ARCHIVED


Medical Policy

Policy Num:       08.001.035
Policy Name:    
Aquatic Therapy
Policy ID:          [8.001.035]  [Ar / L / M+ / P]  [0.00.00]


Last Review:      September 10, 2024
Next Review:      Policy Archived

 

Related Policies: None

Aquatic Therapy

Popultation Reference No. Populations Interventions Comparators Outcomes
                               1

Individuals:

  •  with physical ijuries or serious illness with hugh level of functional loss
Interventions of interest are:

·         Rehabilitation with   aquatic therapy

Comparators of interest are:

  •   Conventional physical therapy

Relevant outcomes include:

  • Physical recovery
  •  Quality of life

Summary

Aquatic therapy is a therapeutic intervention in which the aquatic environment provides flotation increase in resistance (eg viscosity) and heat. The advantage of flotation is direct: when a person enters the water, there is an immediate reduction in the effect of gravity on the body. The advantage of water viscosity is indirect: when a person moves in the water the resistance is felt. This is known as an accommodation resistance because it matches the strength or effort applied by the patient. Since the resistance of the water equals the force, it applies the likelihood of exacerbating the injury and dramatically reduces it. It has been proposed that water facilitates active movement, stabilizes the trunk, relaxes spastic muscles, improves circulation, strengthens and improves functional activity.

Aquatic therapy may be necessary when there is a restriction of movement, function and strength of a joint that has resulted in a specific disease or trauma. The clinical record should be specific as to the degrees of movement lost, as well as the levels of assistance needed. The standard therapy duration treatment should be 3-4 times per week for 2-4 weeks. It is not necessary more than one form of hydrotherapy in the same visit. Other forms of exercises may be necessary in addition to hydrotherapy when the patient can not perform exercises on the ground without first doing the hydrotherapy. In any case, it will not exceed the limits of the policy

Objective

The objective of this review is to determine whether aquatic therapy improves the net health outcome for patients with physical functional impairments.

Policy Statements

Aquatic therapy to improve or restore physical function after illness, trauma or physical damage or loss of any part of the body is considered for payment if all the following conditions are met:
• The service is provided under the direct supervision of a licensed physical therapist and whose therapy has been ordered by a physician; 
• The therapeutic interventions are given and continue according to a regime that includes the goals to be achieved ordered and signed by a doctor; 
• The patient must show impairments, functional limitations or disabilities that can be minimized or eliminated with aquatic therapy; 
• The patient should benefit from the unique properties of water (eg flotation, hydrodynamics and hydrostatic pressure); 
• The patient must be unable to participate in a physical therapy program entirely outside of the aquatic environment due to weight-bearing restrictions, severe weakness or other considerations; Y
• The documentation must show the need for this type of intervention; 
• The aquatic therapy offered requires the skills of a physical therapist; 
• A qualified physical therapist will be physically present and in charge of the treatment; 

• Aquatic therapy services will always be in accordance with the standards of medical practice and according to the patient's condition.

Policy Guidelines

N/A

Benefit Application

BlueCard/National Account Issues

N/A

Background

Exercises performed in water can be adapted to resist the upward thrust of buoyancy, support the upward thrust of buoyancy, or to assist this upward thrust. Submersion decreases weight bearing by up to 90% when submerged in neck deep water, so an individual who is unable to support their body weight on land is often able to walk with minimal support in the pool. Other benefits of buoyancy are that the water supports weak muscles, enhances flexibility and range of motion, and increases the ease of handling for the therapist.

Hydrostatic pressure is a wonderful benefit of aquatic therapy. Hydrostatic pressure is the force exerted on the immersed body by fluid molecules. No movement is necessary by the individual in order to reap the many benefits of hydrostatic pressure. I use this phenomenon as a motivational tool for my clients. I might say, “Let’s just get in the water today and let the water do its work.” This is often enough to get someone motivated enough to try the pool.

Regulatory Status

N/A

Rationale

Population Reference No. 1

Individuals with physical injuries or serious illness with high level of functional loss

Population

Reference No. 1

Policy Statement

[X] MedicallyNecessary [ ] Investigational

Supplemental Information

N/A

Practice Guidelines and Position Statements

N/A

Medicare National Coverage

N/A

References

1. Bartels, E.M., Lund, H., Hagen, K.B., & et al. (2007). Aquatic exercise for the treatment of knee and hip osteoarthritis. Cochrane Reviews. Retrieved from http://www2.cochrane.org/reviews/en/ab005523.html

2. Cardoso, J.R., Athala, A.N., Cardoso, A., & et al. (2001). Aquatic therapy exercise for treating rheumatoid arthritis (protocol for Cochrane Review). Cochrane Reviews. Retrieved from http://www2.cochrane.org/reviews/en/ protocol_101901073015451546.html

3. Dundar, U., Solak, O., Yigit, I., & et al. (2009). Clinical effectiveness of aquatic exercise to treat chronic low back pain: a randomized controlled trial. Spine, 34(14), 1436-1440.

4. Epps, H., Ginnelly, L., Utley, M., & et al. (2005). Is hydrotherapy cost-effective? A randomised controlled trial of combined hydrotherapy programmes compared with Physiotherapy  land techniques in children with juvenile idiopathic arthritis. International Journal of Technology Assessment in Health Care, 9(39), 1-76.

5. Fransen, M., Nairn, L., Winstanley, J., & et al. (2007). Physical activity for osteoarthritis management: A randomized controlled clinical trial evaluating hydrotherapy or Tai Chi classes. Arthritis and Rheumatism, 57(3), 407-414.

6. Getz, M., Hutzler, Y., & Vermeer, A. (2006). Effects of aquatic interventions in children with neuromotor impairments: A systematic review of the literature. Clinical Rehabilitation, 20(11), 927-936.

7. Gusi, N., & Tomas-Carus, P. (2008). Cost-utility of an 8-month aquatic training for women with fibromyalgia: a randomized controlled trial. Arthritis Research and Therapy, 10(1), R24.

8. Hall, J., Swinkels, A., Briddon, J., & McCabe, C.S. (2008). Does aquatic exercise relieve pain in adults with neurologic or musculoskeletal disease? A systematic review and meta-analysis of randomized controlled trials. Archives of Physical Medicine and Rehabilitation, 89(5), 873-883.

9. Hall, J., Skevington, S.M., Maddison, P.J., & Chapman, K. (1996). A randomized and controlled trial of hydrotherapy in rheumatoid arthritis. Arthritis Care and Research, 9(3), 206-215.

10. Harmer, A.R., Naylor, J.M., Crosbie, J., & Russell, T. (2009). Land-based versus water-based rehabilitation following total knee replacement: A randomized, single-blind trial. Arthritis and Rheumatism, 61(2), 184.

Codes

Codes

Number

Description

CPT

97113

Therapeutic procedure, 1 or more areas, each 15 minute; Aquatic Therapy with therapeutic exercises

ICD-10 CM

 

 

 

B91

Sequelae of poliomyelitis

 

G14

Postpolio syndrome

 

M00.00 - M00.09

Staphylococcal polyarthritis, code range

 

M00.10

Pneumococcal arthritis, unspecified joint

 

M00.111

Pneumococcal arthritis, right shoulder

 

M00.112

Pneumococcal arthritis, left shoulder

 

M00.121

Pneumococcal arthritis, right elbow

 

M00.122

Pneumococcal arthritis, left elbow

 

M00.131

Pneumococcal arthritis, right wrist

 

M00.132

Pneumococcal arthritis, left wrist

 

M00.141

Pneumococcal arthritis, right hand

 

M00.142

Pneumococcal arthritis, left hand

 

M00.151

Pneumococcal arthritis, right hip

 

M00.152

Pneumococcal arthritis, left hip

 

M00.161

Pneumococcal arthritis, right knee

 

M00.162

Pneumococcal arthritis, left knee

 

M00.171

Pneumococcal arthritis, right ankle and foot

 

M00.172

Pneumococcal arthritis, left ankle and foot

 

M00.18

Pneumococcal arthritis, vertebrae

 

M00.19

Pneumococcal polyarthritis

 

M00.80

Arthritis due to other bacteria, unspecified joint

 

