ICD-10 Codes Shoulder CPT Codes ICD-10 Codes Elbow ICD-10 Codes Fracture
ICD-10 Codes Shoulder
| Left | Right | Code is unclear to laterality | Add-on Code | |
|---|---|---|---|---|
| Complete Rotator Cuff Tear | M75.122 | M75.121 | ||
| Partial Rotator Cuff Tear | M75.112 | M75.111 | ||
| Calcific tendonitis of the shoulder | M75.32 | M75.31 | ||
| Adhesive Capsulitis (Frozen Shoulder) | M75.02 | M75.01 | ||
| Impingement Syndrome (Rotator Cuff Syndrome) | M75.102 | M75.101 | ||
| Acromioclavicular (AC) Joint Pain/Arthritis | M19.012 | M19.011 | ||
| Rotator Cuff Sprain | S43.422A | S43.421A | ||
| Loose body in Shoulder | M24.012 | M24.011 | ||
| Acromioclavicular (AC) Joint Separation (any grade) | S43.102A | S43.101A | ||
| Labral Tear of the shoulder | S43.432A | S43.431A | ||
| Shoulder instability | M25.312 | M25.311 | ||
| Recurrent shoulder dislocation | M24.412 | M24.411 | ||
| Anterior shoulder dislocation | S43.015A | S43.014A | ||
| Posterior shoulder dislocation | S43.035A | S43.034A | ||
| Inferior Shoulder dislocation | S43.005A | S43.004A | ||
| HAGL - Humeral avulsion of inferior glenohumeral ligaments | S43.492A | S43.491A | ||
| Bankart Lesion | S43.492A | S43.491A | ||
| Hill-Sachs deformity/fracture | S42.292A | S42.291A | ||
| Pectoralis Major Rupture | S29.011A | |||
| Biceps Tenosynovitis | M75.22 | M75.21 | ||
| Rupture of long head of biceps | S46.112A | S46.111A | ||
| Rotator Cuff Arthropathy | M12.812 | M12.811 | ||
| Primary Osteoarthritis of the shoulder | M19.012 | M19.011 | ||
| Post-Traumatic OA of the shoulder | M19.112 | M19.111 | ||
| Rheumatoid Arthritis of the shoulder | M06.012 | M06.011 | ||
| Avascular Necrosis of the Humeral Head | M87.012 | M87.011 | ||
| Staphylococcal septic arthritis of the shoulder | M00.012 | M00.011 | ||
| Streptococcal septic arthritis of the shoulder | M00.212 | M00.211 | ||
| Pneumococcal septic arthritis of the shoulder | M00.112 | M00.111 | ||
| Other bacteria, septic arthritis of the shoulder | M00.812 | M00.811 | ||
| Unspecified bacteria, septic arthritis of the shoulder | M00.9 | |||
| Acute Gout Shoulder | M10.012 | M10.011 | ||
| Infected Shoulder Prosthesis | T84.59XA | Z96.619 | ||
| Dislocated Shoulder Prosthesis | T84.028A | Z96.619 | ||
| Broken Shoulder Prosthesis | T84.018A | Z96.619 | ||
| Loosening of shoulder replacement | T84.038A | Z96.619 | ||
| Winged Scapula | M21.80 | |||
| Suprascapular Nerve Entrapment | G56.82 | G56.81 | ||
| Thoracic Outlet Syndrome | G54.0 |
Shoulder and Elbow CPT Codes
| Description | CPT Code |
|---|---|
| Arthroscopic rotator cuff repair | 29827 |
| Arthroscopic subacromial decompression | 29826 |
| Arthroscopic biceps tenodesis | 29828 |
| Arthroscopic distal clavicle excision | 29824 |
| Arthroscopic extensive debridement | 29823 |
| Arthroscopic limited debridement | 29822 |
| Arthroscopic complete synovial debridement | 29821 |
| Arthroscopic partial synovial debridement | 29820 |
| Arthroscopic Loose body removal | 29819 |
| Arthroscopic labral repair or capsulorrhaphy | 29806 |
| Arthroscopic SLAP Repair | 29807 |
| Arthroscopic Hill-Sachs Remplissage | 29827 |
| Arthroscopic Latarjet | 29999, open equivalent 23462 |
| Arthroscopic posterior bone block | 29999, open equivalent 23465 |
| Arthroscopic supra scapular nerve release | 29999 |
| Total shoulder/reverse shoulder arthroplasty | 23472 |
| Modified l'episcopo | 23397 |
| Revision shoulder arthroplasty one component w/allograft | 23473 |
| Revision shoulder arthroplasty both components w/allograft | 23474 |
| Shoulder hemiarthroplasty | 23470 |
| Bone graft | 20900 |
