Unspecified acquired deformity of hand, right hand
ICD-10 M21.941 is a billable code used to indicate a diagnosis of unspecified acquired deformity of hand, right hand.
M21.941 refers to an unspecified acquired deformity of the right hand, which can arise from various causes such as trauma, infection, or degenerative diseases. Acquired deformities may manifest as changes in the shape or structure of the hand, affecting functionality and aesthetics. Common examples include conditions resulting from fractures that heal improperly, tendon injuries, or inflammatory diseases like rheumatoid arthritis. These deformities can lead to limitations in hand movement, grip strength, and overall dexterity. The right hand is often more affected in right-handed individuals, leading to significant impacts on daily activities and quality of life. Treatment options may include physical therapy, splinting, or surgical interventions aimed at restoring function and appearance. Accurate coding is essential for appropriate management and reimbursement, necessitating thorough documentation of the underlying cause and the specific nature of the deformity.
Detailed operative reports and pre-operative assessments are essential.
Post-traumatic deformities, degenerative joint disease, and surgical corrections.
Ensure documentation reflects the specific nature of the deformity and any corrective procedures performed.
Progress notes detailing functional assessments and treatment plans.
Rehabilitation following surgery or injury leading to deformity.
Document improvements in range of motion and strength to support coding for therapy services.
Used when a patient with an acquired deformity requires surgical intervention.
Operative report detailing the procedure and indication.
Orthopedic surgeons should ensure clear documentation of the deformity's impact on function.
Documentation should include a detailed description of the deformity, its cause, any associated conditions, and the treatment plan. Imaging studies and clinical assessments should also be included.