M00.811

Arthritis due to other bacteria, right shoulder

 

M00.812

Arthritis due to other bacteria, left shoulder

 

M00.821

Arthritis due to other bacteria, right elbow

 

M00.822

Arthritis due to other bacteria, left elbow

 

M00.831

Arthritis due to other bacteria, right wrist

 

M00.832

Arthritis due to other bacteria, left wrist

 

M00.841

Arthritis due to other bacteria, right hand

 

M00.842

Arthritis due to other bacteria, left hand

 

M00.851

Arthritis due to other bacteria, right hip

 

M00.852

Arthritis due to other bacteria, left hip

 

M00.861

Arthritis due to other bacteria, right knee

 

M00.862

Arthritis due to other bacteria, left knee

 

M00.871

Arthritis due to other bacteria, right ankle and foot

 

M00.872

Arthritis due to other bacteria, left ankle and foot

 

M00.88

Arthritis due to other bacteria, vertebrae

 

M00.9

Pyogenic arthritis, unspecified

 

M05.00

Felty's syndrome, unspecified site

 

M05.011

Felty's syndrome, right shoulder

 

M05.012

Felty's syndrome, left shoulder

 

M05.021

Felty's syndrome, right elbow

 

M05.022

Felty's syndrome, left elbow

 

M05.031

Felty's syndrome, right wrist

 

M05.032

Felty's syndrome, left wrist

 

M05.041

Felty's syndrome, right hand

 

M05.042

Felty's syndrome, left hand

 

M05.051

Felty's syndrome, right hip

 

M05.052

Felty's syndrome, left hip

 

M05.061

Felty's syndrome, right knee

 

M05.062

Felty's syndrome, left knee

 

M05.071

Felty's syndrome, right ankle and foot

 

M05.072

Felty's syndrome, left ankle and foot

 

M05.09

Felty's syndrome, multiple sites

 

M05.10

Rheumatoid lung disease with rheumatoid arthritis of unspecified site

 

M05.111

Rheumatoid lung disease with rheumatoid arthritis of right shoulder

 

M05.112

Rheumatoid lung disease with rheumatoid arthritis of left shoulder

 

M05.121

Rheumatoid lung disease with rheumatoid arthritis of right elbow

 

M05.122

Rheumatoid lung disease with rheumatoid arthritis of left elbow

 

M05.131

Rheumatoid lung disease with rheumatoid arthritis of right wrist

 

M05.132

Rheumatoid lung disease with rheumatoid arthritis of left wrist

 

M05.141

Rheumatoid lung disease with rheumatoid arthritis of right hand

 

M05.142

Rheumatoid lung disease with rheumatoid arthritis of left hand

 

M05.151

Rheumatoid lung disease with rheumatoid arthritis of right hip

 

M05.152

Rheumatoid lung disease with rheumatoid arthritis of left hip

 

M05.161

Rheumatoid lung disease with rheumatoid arthritis of right knee

 

M05.162

Rheumatoid lung disease with rheumatoid arthritis of left knee

 

M05.171

Rheumatoid lung disease with rheumatoid arthritis of right ankle and foot

 

M05.172

Rheumatoid lung disease with rheumatoid arthritis of left ankle and foot

 

M05.19

Rheumatoid lung disease with rheumatoid arthritis of multiple sites

 

M05.20

Rheumatoid vasculitis with rheumatoid arthritis of unspecified site

 

M05.211

Rheumatoid vasculitis with rheumatoid arthritis of right shoulder

 

M05.212

Rheumatoid vasculitis with rheumatoid arthritis of left shoulder

 

M05.221

Rheumatoid vasculitis with rheumatoid arthritis of right elbow

 

M05.222

Rheumatoid vasculitis with rheumatoid arthritis of left elbow

 

M05.231

Rheumatoid vasculitis with rheumatoid arthritis of right wrist

 

M05.232

Rheumatoid vasculitis with rheumatoid arthritis of left wrist

 

M05.241

Rheumatoid vasculitis with rheumatoid arthritis of right hand

 

M05.242

Rheumatoid vasculitis with rheumatoid arthritis of left hand

 

M05.251

Rheumatoid vasculitis with rheumatoid arthritis of right hip

 

M05.252

Rheumatoid vasculitis with rheumatoid arthritis of left hip

 

M05.261

Rheumatoid vasculitis with rheumatoid arthritis of right knee

 

M05.262

Rheumatoid vasculitis with rheumatoid arthritis of left knee

 

M05.271

Rheumatoid vasculitis with rheumatoid arthritis of right ankle and foot

 

M05.272

Rheumatoid vasculitis with rheumatoid arthritis of left ankle and foot

 

M05.29

Rheumatoid vasculitis with rheumatoid arthritis of multiple sites

 

M05.30

Rheumatoid heart disease with rheumatoid arthritis of unspecified site

 

M05.311

Rheumatoid heart disease with rheumatoid arthritis of right shoulder

 

M05.312

Rheumatoid heart disease with rheumatoid arthritis of left shoulder

 

M05.321

Rheumatoid heart disease with rheumatoid arthritis of right elbow

 

M05.322

Rheumatoid heart disease with rheumatoid arthritis of left elbow

 

M05.331

Rheumatoid heart disease with rheumatoid arthritis of right wrist

 

M05.332

Rheumatoid heart disease with rheumatoid arthritis of left wrist

 

M05.341

Rheumatoid heart disease with rheumatoid arthritis of right hand

 

M05.342

Rheumatoid heart disease with rheumatoid arthritis of left hand

 

M05.351

Rheumatoid heart disease with rheumatoid arthritis of right hip

 

M05.352

Rheumatoid heart disease with rheumatoid arthritis of left hip

 

M05.361

Rheumatoid heart disease with rheumatoid arthritis of right knee

 

M05.362

Rheumatoid heart disease with rheumatoid arthritis of left knee

 

M05.371

Rheumatoid heart disease with rheumatoid arthritis of right ankle and foot

 

M05.372

Rheumatoid heart disease with rheumatoid arthritis of left ankle and foot

 

M05.39

Rheumatoid heart disease with rheumatoid arthritis of multiple sites

 

M05.40

Rheumatoid myopathy with rheumatoid arthritis of unspecified site

 

M05.411

Rheumatoid myopathy with rheumatoid arthritis of right shoulder

 

M05.412

Rheumatoid myopathy with rheumatoid arthritis of left shoulder

 

M05.421

Rheumatoid myopathy with rheumatoid arthritis of right elbow

 

M05.422

Rheumatoid myopathy with rheumatoid arthritis of left elbow

 

M05.431

Rheumatoid myopathy with rheumatoid arthritis of right wrist

 

M05.432

Rheumatoid myopathy with rheumatoid arthritis of left wrist

 

M05.441

Rheumatoid myopathy with rheumatoid arthritis of right hand

 

M05.442

Rheumatoid myopathy with rheumatoid arthritis of left hand

 

M05.451

Rheumatoid myopathy with rheumatoid arthritis of right hip

 

M05.452

Rheumatoid myopathy with rheumatoid arthritis of left hip

 

M05.461

Rheumatoid myopathy with rheumatoid arthritis of right knee

 

M05.462

Rheumatoid myopathy with rheumatoid arthritis of left knee

 

M05.471

Rheumatoid myopathy with rheumatoid arthritis of right ankle and foot

 

M05.472

Rheumatoid myopathy with rheumatoid arthritis of left ankle and foot

 

M05.49

Rheumatoid myopathy with rheumatoid arthritis of multiple sites

 

M05.50

Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified site

 

M05.511

Rheumatoid polyneuropathy with rheumatoid arthritis of right shoulder

 

M05.512

Rheumatoid polyneuropathy with rheumatoid arthritis of left shoulder

 

M05.521

Rheumatoid polyneuropathy with rheumatoid arthritis of right elbow

 

M05.522

Rheumatoid polyneuropathy with rheumatoid arthritis of left elbow

 

M05.531

Rheumatoid polyneuropathy with rheumatoid arthritis of right wrist

 

M05.532

Rheumatoid polyneuropathy with rheumatoid arthritis of left wrist

 

M05.541

Rheumatoid polyneuropathy with rheumatoid arthritis of right hand

 

