ICD - 10 Tendon Laceration Codes
ICD - 10 Tendon Laceration Codes
Laceration Of Muscle, Fascia Or
Tendon. Add 7th Character: A,D,S
Muscle
Digit
side
Flexor
Digitorum
Profundus
Flexor
Digitorum
Superficialis
Flexor
Pollicis
Longus
Extensor
Digitorum
Communis
Extensor
Indicis
Proprius
Extensor
Digiti Minimi
Extensor
Pollicis
Longus
Abductor
Pollicis
Longus
Index
Middle
Ring
Small
Thumb
Index
Middle
Ring
Small
Index
Small
Thumb
Wrist And Hand Level
(At Or Distal To Wrist)
Zone: FLX:1-5*
EXT: I-VI.
Right
Left
Right
Left
Right
Left
Right
Left
Right
Forearm
Level:
Zone:
FLX:> 5 at
wrist*
EXT: ¡ÝVII
S56.121S56.122S56.123S56.124S56.125S56.126S56.127S56.128S56.021-
Right
Left
Right
Left
Right
Left
Right
Left
Right
S56.421S56.422S56.423S56.424S56.425S56.426S56.427S56.428S56.421-
S66.320S66.321S66.322S66.323S66.324S66.325S66.326S66.327S66.320-
Left
Left
Right
Left
Right
Left
S56.022-
S56.422S56.427S56.428S56.321S56.322-
S66.120S66.121S66.122S66.123S66.124S66.125S66.126S66.127S66.021S66.022-
S66.321S66.326S66.327S66.221S66.222-
Extensor
Pollicis
Brevis,
Flexor
Pollicis
Brevis,
Abductor
Pollicis
Brevis,
Opponens
Pollicis,
Adductor
Pollicis
Flexor Digiti
Minimi,
Opponens
Digiti Minimi,
Abductor
Digiti Minimi
Intrinsics:
Lumbricales,
Palmer
Interossei,
Dorsal
Interossei
Thumb
Right
Intrinsics
NA
S66.421-
NA
S66.422-
Small
Right
intrinsics Left
NA
NA
S66.526 S66.527-
Index
NA
NA
NA
NA
NA
NA
NA
NA
S66.520S66.521S66.522S66.523S66.524S66.525S66.526S66.527-
Left
Middle
Ring
Small
Right
Left
Right
Left
Right
Left
Right
Left
Traditionally, Zone 5 extends proximal to the wrist but for ICD-10,
codes are either distal to or proximal to the wrist. The forearm code
could include injuries in Zone 5 more proximal to the wrist.
Wrist, Forearm, Elbow and Shoulder
Laceration Of Muscle, Fascia
And Tendon.
Add 7th Character: A,D,S
Shoulder
And
Upper
Arm
Level**
Forearm
Level:
Wrist And Hand
Level (At Or Distal
To Wrist)
NA^
NA^
Code
S56.221S56.222-
Code
S66.821S66.822-
Right
Left
NA^
NA^
S56.521S56.522-
S66.821S66.822-
Right
Left
Right
Left
Right
Left
Right
Left
Right
S46.821
S46.822
NA
NA
S46.821
S46.822
NA^
NA
NA^
S56.221S56.222NA
NA
S56.221S56.222S56.521S56.522S56.821-
S66.821S66.822S66.821S66.822NA
NA
NA
NA
S66.821- (PQ)
Right
S46.021-
NA
NA
Muscle
Side
Flexor Carpi
Right
Radialis
Left
Flexor Carpi
Ulnaris
Palmaris Longus
Extensor Carpi
Radialis
Longus,
Extensor Carpi
Radialis Brevis
Extemsor Carpi
Ulnaris
Brachioradialis
Palmaris Brevis
Brachialis
Anconeus
Pronator Teres,
Supinator,
Pronator
Quadratus
Rotator Cuff:
Supraspinatus
Infraspinatus,
Teres Minor,
Subsccapularis
Long Head
Biceps
Left
Left
Right
Left
Right
NA^
S46.022S46.121S46.122S46.221-
S56.822-
NA
NA
NA
S56.221-
S66.822- (PQ)
NA
NA
NA
NA
Biceps Other
Than Long Head
Triceps
Left
Right
Left
Coracobrachialis Right
Latissimus Dorsi
Pectoralis Major
Pectoralis Minor Left
Teres Major
S46.222-
S56.222-
NA
S46.822-
NA
NA
S46.321S46.322S46.821-
S56.521S56.522NA
NA
NA
NA
** Above, not including, elbow.
^ Lacerations at the level of the epicondyles could be coded as either at the elbow level as
done on this chart or above the elbow-no clear guidance available.
Compiled by Marsha Lawrence PT CHT
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