Unspecified acquired deformity of unspecified forearm
ICD-10 M21.939 is a billable code used to indicate a diagnosis of unspecified acquired deformity of unspecified forearm.
M21.939 refers to an unspecified acquired deformity of the forearm, which can arise from various causes such as trauma, infection, or underlying medical conditions. Acquired deformities may manifest as changes in bone structure, joint alignment, or soft tissue integrity, leading to functional impairment or aesthetic concerns. Common examples include malunion or nonunion of fractures, post-surgical changes, or deformities resulting from conditions like rheumatoid arthritis. The forearm consists of two long bones, the radius and ulna, and deformities can affect one or both. Clinical evaluation typically involves physical examination and imaging studies to assess the extent of the deformity and its impact on function. Treatment may vary widely, from conservative management with splints and physical therapy to surgical interventions aimed at correcting the deformity and restoring function. Accurate coding is essential for appropriate reimbursement and to reflect the complexity of the patient's condition.
Detailed descriptions of the deformity, imaging results, and treatment plans.
Post-fracture deformities, post-surgical complications, and degenerative changes.
Ensure that all relevant imaging and functional assessments are documented to support the diagnosis.
Functional assessments, treatment goals, and progress notes.
Rehabilitation following corrective surgery or management of chronic deformities.
Documenting the impact of the deformity on daily activities and quality of life is crucial.
Used in cases of significant deformity requiring surgical correction.
Operative report detailing the procedure and indications.
Orthopedic specialists should ensure comprehensive documentation of pre-operative assessments.
Document the specific nature of the deformity, its cause, any functional limitations, and the treatment plan. Include imaging studies and clinical assessments to provide a comprehensive view of the patient's condition.