M05.542

Rheumatoid polyneuropathy with rheumatoid arthritis of left hand

 

M05.551

Rheumatoid polyneuropathy with rheumatoid arthritis of right hip

 

M05.552

Rheumatoid polyneuropathy with rheumatoid arthritis of left hip

 

M05.561

Rheumatoid polyneuropathy with rheumatoid arthritis of right knee

 

M05.562

Rheumatoid polyneuropathy with rheumatoid arthritis of left knee

 

M05.571

Rheumatoid polyneuropathy with rheumatoid arthritis of right ankle and foot

 

M05.572

Rheumatoid polyneuropathy with rheumatoid arthritis of left ankle and foot

 

M05.59

Rheumatoid polyneuropathy with rheumatoid arthritis of multiple sites

 

M05.60

Rheumatoid arthritis of unspecified site with involvement of other organs and systems

 

M05.611

Rheumatoid arthritis of right shoulder with involvement of other organs and systems

 

M05.612

Rheumatoid arthritis of left shoulder with involvement of other organs and systems

 

M05.621

Rheumatoid arthritis of right elbow with involvement of other organs and systems

 

M05.622

Rheumatoid arthritis of left elbow with involvement of other organs and systems

 

M05.631

Rheumatoid arthritis of right wrist with involvement of other organs and systems

 

M05.632

Rheumatoid arthritis of left wrist with involvement of other organs

 

M05.641

Rheumatoid arthritis of right hand with involvement of other organs and systems

 

M05.642

Rheumatoid arthritis of left hand with involvement of other organs and systems

 

M05.651

Rheumatoid arthritis of right hip with involvement of other organs and systems

 

M05.652

Rheumatoid arthritis of left hip with involvement of other organs and systems

 

M05.661

Rheumatoid arthritis of right knee with involvement of other organs and systems

 

M05.662

Rheumatoid arthritis of left knee with involvement of other organs and systems

 

M05.671

Rheumatoid arthritis of right ankle and foot with involvement of other organs and systems

 

M05.672

Rheumatoid arthritis of left ankle and foot with involvement of other organs and systems

 

M05.69

Rheumatoid arthritis of multiple sites with involvement of other organs and systems

 

M05.70

Rheumatoid arthritis with rheumatoid factor of unspecified site without organ or systems involvement

 

M05.711

Rheumatoid arthritis with rheumatoid factor of right shoulder without organ or systems involvement

 

M05.712

Rheumatoid arthritis with rheumatoid factor of left shoulder without organ or systems involvement

 

M05.721

Rheumatoid arthritis with rheumatoid factor of right elbow without organ or systems involvement

 

M05.722

Rheumatoid arthritis with rheumatoid factor of left elbow without organ or systems involvement

 

M05.731

Rheumatoid arthritis with rheumatoid factor of right wrist without organ or systems involvement

 

M05.732

Rheumatoid arthritis with rheumatoid factor of left wrist without organ or systems involvement

 

M05.741

Rheumatoid arthritis with rheumatoid factor of right hand without organ or systems involvement

 

M05.742

Rheumatoid arthritis with rheumatoid factor of left hand without organ or systems involvement

 

M05.751

Rheumatoid arthritis with rheumatoid factor of right hip without organ or systems involvement

 

M05.752

Rheumatoid arthritis with rheumatoid factor of left hip without organ or systems involvement

 

M05.761

Rheumatoid arthritis with rheumatoid factor of right knee without organ or systems involvement

 

M05.762

Rheumatoid arthritis with rheumatoid factor of left knee without organ or systems involvement

 

M05.771

Rheumatoid arthritis with rheumatoid factor of right ankle and foot without organ or systems involvement

 

M05.772

Rheumatoid arthritis with rheumatoid factor of left ankle and foot without organ or systems involvement

 

M05.79

Rheumatoid arthritis with rheumatoid factor of multiple sites without organ or systems involvement

 

M05.80

Other rheumatoid arthritis with rheumatoid factor of unspecified site

 

M05.811

Other rheumatoid arthritis with rheumatoid factor of right shoulder

 

M05.812

Other rheumatoid arthritis with rheumatoid factor of left shoulder

 

M05.821

Other rheumatoid arthritis with rheumatoid factor of right elbow

 

M05.822

Other rheumatoid arthritis with rheumatoid factor of left elbow

 

M05.831

Other rheumatoid arthritis with rheumatoid factor of right wrist

 

M05.832

Other rheumatoid arthritis with rheumatoid factor of left wrist

 

M05.841

Other rheumatoid arthritis with rheumatoid factor of right hand

 

M05.842

Other rheumatoid arthritis with rheumatoid factor of left hand

 

M05.851

Other rheumatoid arthritis with rheumatoid factor of right hip

 

M05.852

Other rheumatoid arthritis with rheumatoid factor of left hip

 

M05.861

Other rheumatoid arthritis with rheumatoid factor of right knee

 

M05.862

Other rheumatoid arthritis with rheumatoid factor of left knee

 

M05.871

Other rheumatoid arthritis with rheumatoid factor of right ankle and foot

 

M05.872

Other rheumatoid arthritis with rheumatoid factor of left ankle and foot

 

M0589

Other rheumatoid arthritis with rheumatoid factor of multiple site

 

M05.9

Rheumatoid arthritis with rheumatoid factor, unspecified

 

M06.00

Rheumatoid arthritis without rheumatoid factor, unspecified site

 

M06.011

Rheumatoid arthritis without rheumatoid factor, right shoulder

 

M06.012

Rheumatoid arthritis without rheumatoid factor, left shoulder

 

M06.021

Rheumatoid arthritis without rheumatoid factor, right elbow

 

M06.022

Rheumatoid arthritis without rheumatoid factor, left elbow

 

M06.031

Rheumatoid arthritis without rheumatoid factor, right wrist

 

M06.032

Rheumatoid arthritis without rheumatoid factor, left wrist

 

M06.041

Rheumatoid arthritis without rheumatoid factor, right hand

 

M06.042

Rheumatoid arthritis without rheumatoid factor, left hand

 

M06.051

Rheumatoid arthritis without rheumatoid factor, right hip

 

M06.052

Rheumatoid arthritis without rheumatoid factor, left hip

 

M06.061

Rheumatoid arthritis without rheumatoid factor, right knee

 

M06.062

Rheumatoid arthritis without rheumatoid factor, left knee

 

M06.071

Rheumatoid arthritis without rheumatoid factor, right ankle and foot

 

M06.072

Rheumatoid arthritis without rheumatoid factor, left ankle and foot

 

M06.08

Rheumatoid arthritis without rheumatoid factor, vertebrae

 

M0609

Rheumatoid arthritis without rheumatoid factor, multiple sites

 

M06.1

Adult-onset Still's disease

 

M06.20

Rheumatoid bursitis, unspecified site

 

M06.211

Rheumatoid bursitis, right shoulder

 

M06.212

Rheumatoid bursitis, left shoulder

 

M06.221

Rheumatoid bursitis, right elbow

 

M06.222

Rheumatoid bursitis, left elbow

 

M06.231

Rheumatoid bursitis, right wrist

 

M06.232

Rheumatoid bursitis, left wrist

 

M06.241

Rheumatoid bursitis, right hand

 

M06.242

Rheumatoid bursitis, left hand

 

M06.251

Rheumatoid bursitis, right hip

 

M06.252

Rheumatoid bursitis, left hip

 

M06.261

Rheumatoid bursitis, right knee

 

M06.262

Rheumatoid bursitis, left knee

 

M06.271

Rheumatoid bursitis, right ankle and foot

 

M06.272

Rheumatoid bursitis, left ankle and foot

 

M06.28

Rheumatoid bursitis, vertebrae

 

M06.29

Rheumatoid bursitis, multiple sites

 

M06.30

Rheumatoid nodule, unspecified site

 

M06.311

Rheumatoid

 

M06.312

Rheumatoid nodule, left shoulder

 

M06.321

Rheumatoid nodule, right elbow

 

M06.322

Rheumatoid nodule, left elbow

 

M06.331

Rheumatoid nodule, right wrist

 

M06.332

Rheumatoid nodule, left wrist

 

