligament sprain

The appropriate 7th character is to be added to each code from category S93 A -- initial encounter D -- subsequent encounter S -- sequela

S86.0 Injury of Achilles tendon

S86.00 Unspecified injury of Achilles tendon S86.001 Unspecified injury of right Achilles tendon S86.002 Unspecified injury of left Achilles tendon

S86.01 Strain of Achilles tendon S86.011 Strain of right Achilles tendon S86.012 Strain of left Achilles tendon

S93.4 Sprain of ankle Excludes2: injury of Achilles tendon (S86.0-)

S93.40 Sprain of unspecified ligament of ankle Sprain of ankle NOS Sprained ankle NOS S93.401 Sprain of unspecified ligament of right ankle S93.402 Sprain of unspecified ligament of left ankle

S93.41 Sprain of calcaneofibular ligament S93.411 Sprain of calcaneofibular ligament of right ankle S93.412 Sprain of calcaneofibular ligament of left ankle

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S93.42 Sprain of deltoid ligament S93.421 Sprain of deltoid ligament of right ankle S93.422 Sprain of deltoid ligament of left ankle

S93.43 Sprain of tibiofibular ligament S93.431 Sprain of tibiofibular ligament of right ankle S93.432 Sprain of tibiofibular ligament of left ankle

S93.49 Sprain of other ligament of ankle Sprain of internal collateral ligament Sprain of talofibular ligament S93.491 Sprain of other ligament of right ankle S93.492 Sprain of other ligament of left ankle

Idiopathic toe walking

R26.89 Other abnormalities of gait and mobility

Disorder by site: Elbow

Tendinopathies

M77.0 Medial epicondylitis M77.01 Medial epicondylitis, right elbow M77.02 Medial epicondylitis, left elbow

M77.1 Lateral epicondylitis Tennis elbow M77.11 Lateral epicondylitis, right elbow M77.12 Lateral epicondylitis, left elbow

Humeroulnar dislocation

S53 Dislocation and sprain of joints and ligaments of elbow Includes: avulsion of joint or ligament of elbow laceration of cartilage, joint or ligament of elbow sprain of cartilage, joint or ligament of elbow traumatic hemarthrosis of joint or ligament of elbow traumatic rupture of joint or ligament of elbow traumatic subluxation of joint or ligament of elbow traumatic tear of joint or ligament of elbow Code also any associated open wound Excludes2: strain of muscle, fascia and tendon at forearm level (S56.-) The appropriate 7th character is to be added to each code from category S53 A -- initial encounter D -- subsequent encounter S -- sequela

S53.0 Subluxation and dislocation of radial head Dislocation of radiohumeral joint Subluxation of radiohumeral joint Excludes1: Monteggia's fracture-dislocation (S52.27-)

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S53.00 Unspecified subluxation and dislocation of radial head S53.001 Unspecified subluxation of right radial head S53.002 Unspecified subluxation of left radial head S53.004 Unspecified dislocation of right radial head S53.005 Unspecified dislocation of left radial head

S53.01 Anterior subluxation and dislocation of radial head Anteriomedial subluxation and dislocation of radial head S53.011 Anterior subluxation of right radial head S53.012 Anterior subluxation of left radial head S53.014 Anterior dislocation of right radial head S53.015 Anterior dislocation of left radial head

S53.02 Posterior subluxation and dislocation of radial head Posteriolateral subluxation and dislocation of radial head S53.021 Posterior subluxation of right radial head S53.022 Posterior subluxation of left radial head S53.024 Posterior dislocation of right radial head S53.025 Posterior dislocation of left radial head S53.026 Posterior dislocation of unspecified radial head

S53.03 Nursemaid's elbow S53.031 Nursemaid's elbow, right elbow S53.032 Nursemaid's elbow, left elbow

S53.09 Other subluxation and dislocation of radial head S53.091 Other subluxation of right radial head S53.092 Other subluxation of left radial head S53.094 Other dislocation of right radial head S53.095 Other dislocation of left radial head

S53.1 Subluxation and dislocation of ulnohumeral joint Subluxation and dislocation of elbow NOS Excludes1: dislocation of radial head alone (S53.0-)

S53.10 Unspecified subluxation and dislocation of ulnohumeral joint S53.101 Unspecified subluxation of right ulnohumeral joint S53.102 Unspecified subluxation of left ulnohumeral joint S53.104 Unspecified dislocation of right ulnohumeral joint S53.105 Unspecified dislocation of left ulnohumeral joint

S53.11 Anterior subluxation and dislocation of ulnohumeral joint S53.111 Anterior subluxation of right ulnohumeral joint S53.112 Anterior subluxation of left ulnohumeral joint S53.114 Anterior dislocation of right ulnohumeral joint S53.115 Anterior dislocation of left ulnohumeral joint

S53.12 Posterior subluxation and dislocation of ulnohumeral joint S53.121 Posterior subluxation of right ulnohumeral joint S53.122 Posterior subluxation of left ulnohumeral joint S53.124 Posterior dislocation of right ulnohumeral joint S53.125 Posterior dislocation of left ulnohumeral joint

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S53.13 Medial subluxation and dislocation of ulnohumeral joint S53.131 Medial subluxation of right ulnohumeral joint S53.132 Medial subluxation of left ulnohumeral joint S53.134 Medial dislocation of right ulnohumeral joint S53.135 Medial dislocation of left ulnohumeral joint

S53.14 Lateral subluxation and dislocation of ulnohumeral joint S53.141 Lateral subluxation of right ulnohumeral joint S53.142 Lateral subluxation of left ulnohumeral joint S53.144 Lateral dislocation of right ulnohumeral joint S53.145 Lateral dislocation of left ulnohumeral joint

S53.19 Other subluxation and dislocation of ulnohumeral joint S53.191 Other subluxation of right ulnohumeral joint S53.192 Other subluxation of left ulnohumeral joint S53.194 Other dislocation of right ulnohumeral joint S53.195 Other dislocation of left ulnohumeral joint

Cubital tunnel syndrome

G56 Mononeuropathies of upper limb Excludes1: current traumatic nerve disorder - see nerve injury by body region

G56.2 Lesion of ulnar nerve Tardy ulnar nerve palsy G56.21 Lesion of ulnar nerve, right upper limb G56.22 Lesion of ulnar nerve, left upper limb

S54 Injury of nerves at forearm level Code also any associated open wound (S51.-) Excludes2: injury of nerves at wrist and hand level (S64.-) The appropriate 7th character is to be added to each code from category S54 A -- initial encounter D -- subsequent encounter S -- sequela

S54.0 Injury of ulnar nerve at forearm level Injury of ulnar nerve NOS S54.01 Injury of ulnar nerve at forearm level, right arm S54.02 Injury of ulnar nerve at forearm level, left arm

S54.1 Injury of median nerve at forearm level Injury of median nerve NOS S54.11 Injury of median nerve at forearm level, right arm S54.12 Injury of median nerve at forearm level, left arm

S54.2 Injury of radial nerve at forearm level Injury of radial nerve NOS S54.21 Injury of radial nerve at forearm level, right arm S54.22 Injury of radial nerve at forearm level, left arm

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