| Pectoralis major repair | 24341 |
| Pectoralis major transfer | 23395 |
| Open long head biceps tenodesis | 24340 |
| MUA shoulder | 23700 |
| Shoulder fusion | 23800 |
| Hardware removal | 20680 |
| AC reconstruction without graft | 23550 |
| AC reconstruction with graft | 23552 |
| Open distal clavicle excision | 23120 |
| Clavicle ORIF | 23515 |
| ORIF Proximal humerus | 23615 |
| Proximal humerus hemiarthroplasty for fracture | 23616 |
| ORIF Greater tuberosity | 23630 |
| Open shoulder reduction with ORIF GT | 23670 |
| Open shoulder reduction with proximal humerus ORIF | 23680 |
| ORIF humerus with plates | 24515 |
| IM nailing of humerus | 24516 |
| ORIF Scapula - glenoid, scapular body fracture, acromion | 23585 |
| Description | CPT Code |
|---|---|
| Arthroscopy elbow diagnostic | 29830 |
| Arthroscopy elbow loose body removal | 29834 |
| Arthroscopy elbow partial synovectomy | 29835 |
| Arthroscopy elbow complete synovectomy | 29836 |
| Arthroscopy elbow limited debridement | 29837 |
| Arthroscopy elbow extensive debridement | 29838 |
| Distal Triceps Reconstruction (insertion) | 24342 |
| Distal Biceps Reconstruction (insertion) | 24342 |
| Medial or Lateral epicondyle debridement | 24358 |
| Medial or Lateral epicondyle debridement with reattachment | 24359 |
| Olecranon bursectomy | 24105 |
| Reconstruction of LCL elbow with graft | 24344 |
| Repair of LCL elbow with local tissue | 24343 |
| Reconstruction of MCL elbow with graft | 24346 |
| Repair of MCL elbow with local tissue | 24345 |
| Excision bone spur olecranon | 24120 |
| Open Extensive debridement of the elbow | 24006 |
| Open release of elbow with bone | 24149 |
| Radial Head Arthroplasty | 24366 |
| Total Elbow Arthroplasty | 24363 |
| Revision Total Elbow Arthroplasty; One Component | 24370 |
| Revision Total Elbow Arthroplasty; Both Components | 24371 |
| Interposition Elbow Arthroplasty | 24360 |
| MUA of Elbow | 23700 |
| Radial Head Excision | 24130 |
| Elbow arthrodesis | 24800 |
| Implant Removal | 24160 |
| Radial head implant removal | 24164 |
| Olecranon Fracture ORIF | 24685 |
| Coronoid Fracture ORIF | 24685 |
| ORIF Distal humerus fracture without intercondylar extension | 24545 |
| ORIF Distal humerus fracture with intercondylar extension | 24546 |
| ORIF Medial or Lateral humeral condyle | 24579 |
| ORIF Medial or lateral epicondyle of the distal humerus | 24575 |
| Open treatment of Elbow Fracture Dislocation | 24586 |
| Open treatment of Elbow Fracture Dislocation with arthroplasty | 24587 |
| Open treatment of Acute or Chronic Elbow Dislocation | 24615 |
| ORIF of Monteggia Elbow Fracture | 24635 |
| ORIF of Radial head or neck fracture | 24665 |
| Ulnar Nerve Transposition | 64718 |
ICD-10 Codes Elbow
| Left | Right | Code is unclear to laterality | Add-on Code | |
|---|---|---|---|---|
| Anterior elbow dislocation | S53.115A | S53.114A | ||
| Posterior elbow dislocation | S53.125A | S53.124A | ||
| Medial elbow dislocation | S53.135A | S53.134A | ||
| Lateral elbow dislocation | S53.145A | S53.144A | ||
| Ulnar collateral ligament of the elbow tear or sprain | S53.422A | S53.421A | ||
| Radial collateral ligament of the elbow tear or sprain | S53.432A | S53.431A | ||
| Elbow Instability | M25.322 | M25.321 | ||
| Lateral epicondylitis (tennis elbow) | M77.12 | M77.11 | ||
| Medial epicondylitis (golferÕs elbow) | M77.02 | M77.01 | ||
| Olecranon bursitis | M70.22 | M70.21 | ||
| Septic olecranon bursitis | M71.122 | M71.121 | B96.89 | |
| Loose body elbow | M24.022 | M24.021 | ||
| Primary Osteoarthritis of the elbow | M19.022 | M19.021 | ||