M06.341

Rheumatoid nodule, right hand

 

M06.342

Rheumatoid nodule, left hand

 

M06.351

Rheumatoid nodule, right hip

 

M06.352

Rheumatoid nodule, left hip

 

M06.361

Rheumatoid nodule, right knee

 

M06.362

Rheumatoid nodule, left knee

 

M06.371

Rheumatoid nodule, right ankle and foot

 

M06.372

Rheumatoid nodule, left ankle and foot

 

M06.38

Rheumatoid nodule, vertebrae

 

M06.39

Rheumatoid nodule, multiple sites

 

M06.4

Inflammatory polyarthropathy

 

M06.80

Other specified rheumatoid arthritis, unspecified site

 

M06.811

Other specified rheumatoid arthritis, right shoulder

 

M06.812

Other specified rheumatoid arthritis, left shoulder

 

M06.821

Other specified rheumatoid arthritis, right elbow

 

M06.822

Other specified rheumatoid arthritis, left elbow

 

M06.831

Other specified rheumatoid arthritis, right wrist

 

M06.832

Other specified rheumatoid arthritis, left wrist

 

M06.841

Other specified rheumatoid arthritis, right hand

 

M06.842

Other specified rheumatoid arthritis, left hand

 

M06.851

Other specified rheumatoid arthritis, right hip

 

M06.852

Other specified rheumatoid arthritis, left hip

 

M06.861

Other specified rheumatoid arthritis, right knee

 

M06.862

Other specified rheumatoid arthritis, left knee

 

M06.871

Other specified rheumatoid arthritis, right ankle and foot

 

M06.872

Other specified rheumatoid arthritis, left ankle and foot

 

M06.88

Other specified rheumatoid arthritis, vertebrae

 

M0689

Other specified rheumatoid arthritis, multiple site

 

M06.9

Rheumatoid arthritis, unspecified

 

M11.00

Hydroxyapatite deposition disease, unspecified site

 

M11.011

Hydroxyapatite deposition disease, right shoulder

 

M11.012

Hydroxyapatite deposition disease, left shoulder

 

M11.021

Hydroxyapatite deposition disease, right elbow

 

M11.022

Hydroxyapatite deposition disease, left elbow

 

M11.031

Hydroxyapatite deposition disease, right wrist

 

M11.032

Hydroxyapatite deposition disease, left wrist

 

M11.041

Hydroxyapatite deposition disease, right hand

 

M11.042

Hydroxyapatite deposition disease, left hand

 

M11.051

Hydroxyapatite deposition disease, right hip

 

M11.052

Hydroxyapatite deposition disease, left hip

 

M11.061

Hydroxyapatite deposition disease, right knee

 

M11.062

Hydroxyapatite deposition disease, left knee

 

M11.071

Hydroxyapatite deposition disease, right ankle and foot

 

M11.072

Hydroxyapatite deposition disease, left ankle and foot

 

M11.08

Hydroxyapatite deposition disease, vertebrae

 

M11.09

Hydroxyapatite deposition disease, multiple sites

 

M11.10

Familial chondrocalcinosis, unspecified site

 

M11.111

Familial chondrocalcinosis, right shoulder

 

M11.112

Familial chondrocalcinosis, left shoulder

 

M11.121

Familial chondrocalcinosis, right elbow

 

M11.122

Familial chondrocalcinosis, left elbow

 

M11.131

Familial chondrocalcinosis, right wrist

 

M11.132

Familial chondrocalcinosis, left wrist

 

M11.141

Familial chondrocalcinosis, right hand

 

M11.142

Familial chondrocalcinosis, left hand

 

M11.151

Familial chondrocalcinosis, right hip

 

M11.152

Familial chondrocalcinosis, left hip

 

M11.161

Familial chondrocalcinosis, right knee

 

M11.162

Familial chondrocalcinosis, left knee

 

M11.171

Familial chondrocalcinosis, right ankle and foot

 

M11.172

Familial chondrocalcinosis, left ankle and foot

 

M11.18

Familial chondrocalcinosis, vertebrae

 

M11.19

Familial chondrocalcinosis, multiple sites

 

M11.20

Other chondrocalcinosis, unspecified site

 

M11.211

Other chondrocalcinosis, right shoulder

 

M11.212

Other chondrocalcinosis, left shoulder

 

M11.221

Other chondrocalcinosis, right elbow

 

M11.222

Other chondrocalcinosis, left elbow

 

M11.231

Other chondrocalcinosis, right wrist

 

M11.232

Other chondrocalcinosis, left wrist

 

M11.241

Other chondrocalcinosis, right hand

 

M11.242

Other chondrocalcinosis, left hand

 

M11.251

Other chondrocalcinosis, right hip

 

M11.252

Other chondrocalcinosis, left hip

 

M11.261

Other chondrocalcinosis, right knee

 

M11.262

Other chondrocalcinosis, left knee

 

M11.271

Other chondrocalcinosis, right ankle and foot

 

M11.272

Other chondrocalcinosis, left ankle and foot

 

M11.28

Other chondrocalcinosis, vertebrae

 

M11.29

Other chondrocalcinosis, multiple sites

 

M11.80

Other specified crystal arthropathies, unspecified site

 

M11.811

Other specified crystal arthropathies, right shoulder

 

M11.812

Other specified crystal arthropathies, left shoulder

 

M11.821

Other specified crystal arthropathies, right elbow

 

M11.822

Other specified crystal arthropathies, left elbow

 

M11.831

Other specified crystal arthropathies, right wrist

 

M11.832

Other specified crystal arthropathies, left wrist

 

M11.841

Other specified crystal arthropathies, right hand

 

M11.842

Other specified crystal arthropathies, left hand

 

M11.851

Other specified crystal arthropathies, right hip

 

M11.852

Other specified crystal arthropathies, left hip

 

M11.861

Other specified crystal arthropathies, right knee

 

M11.862

Other specified crystal arthropathies, left knee

 

M11.871

Other specified crystal arthropathies, right ankle and foot

 

M11.872

Other specified crystal arthropathies, left ankle and foot

 

M11.88

Other specified crystal arthropathies, vertebrae

 

M11.89

Other specified crystal arthropathies, multiple sites

 

M11.9

Crystal arthropathy, unspecified

 

M12.00

Chronic postrheumatic arthropathy [Jaccoud], unspecified site

 

M12.011

Chronic postrheumatic arthropathy [Jaccoud], right shoulder

 

M12.012

Chronic postrheumatic arthropathy [Jaccoud], left shoulder

 

M12.021

Chronic postrheumatic arthropathy [Jaccoud], right elbow

 

M12.022

Chronic postrheumatic arthropathy [Jaccoud], left elbow

 

M12.031

Chronic postrheumatic arthropathy [Jaccoud], right wrist

 

M12.032

Chronic postrheumatic arthropathy [Jaccoud], left wrist

 

M12.041

Chronic postrheumatic arthropathy [Jaccoud], right hand

 

M12.042

Chronic postrheumatic arthropathy [Jaccoud], left hand

 

M12.051

Chronic postrheumatic arthropathy [Jaccoud], right hip

 

M12.052

Chronic postrheumatic arthropathy [Jaccoud], left hip

 

M12.061

Chronic postrheumatic arthropathy [Jaccoud], right knee

 

M12.062

Chronic postrheumatic arthropathy [Jaccoud], left knee

 

M12.071

Chronic postrheumatic arthropathy [Jaccoud], right ankle and foot

 

M12.072

Chronic postrheumatic arthropathy [Jaccoud], left ankle and foot

 

M12.08

Chronic postrheumatic arthropathy [Jaccoud], other specified site

 

M12.09

Chronic postrheumatic arthropathy [Jaccoud], multiple sites

 

M1210

Kaschin-Beck disease, unspecified site

 

M12111

Kaschin-Beck disease, right shoulder

 

M12112

Kaschin-Beck disease, left shoulder

 

M12.121

Kaschin-Beck disease, right elbow

 

M12.122

Kaschin-Beck disease, left elbow

 

M12.131

Kaschin-Beck disease, right wrist

 

M12.132

Kaschin-Beck disease, left wrist

 

