2025 ICD-10-CM code S63.412D
(Active) Effective Date: N/A Injury, poisoning and certain other consequences of external causes - Injury to the wrist, hand and fingers 19 Feed
Traumatic rupture of collateral ligament of right middle finger at metacarpophalangeal and interphalangeal joint, subsequent encounter.
Medical necessity is established by the need for ongoing care and management of the ruptured ligament, such as pain management, physical therapy, or evaluation for surgical intervention.
Diagnosis is typically made through physical examination, possibly supplemented by imaging studies like ultrasound, MRI, or CT scans. Treatment might involve pain management, splinting or bracing, and potentially surgical intervention.
In simple words: This code describes a follow-up visit for a torn ligament in the right middle finger at the knuckle and middle joint, which happened due to an injury.
Traumatic rupture of the collateral ligament of the right middle finger at the metacarpophalangeal and interphalangeal joint, subsequent encounter. This refers to the tearing or disruption of the ligaments that stabilize the middle finger joints due to trauma. This code is used for encounters after the initial treatment for the injury.
Example 1: A patient presents for a follow-up appointment after injuring their right middle finger playing basketball. The initial diagnosis was a ruptured collateral ligament at the MCP and IP joints. The patient is receiving physical therapy., A patient who previously sustained a traumatic rupture of the collateral ligament in their right middle finger during a work-related accident is seen for ongoing pain and stiffness. They are being evaluated for possible surgical repair., A patient is seen for continued limited range of motion in their right middle finger after falling and tearing the collateral ligament at the MCP and IP joints several weeks prior.
Documentation should include details of the initial injury, evidence of a ruptured collateral ligament (physical exam findings, imaging results), the affected joints (MCP and IP), the laterality (right middle finger), and the fact that this is a subsequent encounter.
** This code should not be used for birth trauma (P10-P15) or obstetric trauma (O70-O71).
- Specialties:Hand surgery, orthopedics, emergency medicine, primary care
- Place of Service:Office, On Campus-Outpatient Hospital, Off Campus-Outpatient Hospital,Inpatient Hospital