| Post Traumatic OA of the elbow | M19.122 | M19.121 | ||
| Rheumatoid Arthritis of the elbow | M05.722 | M05.721 | ||
| Infected Elbow Prosthesis | T84.59XA | Z96.619 | ||
| Dislocated Elbow Prosthesis | T84.028A | Z96.619 | ||
| Broken Elbow Prosthesis | T84.018A | Z96.619 | ||
| Staphylococcal septic arthritis of the elbow | M00.022 | M00.021 | ||
| Streptococcal septic arthritis of the elbow | M00.222 | M00.221 | ||
| Pneumococcal septic arthritis of the elbow | M00.122 | M00.121 | ||
| Other bacteria, septic arthritis of the elbow | M00.822 | M00.821 | ||
| Unspecified bacteria, septic arthritis of the elbow | M00.9 | |||
| Acute Gout Elbow | M10.022 | M10.021 | ||
| Distal biceps rupture | S46.212A | S46.211A | ||
| Distal triceps rupture | S46.312A | S46.311A |
Shoulder and Elbow Fracture ICD-10 Codes
| Fracture Location | Left Displaced | Right Displaced | Left Nondisplaced | Right Nondisplaced |
|---|---|---|---|---|
| Sternal end of clavicle fracture, Anterior displacement | S42.012A | S42.011A | S42.018A | S42.017A |
| Sternal end of clavicle fracture, posterior displacement | S42.015A | S42.014A | S42.018A | S42.017A |
| Clavicle shaft fracture | S42.022A | S42.021A | S42.025A | S42.024A |
| Lateral end of clavicle fracture | S42.032A | S42.031A | S42.035A | S42.034A |
| Coracoid Process Fracture | S42.132A | S42.131A | S42.135A | S42.134A |
| Scapular Body Fracture | S42.112A | S42.111A | S42.115A | S42.114A |
| Acromial Process Fracture | S42.122A | S42.121A | S42.125A | S42.124A |
| Glenoid Cavity Fracture | S42.142A | S42.141A | S42.145A | S42.144A |
| 2-part proximal humerus surgical neck fracture | S42.222A | S42.221A | S42.225A | S42.224A |
| 3-part proximal humerus surgical neck fracture | S42.232A | S42.231A | S42.235A | S42.234A |
| 4-part proximal humerus surgical neck fracture | S42.242A | S42.241A | S42.245A | S42.244A |
| Greater tuberosity fracture | S42.252A | S42.251A | S42.255A | S42.254A |
| Lesser tuberosity fracture | S42.262A | S42.261A | S42.265A | S42.264A |
| Transverse humeral shaft fracture | S42.322A | S42.321A | S42.325A | S42.324A |
| Oblique humeral shaft fracture | S42.332A | S42.331A | S42.335A | S42.334A |
| Spiral humeral shaft fracture | S42.342A | S42.341A | S42.345A | S42.344A |
| Comminuted humeral shaft fracture | S42.352A | S42.351A | S42.355A | S42.354A |
| Segmental humeral shaft fracture | S42.362A | S42.361A | S42.365A | S42.364A |
| Simple supracondylar fracture without intercondylar extension | S42.412A | S42.411A | S42.415A | S42.414A |
| Comminuted supracondylar fracture without intercondylar extension | S42.422A | S42.421A | S42.425A | S42.424A |
| Lateral epicondyle fracture of humerus | S42.432A | S42.431A | S42.435A | S42.434A |
| Medial epicondyle fracture of humerus | S42.442A | S42.441A | S42.445A | S42.444A |
| Lateral condyle fracture of humerus | S42.452A | S42.451A | S42.455A | S42.454A |
| Medial condyle fracture of humerus | S42.462A | S42.461A | S42.465A | S42.464A |
| Transcondylar fracture of humerus | S42.472A | S42.471A | S42.475A | S42.474A |
| Olecranon process fracture with no intra-articular extension | S52.022A | S52.021A | S52.025A | S52.024A |
| Olecranon process fracture with intra-articular extension | S52.032A | S52.031A | S52.035A | S52.034A |
| Coronoid Process fracture | S52.042A | S52.041A | S52.045A | S52.044A |
| Radial Head fracture | S52.122A | S52.121A | S52.125A | S52.124A |
| Radial Neck fracture | S52.132A | S52.131A | S52.135A | S52.134A |
| Greenstick fracture of ulnar shaft | S52.212A | S52.211A | ||
| Transverse fracture of ulnar shaft | S52.222A | S52.221A | S52.225A | S52.224A |