M12.141

Kaschin-Beck disease, right hand

 

M12.142

Kaschin-Beck disease, left hand

 

M12.151

Kaschin-Beck disease, right hip

 

M12.152

Kaschin-Beck disease, left hip

 

M12.161

Kaschin-Beck disease, right knee

 

M12.162

Kaschin-Beck disease, left knee

 

M12.171

Kaschin-Beck disease, right ankle and foot

 

M12.172

Kaschin-Beck disease, left ankle and foot

 

M12.18

Kaschin-Beck disease, vertebrae

 

M12.19

Kaschin-Beck disease, multiple sites

 

M12.20

Villonodular synovitis (pigmented), unspecified site

 

M12.211

Villonodular synovitis (pigmented), right shoulder

 

M12.212

Villonodular synovitis (pigmented), left shoulder

 

M12.221

Villonodular synovitis (pigmented), right elbow

 

M12.222

Villonodular synovitis (pigmented), left elbow

 

M12.231

Villonodular synovitis (pigmented), right wrist

 

M12.232

Villonodular synovitis (pigmented), left wrist

 

M12.241

Villonodular synovitis (pigmented), right hand

 

M12.242

Villonodular synovitis (pigmented), left hand

 

M12.251

Villonodular synovitis (pigmented), right hip

 

M12.252

Villonodular synovitis (pigmented), left hip

 

M12.261

Villonodular synovitis (pigmented), right knee

 

M12.262

Villonodular synovitis (pigmented), left knee

 

M12.271

Villonodular synovitis (pigmented), right ankle and foot

 

M12.272

Villonodular synovitis (pigmented), left ankle and foot

 

M12.28

Villonodular synovitis (pigmented), other specified site

 

M12.29

Villonodular synovitis (pigmented), multiple sites

 

M12.30

Palindromic rheumatism, unspecified site

 

M12.311

Palindromic rheumatism, right shoulder

 

M12.312

Palindromic rheumatism, left shoulder

 

M12.321

Palindromic rheumatism, right elbow

 

M12.322

Palindromic rheumatism, left elbow

 

M12.331

Palindromic rheumatism, right wrist

 

M12.332

Palindromic rheumatism, left wrist

 

M12.341

Palindromic rheumatism, right hand

 

M12.342

Palindromic rheumatism, left hand

 

M12.351

Palindromic rheumatism, right hip

 

M12.352

Palindromic rheumatism, left hip

 

M12.361

Palindromic rheumatism, right knee

 

M12.362

Palindromic rheumatism, left knee

 

M12.371

Palindromic rheumatism, right ankle and foot

 

M12.372

Palindromic rheumatism, left ankle and foot

 

M12.38

Palindromic rheumatism, other specified site

 

M12.39

Palindromic rheumatism, multiple sites

 

M12.40

Intermittent hydrarthrosis, unspecified site

 

M12.411

Intermittent hydrarthrosis, right shoulder

 

M12.412

Intermittent hydrarthrosis, left shoulder

 

M12.421

Intermittent hydrarthrosis, right elbow

 

M12.422

Intermittent hydrarthrosis, left elbow

 

M12.431

Intermittent hydrarthrosis, right wrist

 

M12.432

Intermittent hydrarthrosis, left wrist

 

M12.441

Intermittent hydrarthrosis, right hand

 

M12.442

Intermittent hydrarthrosis, left hand

 

M12.451

Intermittent hydrarthrosis, right hip

 

M12.452

Intermittent hydrarthrosis, left hip

 

M12.461

Intermittent hydrarthrosis, right knee

 

M12.462

Intermittent hydrarthrosis, left knee

 

M12.471

Intermittent hydrarthrosis, right ankle and foot

 

M12.472

Intermittent hydrarthrosis, left ankle and foot

 

M12.48

Intermittent hydrarthrosis, other site

 

M12.49

Intermittent hydrarthrosis, multiple sites

 

M13.0

Polyarthritis, unspecified

 

M13.10

Monoarthritis, not elsewhere classified, unspecified site

 

M13.111

Monoarthritis, not elsewhere classified, right shoulder

 

M13.112

Monoarthritis, not elsewhere classified, left shoulder

 

M13.121

Monoarthritis, not elsewhere classified, right elbow

 

M13.122

Monoarthritis, not elsewhere classified, left elbow

 

M13.131

Monoarthritis, not elsewhere classified, right wrist

 

M13.132

Monoarthritis, not elsewhere classified, left wrist

 

M13.141

Monoarthritis, not elsewhere classified, right hand

 

M13.142

Monoarthritis, not elsewhere classified, left hand

 

M13.151

Monoarthritis, not elsewhere classified, right hip

 

M13.152

Monoarthritis, not elsewhere classified, left hip

 

M13.161

Monoarthritis, not elsewhere classified, right knee

 

M13.162

Monoarthritis, not elsewhere classified, left knee

 

M13.171

Monoarthritis, not elsewhere classified, right ankle and foot

 

M13.172

Monoarthritis, not elsewhere classified, left ankle and foot

 

M13.80

Other specified arthritis, unspecified site

 

M13.811

Other specified arthritis, right shoulder

 

M13.812

Other specified arthritis, left shoulder

 

M13.821

Other specified arthritis, right elbow

 

M13.822

Other specified arthritis, left elbow

 

M13.831

Other specified arthritis, right wrist

 

M13.832

Other specified arthritis, left wrist

 

M13.841

Other specified arthritis, right hand

 

M13.842

Other specified arthritis, left hand

 

M13.851

Other specified arthritis, right hip

 

M13.852

Other specified arthritis, left hip

 

M13.861

Other specified arthritis, right knee

 

M13.862

Other specified arthritis, left knee

 

M13.871

Other specified arthritis, right ankle and foot

 

M13.872

Other specified arthritis, left ankle and foot

 

M13.88

Other specified arthritis, other site

 

M13.89

Other specified arthritis, multiple sites

 

M14.60

Charcot's joint, unspecified site

 

M14.611

Charcot's joint, right shoulder

 

M14.612

Charcot's joint, left shoulder

 

M14.621

Charcot's joint, right elbow

 

M14.622

Charcot's joint, left elbow

 

M14.631

Charcot's  joint, right wrist

 

M14.632

Charcot's joint, left wrist

 

M14.641

Charcot's joint, right hand

 

M14.642

Charcot's joint, left hand

 

M14.651

Charcot's joint, right hip

 

M14.652

Charcot's joint, left hip

 

M14.661

Charcot's joint, right knee

 

M14.662

Charcot's joint, left knee

 

M14.671

Charcot's joint, right ankle and foot

 

M14.672

Charcot's joint, left ankle and foot

 

M14.68

Charcot's joint, vertebrae

 

M14.69

Charcot's joint, multiple sites

 

M14.80

Arthropathies in other specified diseases classified elsewhere, unspecified site

 

M14.811

Arthropathies in other specified diseases classified elsewhere, right

 

M14.812

Arthropathies in other specified diseases classified elsewhere, left shoulder

 

M14.821

Arthropathies in other specified diseases classified elsewhere, right elbow

 

M14.822

Arthropathies in other specified diseases classified elsewhere, left elbow

 

M14.831

Arthropathies in other specified diseases classified elsewhere, right wrist

 

M14.832

Arthropathies in other specified diseases classified elsewhere, left wrist

 

M14.841

Arthropathies in other specified diseases classified elsewhere, right hand

 

M14.842

Arthropathies in other specified diseases classified elsewhere, left hand

 

M14.851

Arthropathies in other specified diseases classified elsewhere, right hip

 

M14.852

Arthropathies in other specified diseases classified elsewhere, left hip

 

M14.861

Arthropathies in other specified diseases classified elsewhere, right knee

 

M14.862

Arthropathies in other specified diseases classified elsewhere, left knee

 

M14.871

Arthropathies in other specified diseases classified elsewhere, right ankle and foot

 

M14.872

Arthropathies in other specified diseases classified elsewhere, left ankle and foot

 

M14.88

Arthropathies in other specified diseases classified elsewhere, vertebrae

 

M14.89

Arthropathies in other specified diseases classified elsewhere, multiple sites

 

M15.0

Primary generalized (osteo)arthritis

 

