Valgus deformity, not elsewhere classified, right elbow
ICD-10 M21.021 is a billable code used to indicate a diagnosis of valgus deformity, not elsewhere classified, right elbow.
Valgus deformity of the elbow is characterized by an abnormal angulation of the forearm in relation to the upper arm, resulting in an outward deviation of the forearm. This condition can be acquired due to various factors, including trauma, repetitive stress, or underlying conditions such as arthritis. The right elbow specifically refers to the involvement of the right arm, which may affect functionality and range of motion. Patients may present with pain, swelling, and decreased mobility, impacting daily activities. Treatment options often include physical therapy, bracing, or surgical intervention to correct the alignment and restore normal function. Corrective procedures may involve osteotomy or arthroplasty, depending on the severity of the deformity and the underlying cause. Accurate coding is essential for proper reimbursement and to reflect the complexity of the condition and its management.
Detailed clinical notes including physical examination findings, imaging results, and treatment plans.
Patients presenting with elbow pain and deformity following trauma or chronic overuse.
Ensure to document any surgical interventions or referrals to physical therapy.
Comprehensive assessment of functional limitations and rehabilitation goals.
Patients requiring rehabilitation post-surgery or those with chronic pain due to valgus deformity.
Document progress notes and response to therapy to support ongoing treatment.
Used for surgical correction of severe valgus deformity.
Pre-operative assessment, surgical notes, and post-operative follow-up.
Orthopedic surgeons should document the rationale for surgical intervention.
Specifying laterality is crucial for accurate coding and billing, as it impacts treatment decisions and reimbursement. It ensures that the specific affected limb is documented, which is essential for clinical management.
