Acquired clawhand, unspecified hand
ICD-10 M21.519 is a billable code used to indicate a diagnosis of acquired clawhand, unspecified hand.
Acquired clawhand, also known as claw fingers, is a deformity characterized by the flexion of the proximal interphalangeal joints and extension of the distal interphalangeal joints, resulting in a claw-like appearance of the hand. This condition can arise from various causes, including neurological disorders, trauma, or conditions that affect the tendons and muscles of the hand. Unlike congenital clawhand, which is present at birth, acquired clawhand develops later in life due to underlying medical issues such as peripheral nerve injuries, rheumatoid arthritis, or other inflammatory conditions. The severity of the deformity can vary, impacting hand function and the ability to perform daily activities. Treatment options may include physical therapy, splinting, and surgical interventions aimed at correcting the deformity and restoring function. Accurate diagnosis and coding are essential for appropriate management and reimbursement, as the condition can significantly affect a patient's quality of life.
Detailed notes on the patient's history, physical examination findings, and treatment plans.
Patients presenting with hand deformities post-trauma or due to degenerative diseases.
Documentation should include the extent of functional impairment and any surgical interventions performed.
Comprehensive neurological assessments and diagnostic imaging results.
Patients with neurological conditions leading to muscle weakness or spasticity affecting hand function.
Documenting the neurological basis for the clawhand is crucial for accurate coding.
Used in surgical correction of clawhand deformity.
Operative notes detailing the procedure and pre-operative assessments.
Orthopedic surgeons should document the rationale for surgical intervention.
Acquired clawhand develops later in life due to various conditions such as nerve damage or muscle weakness, while congenital clawhand is present at birth and is typically due to genetic factors.