M15.1

Heberden's nodes (with arthropathy)

 

M15.2

Bouchard's nodes (with arthropathy)

 

M15.3

Secondary multiple arthritis

 

M15.4

Erosive (osteo)arthritis

 

M15.8

Other polyosteoarthritis

 

M15.9

Polyosteoarthritis, unspecified

 

M16.0

Bilateral primary osteoarthritis of hip

 

M16.11

Unilateral primary osteoarthritis, right hip

 

M16.12

Unilateral primary osteoarthritis, left hip

 

M16.2

Bilateral osteoarthritis resulting from hip dysplasia

 

M16.31

Unilateral osteoarthritis resulting from hip dysplasia, right hip

 

M16.32

Unilateral osteoarthritis resulting from hip dysplasia, left hip

 

M16.4

Bilateral post-traumatic osteoarthritis of hip

 

M16.51

Unilateral post-traumatic osteoarthritis, right hip

 

M16.52

Unilateral post-traumatic osteoarthritis, left hip

 

M16.6

Other bilateral secondary osteoarthritis of hip

 

M16.7

Other unilateral secondary osteoarthritis of hip

 

M17.0

Bilateral primary osteoarthritis of knee

 

M17.11

Unilateral primary osteoarthritis, right knee

 

M17.12

Unilateral primary osteoarthritis, left knee

 

M17.2

Bilateral post-traumatic osteoarthritis of knee

 

M17.31

Unilateral post-traumatic osteoarthritis, right knee

 

M17.32

Unilateral post-traumatic osteoarthritis, left knee

 

M17.4

Other bilateral secondary osteoarthritis of knee

 

M17.5

Other unilateral secondary osteoarthritis of knee

 

M18.0

Bilateral primary osteoarthritis of first carpometacarpal joints

 

M18.11

Unilateral primary osteoarthritis of first carpometacarpal joint, right hand

 

M18.12

Unilateral primary osteoarthritis of first carpometacarpal joint, left hand

 

M18.2

Bilateral post-traumatic osteoarthritis of first carpometacarpal joints

 

M18.31

Unilateral post-traumatic osteoarthritis of first carpometacarpal joint, right hand

 

M18.32

Unilateral post-traumatic osteoarthritis of first carpometacarpal joint, left hand

 

M18.4

Other bilateral secondary osteoarthritis of first carpometacarpal joints

 

M18.51

Other unilateral secondary osteoarthritis of first carpometacarpal joint, right hand

 

M18.52

Other unilateral secondary osteoarthritis of first carpometacarpal joint, left hand

 

M19.011

Primary osteoarthritis, right shoulder

 

M19.012

Primary osteoarthritis, left shoulder

 

M19.021

Primary osteoarthritis, right elbow

 

M19.022

Primary osteoarthritis, left elbow

 

M19.031

Primary osteoarthritis, right wrist

 

M19.032

Primary osteoarthritis, left wrist

 

M19.041

Primary osteoarthritis, right hand

 

M19.042

Primary osteoarthritis, left hand

 

M19.071

Primary osteoarthritis, right ankle and foot

 

M19.072

Primary osteoarthritis, left ankle and foot

 

M19.111

Post-traumatic osteoarthritis, right shoulder

 

M19.112

Post-traumatic osteoarthritis, left shoulder

 

M19.121

Post-traumatic osteoarthritis, right elbow

 

M19.122

Post-traumatic osteoarthritis, left elbow

 

M19.131

Post-traumatic osteoarthritis, right wrist

 

M19.132

Post-traumatic osteoarthritis, left wrist

 

M19.141

Post-traumatic osteoarthritis, right hand

 

M19.142

Post-traumatic osteoarthritis, left hand

 

M19.171

Post-traumatic osteoarthritis, right ankle and foot

 

M19.172

Post-traumatic osteoarthritis, left ankle and foot

 

M19.211

Secondary osteoarthritis, right shoulder

 

M19.212

Secondary osteoarthritis, left shoulder

 

M19.221

Secondary osteoarthritis, right elbow

 

M19.222

Secondary osteoarthritis, left elbow

 

M19.231

Secondary osteoarthritis, right wrist

 

M19.232

Secondary osteoarthritis, left wrist

 

M19.241

Secondary osteoarthritis, right hand

 

M19.242

Secondary osteoarthritis, left hand

 

M19.271

Secondary osteoarthritis, right ankle and foot

 

M19.272

Secondary osteoarthritis, left ankle and foot

 

M19.90

Unspecified osteoarthritis, unspecified site

 

M19.91

Primary osteoarthritis, unspecified site

 

M19.92

Post-traumatic osteoarthritis, unspecified site

 

M19.93

Secondary osteoarthritis, unspecified site

 

M24.30

Pathological dislocation of unspecified joint, not elsewhere classified

 

M24.311

Pathological dislocation of right shoulder, not elsewhere classified

 

M24.312

Pathological dislocation of left shoulder, not elsewhere classified

 

M24.321

Pathological dislocation of right elbow, not elsewhere classified

 

M24.322

Pathological dislocation of left elbow, not elsewhere classified

 

M24.331

Pathological dislocation of right wrist, not elsewhere classified

 

M24.332

Pathological dislocation of left wrist, not elsewhere classified

 

M24.341

Pathological dislocation of right hand, not elsewhere classified

 

M24.342

Pathological dislocation of left hand, not elsewhere classified

 

M24.351

Pathological dislocation of right hip, not elsewhere classified

 

M24.352

Pathological dislocation of left hip, not elsewhere classified

 

M24.361

Pathological dislocation of right knee, not elsewhere classified

 

M24.362

Pathological dislocation of left knee, not elsewhere classified

 

M24.371

Pathological dislocation of right ankle, not elsewhere classified

 

M24.372

Pathological dislocation of left ankle, not elsewhere classified

 

M24.374

Pathological dislocation of right foot, not elsewhere classified

 

M24.375

Pathological dislocation of left foot, not elsewhere classified

 

M24.40

Recurrent dislocation, unspecified joint

 

M24.411

Recurrent dislocation, right shoulder

 

M24.412

Recurrent dislocation, left shoulder

 

M24.421

Recurrent dislocation, right elbow

 

M24.422

Recurrent dislocation, left elbow

 

M24.431

Recurrent dislocation, right wrist

 

M24.432

Recurrent dislocation, left wrist

 

M24.441

Recurrent dislocation, right hand

 

M24.442

Recurrent dislocation, left hand

 

M24.444

Recurrent dislocation, right finger

 

M24.445

Recurrent dislocation, left finger

 

M24.451

Recurrent dislocation, right hip

 

M24.452

Recurrent dislocation, left hip

 

M24.461

Recurrent dislocation, right knee

 

M24.462

Recurrent dislocation, left knee

 

M24.471

Recurrent dislocation, right ankle

 

M24.472

Recurrent dislocation, left ankle

 

M24.474

Recurrent dislocation, right foot

 

M24.475

Recurrent dislocation, left foot

 

M24.477

Recurrent dislocation, right toe(s)

 

M24.478

Recurrent dislocation, left toe(s)

 

M24.50

Contracture, unspecified joint

 

M24.511

Contracture, right shoulder

 

M24.512

Contracture, left shoulder

 

M24.521

Contracture, right elbow

 

M24.522

Contracture, left elbow

 

M24.531

Contracture, right wrist

 

M24.532

Contracture, left wrist

 

M24.541

Contracture, right hand

 

M24.542

Contracture, left hand

 

M24.551

Contracture, right hip

 

M24.552

Contracture, left hip

 

M24.561

Contracture, right knee

 

M24.562

Contracture, left knee

 

M24.571

Contracture, right ankle

 

M24.572

Contracture, left ankle

 

M24.574

Contracture, right foot

 

M24.575

Contracture, left foot

 

M25.40

Effusion, unspecified joint

 

M25.411

Effusion, right shoulder

 

M25.412

Effusion, left shoulder

 

M25.421

Effusion, right elbow

 

M25.422

Effusion, left elbow

 

M25.431

Effusion, right wrist

 

M25.432

Effusion, left wrist

 

M25.441

Effusion, right hand

 

M25.442

Effusion, left hand

 