| Oblique fracture of ulnar shaft | S52.232A | S52.231A | S52.235A | S52.234A |
| Spiral fracture of ulnar shaft | S52.242A | S52.241A | S52.245A | S52.244A |
| Comminuted fracture of ulnar shaft | S52.252A | S52.251A | S52.255A | S52.254A |
| Segmental fracture of ulnar shaft | S52.262A | S52.261A | S52.265A | S52.264A |
| Monteggia's fracture | S52.272A | S52.271A | ||
| Greenstick fracture of radial shaft | S52.312A | S52.311A | ||
| Transverse fracture of radial shaft | S52.322A | S52.321A | S52.325A | S52.324A |
| Oblique fracture of radial shaft | S52.332A | S52.331A | S52.335A | S52.334A |
| Spiral fracture of radial shaft | S52.342A | S52.341A | S52.345A | S52.344A |
| Comminuted fracture of radial shaft | S52.352A | S52.351A | S52.355A | S52.354A |
| Segmental fracture of radial shaft | S52.362A | S52.361A | S52.365A | S52.364A |
| Galeazzi's fracture | S52.372A | S52.371A |
On Call Reference
| Diagnosis | ICD-10 Left | ICD-10 Right | CPT Code Description | CPT Code |
|---|---|---|---|---|
| Intertrochanteric Hip Fracture | S72.142A | S72.141A | IM nailing | 27245 |
| Subtrochanteric Hip Fracture | S72.22XA | S72.21XA | IM nailing | 27245 |
| Displaced femoral neck fracture | S72.032A | S72.031A | Hip hemiarthroplasty | 27236 |
| Nondisplaced femoral neck fracture | S72.035A | S72.034A | CRPP Femoral neck | 27235 |
| Patellar tendon rupture | M66.262 | M66.261 | Patellar Tendon Repair | 27380 |
| Quad Tendon Rupture | S76.112A | S76.111A | Quad Tendon Repair | 27385 |
| Tibial Shaft Fracture | S82.232A | S82.231A | Tibial Nailing | 27759 |
| Patellar Fracture | S82.032A | S82.031A | ORIF Patella | 27524 |
| Compartment Syndrome | T79.A22 | T79.A21 | Fasciotomies | 27602 |
| Achilles Rupture | S86.012A | S86.011A | Achilles Repair | 27650 |
| Displaced lateral malleolarl fracture | S82.62XA | S82.61XA | ORIF Lat Mal | 27792 |
| Displaced bimalleolar fracture | S82.842A | S82.841A | ORIF BiMal | 27814 |
| Displaced trimalleolar fracture | S82.852A | S82.851A | ORIF TriMal | 27822 |
| Syndesmotic Injury | S93.432A | S93.431A | Syndesmosis | 27829 |
Note on Trauma Codes (S ICD-10 codes): A implies initial evaluation or first time treating patient with a closed injury, B is open fracture Gustilo-Anderson Types 1/2, C is Gustilo-Anderson Type 3.
E/M Coding
| Code | HX | PE | MDM | Time |
|---|---|---|---|---|
| 99201 | PF | PF | SF | 10 |
| 99202 | EPF | EPF | SF | 20 |
| 99203 | D | D | L | 30 |
| 99204 | C | C | M | 45 |
| 99205 | C | C | H | 60 |
| 99211 | N/A | N/A | N/A | 5 |
| 99212 | PF | PF | SF | 10 |
| 99213 | EPF | EPF | L | 15 |
| 99214 | D | D | M | 25 |
| 99215 | C | C | H | 40 |
| 99241 | PF | PF | SF | 15 |
| 99242 | EPF | EPF | SF | 30 |
| 99243 | D | D | L | 40 |
| 99244 | C | C | M | 60 |
| 99245 | C | C | H | 80 |
| 99221 | D/C | D/C | SF/L | 30 |
| 99222 | C | C | M | 50 |
| 99223 | C | C | H | 70 |
| 99231 | PF | PF | SF/L | 15 |
| 99232 | EPF | EPF | M | 25 |
| 99233 | D | D | H | 35 |
| 99251 | PF | PF | SF | 20 |
| 99252 | EPF | EPF | SF | 40 |
| 99253 | D | D | L | 55 |
| 99254 | C | C | M | 80 |
| 99255 | C | C | H | 110 |
99211-99215 Office Return
99241-99245 Office New or Return Consult
99221-99223 Inpatient Initial
99231-99233 Inpatient Subsequent
99251-99255 Inpatient Initial Consult
Please note that information on this page was not authored by Dr. Daniel Grant Schwartz, but was merely painstakingly collected and organized with the characteristic OCD of a surgeon. It has not been proofread (yet) or intended for general public use. Information is intended for internal use only and is only a compilation.