M25.451

Effusion, right hip

 

M25.452

Effusion, left hip

 

M25.461

Effusion, right knee

 

M25.462

Effusion, left knee

 

M25.471

Effusion right ankle

 

M25.472

Effusion, left ankle

 

M25.474

Effusion, right foot

 

M25.475

Effusion, left foot

 

M25.48

Effusion, other site

 

M25.50

Pain in unspecified joint

 

M25.511

Pain in right shoulder

 

M25.512

Pain in left shoulder

 

M25.521

Pain in right elbow

 

M25.522

Pain in left elbow

 

M25.531

Pain in right wrist

 

M25.532

Pain in left wrist

 

M25.541

Pain in joints of right hand

 

M25.542

Pain in joints of left hand

 

M25.551

Pain in right hip

 

M25.552

Pain in left hip

 

M25.561

Pain in right knee

 

M25.562

Pain in left knee

 

M25.571

Pain in right ankle and joints of right foot

 

M25.572

Pain in left ankle and joints of left foot

 

M25.60

Stiffness of unspecified joint, not elsewhere classified

 

M25.611

Stiffness of right shoulder, not elsewhere classified

 

M25.612

Stiffness of left shoulder, not elsewhere classified

 

M25.621

Stiffness of right elbow, not elsewhere classified

 

M25.622

Stiffness of left elbow, not elsewhere classified

 

M25.631

Stiffness of right wrist, not elsewhere classified

 

M25.632

Stiffness of left wrist, not elsewhere classified

 

M25.641

Stiffness of right hand, not elsewhere classified

 

M25.642

Stiffness of left hand, not elsewhere classified

 

M25.651

Stiffness of right hip, not elsewhere classified

 

M25.652

Stiffness of left hip, not elsewhere classified

 

M25.661

Stiffness of right knee, not elsewhere classified

 

M25.662

Stiffness of left knee, not elsewhere classified

 

M25.671

Stiffness of right ankle, not elsewhere classified

 

M25.672

Stiffness of left ankle, not elsewhere classified

 

M25.674

Stiffness of right foot, not elsewhere classified

 

M25.675

Stiffness of left foot, not elsewhere classified

 

M25.70

Osteophyte, unspecified joint

 

M25.711

Osteophyte, right shoulder

 

M25.712

Osteophyte, left shoulder

 

M25.721

Osteophyte, right elbow

 

M25.722

Osteophyte, left elbow

 

M25.731

Osteophyte, right wrist

 

M25.732

Osteophyte, left wrist

 

M25.741

Osteophyte, right hand

 

M25.742

Osteophyte, left hand

 

M25.751

Osteophyte, right hip

 

M25.752

Osteophyte, left hip

 

M25.761

Osteophyte, right knee

 

M25.762

Osteophyte, left knee

 

M25.771

Osteophyte, right ankle

 

M25.772

Osteophyte, left ankle

 

M25.774

Osteophyte, right foot

 

M25.775

Osteophyte, left foot

 

M25.78

Osteophyte, vertebrae

 

M43.6

Torticollis

 

M45.0 - M45.9

Ankylosing spondylitis, code range

 

M46.00 - M46.99

Other inflammatory spondylopathies, code range

 

M47.011 - M47.899

Spondylosis, code range

 

M48.00 - M48.38

Other spondylopathies, code range

 

M50.00 - M53.9

Other dorsopathies, code range

 

M50.020

Cervical disc disorder with myelopathy, mid-cervical region, unspecified level

 

M50.021

Cervical disc disorder at C4-C5 level with myelopathy

 

M50.022

Cervical disc disorder at C5-C6 level with myelopathy

 

M50.023

Cervical disc disorder at C6-C7 level with myelopathy

 

M50.121

Cervical disc disorder at C4-C5 level with radiculopathy

 

M50.122

Cervical disc disorder at C5-C6 level with radiculopathy

 

M50.123

Cervical disc disorder at C6-C7 level with radiculopathy

 

M61.00

Myositis ossificans traumatica, unspecified site

 

M61.011

Myositis ossificans traumatica, right shoulder

 

M61.012

Myositis ossificans traumatica, left shoulder

 

M61.021

Myositis ossificans traumatica, right upper arm

 

M61.022

Myositis ossificans traumatica, left upper arm

 

M61.031

Myositis ossificans traumatica, right forearm

 

M61.032

Myositis ossificans traumatica, left forearm

 

M61.041

Myositis ossificans traumatica, right hand

 

M61.042

Myositis ossificans traumatica, left hand

 

M61.051

Myositis ossificans traumatica, right thigh

 

M61.052

Myositis ossificans traumatica, left thigh

 

M61.061

Myositis ossificans traumatica, right lower leg

 

M61.062

Myositis ossificans traumatica, left lower leg

 

M61.071

Myositis ossificans traumatica, right ankle and foot

 

M61.072

Myositis ossificans traumatica, left ankle and foot

 

M61.08

Myositis ossificans traumatica, other site

 

M61.09

Myositis ossificans traumatica, multiple sites

 

M61.10

Myositis ossificans progressiva, unspecified site

 

M61.111

Myositis ossificans progressiva, right shoulder

 

M61.112

Myositis ossificans progressiva, left shoulder

 

M61.121

Myositis ossificans progressiva, right upper arm

 

M61.122

Myositis ossificans progressiva, left upper arm

 

M61.131

Myositis ossificans progressiva, right forearm

 

M61.132

Myositis ossificans progressiva, left forearm

 

M61.141

Myositis ossificans progressiva, right hand

 

M61.142

Myositis ossificans progressiva, left hand

 

M61.144

Myositis ossificans progressiva, right finger(s)

 

M61.145

Myositis ossificans progressiva, left finger(s)

 

M61.151

Myositis ossificans progressiva, right thigh

 

M61.152

Myositis ossificans progressiva, left thigh

 

M61.161

Myositis ossificans progressiva, right lower leg

 

M61.162

Myositis ossificans progressiva, left lower leg

 

M61.171

Myositis ossificans progressiva, right ankle

 

M61.172

Myositis ossificans progressiva, left ankle

 

M61.174

Myositis ossificans progressiva, right foot

 

M61.175

Myositis ossificans progressiva, left foot

 

M61.177

Myositis ossificans progressiva, right toe(s)

 

M61.178

Myositis ossificans progressiva, left toe(s)

 

M61.18

Myositis ossificans progressiva, other site

 

M61.19

Myositis ossificans progressiva, multiple sites

 

M62.10

Other rupture of muscle (nontraumatic), unspecified site

 

M62.111

Other rupture of muscle (nontraumatic), right shoulder

 

M62.112

Other rupture of muscle (nontraumatic), left shoulder

 

M62.121

Other rupture of muscle (nontraumatic), right upper arm

 

M62.122

Other rupture of muscle (nontraumatic), left upper arm

 

M62.131

Other rupture of muscle (nontraumatic), right forearm

 

M62.132

Other rupture of muscle (nontraumatic), left forearm

 

M62.141

Other rupture of muscle (nontraumatic), right hand

 

M62.142

Other rupture of muscle (nontraumatic), left hand

 

M62.151

Other rupture of muscle (nontraumatic), right thigh

 

M62.152

Other rupture of muscle (nontraumatic), left thigh

 

M62.161

Other rupture of muscle (nontraumatic), right lower leg

 

M62.162

Other rupture of muscle (nontraumatic), left lower leg

 

M62.171

Other rupture of muscle (nontraumatic), right ankle and foot

 

M62.172

Other rupture of muscle (nontraumatic), left ankle and foot

 

M62.18

Other rupture of muscle (nontraumatic), other site

 

M62.40

Contracture of muscle, unspecified site

 

M62.411

Contracture of muscle, right shoulder

 

M62.412

Contracture of muscle, left shoulder

 

M62.421

Contracture of muscle, right upper arm

 

M62.422

Contracture of muscle, left upper arm

 

M62.431

Contracture of muscle, right forearm

 

M62.432

Contracture of muscle, left forearm

 

M62.441

Contracture of muscle, right hand

 

M62.442

Contracture of muscle, left hand

 

M62.451

Contracture of muscle, right thigh

 

M62.452

Contracture of muscle, left thigh

 

M62.461

Contracture of muscle, right lower leg

 

M62.462

Contracture of muscle, left lower leg

 

M62.471

Contracture of muscle, right ankle and foot

 

M62.472

Contracture of muscle, left ankle and foot

 

M62.48

Contracture of muscle, other site

 

M62.49

Contracture of muscle, multiple sites

 

M62.50

Muscle wasting and atrophy, not elsewhere classified, unspecified site

 

M62.511

Muscle wasting and atrophy, not elsewhere classified, right shoulder

 

M62.512

Muscle wasting and atrophy, not elsewhere classified, left shoulder

 

M62.521

Muscle wasting and atrophy, not elsewhere classified, right upper arm

 

M62.522

Muscle wasting and atrophy, not elsewhere classified, left upper arm

 

M62.531

Muscle wasting and atrophy, not elsewhere classified, right forearm

 

M62.532

Muscle wasting and atrophy, not elsewhere classified, left forearm

 

M62.541

Muscle wasting and atrophy, not elsewhere classified, right hand

 

M62.542

Muscle wasting and atrophy, not elsewhere classified, left hand

 

M62.551

Muscle wasting and atrophy, not elsewhere classified, right thigh

 

M62.552

Muscle wasting and atrophy, not elsewhere classified, left thigh

 

M62.561

Muscle wasting and atrophy, not elsewhere classified, right lower leg

 

M62.562

Muscle wasting and atrophy, not elsewhere classified, left lower leg

 

M62.571

Muscle wasting and atrophy, not elsewhere classified, right ankle and foot

 

M62.572

Muscle wasting and atrophy, not elsewhere classified, left ankle and foot

 

M62.58

Muscle wasting and atrophy, not elsewhere classified, other site

 

M62.59

Muscle wasting and atrophy, not elsewhere classified, multiple sites

 

M65.20

Calcific tendinitis, unspecified site

 

M65.221

Calcific tendinitis, right upper arm

 

M65.222

Calcific tendinitis, left upper arm

 

M65.231

Calcific tendinitis, right forearm

 

M65.232

Calcific tendinitis, left forearm

 

M65.241

Calcific tendinitis, right hand

 

M65.242

Calcific tendinitis, left hand

 

M65.251

Calcific tendinitis, right thigh

 

M65.252

Calcific tendinitis, left thigh

 

M65.261

Calcific tendinitis, right lower leg

 

M65.262

Calcific tendinitis, left lower leg

 

M65.271

Calcific tendinitis, right ankle and foot

 

M65.272

Calcific tendinitis, left ankle and foot

 

M65.28

Calcific tendinitis, other site

 

M65.29

Calcific tendinitis, multiple sites

 

M65.30

Trigger finger, unspecified finger

 

M65.311

Trigger thumb, right thumb

 

M65.312

Trigger thumb, left thumb

 

M65.321

Trigger finger, right index finger

 

M65.322

Trigger finger, left index finger

 

M65.331

Trigger finger, right middle finger

 

M65.332

Trigger finger, left middle finger

 

M65.341

Trigger finger, right ring finger

 

M65.342

Trigger finger, left ring finger

 

M65.351

Trigger finger, right little finger

 

M65.352

Trigger finger, left little finger

 

M65.4

Radial styloid tenosynovitis [de Quervain]

 

M65.80

Other synovitis and tenosynovitis, unspecified site

 

M65.811

Other synovitis and tenosynovitis, right shoulder

 

M65.812

Other synovitis and tenosynovitis, left shoulder

 

M65.821

Other synovitis and tenosynovitis, right upper arm

 

M65.822

Other synovitis and tenosynovitis, left upper arm

 

M65.831

Other synovitis and tenosynovitis, right forearm

 

M65.832

Other synovitis and tenosynovitis, left forearm

 

M65.841

Other synovitis and tenosynovitis, right hand

 

M65.842

Other synovitis and tenosynovitis, left hand

 

M65.851

Other synovitis and tenosynovitis, right thigh

 

M65.852

Other synovitis and tenosynovitis, left thigh

 

M65.861

Other synovitis and tenosynovitis, right lower leg

 

M65.862

Other synovitis and tenosynovitis, left lower leg

 

M65.871

Other synovitis and tenosynovitis, right ankle and foot

 

M65.872

Other synovitis and tenosynovitis, left ankle and foot

 

M65.88

Other synovitis and tenosynovitis, other site

 

M65.89

Other synovitis and tenosynovitis, multiple sites

 

M65.911

Unspecified synovitis and tenosynovitis, right shoulder

 

M65.912

Unspecified synovitis and tenosynovitis, left shoulder

 

M65.921

Unspecified synovitis and tenosynovitis, right upper arm

 

M65.922

Unspecified synovitis and tenosynovitis, left upper arm

 

M65.931

Unspecified synovitis and tenosynovitis, right forearm

 

M65.932

Unspecified synovitis and tenosynovitis, left forearm

 

M65.941

Unspecified synovitis and tenosynovitis, right hand

 

M65.942

Unspecified synovitis and tenosynovitis, left hand

 

M65.951

Unspecified synovitis and tenosynovitis, right thigh

 

M65.952

Unspecified synovitis and tenosynovitis, left thigh

 

M65.961

Unspecified synovitis and tenosynovitis, right lower leg

 

M65.962

Unspecified synovitis and tenosynovitis, left lower leg

 

M65.971

Unspecified synovitis and tenosynovitis, right ankle and foot

 

M65.972

Unspecified synovitis and tenosynovitis, left ankle and foot

 

M65.98

Unspecified synovitis and tenosynovitis, other site

 

M65.99

Unspecified synovitis and tenosynovitis, multiple sites

 

M66.0

Rupture of popliteal cyst

 

M66.10

Rupture of synovium, unspecified joint

 

M66.111

Rupture of synovium, right shoulder

 

M66.112

Rupture of synovium, left shoulder

 

M66.121

Rupture of synovium, right elbow

 

M66.122

Rupture of synovium, left elbow

 

M66.131

Rupture of synovium, right wrist

 

M66.132

Rupture of synovium, left wrist

 

M66.141

Rupture of synovium, right hand

 

M66.142

Rupture of synovium, left hand

 

M66.144

Rupture of synovium, right finger(s)

 

M66.145

Rupture of synovium, left finger(s)

 

M66.151

Rupture of synovium, right hip

 

M66.152

Rupture of synovium, left hip

 

M66.171

Rupture of synovium, right ankle

 

M66.172

Rupture of synovium, left ankle

 

M66.174

Rupture of synovium, right foot

 

M66.175

Rupture of synovium, left foot

 

M66.177

Rupture of synovium, right toe(s)

 

M66.178

Rupture of synovium, left toe(s)

 

M66.18

Rupture of synovium, other site

 

M66.20

Spontaneous rupture of extensor tendons, unspecified site

 

M66.211

Spontaneous rupture of extensor tendons, right shoulder

 

M66.212

Spontaneous rupture of extensor tendons, left shoulder

 

M66.221

Spontaneous rupture of extensor tendons, right upper arm

 

M66.222

Spontaneous rupture of extensor tendons, left upper arm

 

M66.231

Spontaneous rupture of extensor tendons, right forearm

 

M66.232

Spontaneous rupture of extensor tendons, left forearm

 

M66.241

Spontaneous rupture of extensor tendons, right hand

 

M66.242

Spontaneous rupture of extensor tendons, left hand

 

M66.251

Spontaneous rupture of extensor tendons, right thigh

 

M66.252

Spontaneous rupture of extensor tendons, left thigh

 

M66.261

Spontaneous rupture of extensor tendons, right lower leg

 

M66.262

Spontaneous rupture of extensor tendons, left lower leg

 

M66.271

Spontaneous rupture of extensor tendons, right ankle and foot

 

M66.272

Spontaneous rupture of extensor tendons, left ankle and foot

 

M66.28

Spontaneous rupture of extensor tendons, other site

 

M66.29

Spontaneous rupture of extensor tendons, multiple sites

 

M66.30

Spontaneous rupture of flexor tendons, unspecified site

 

M66.311

Spontaneous rupture of flexor tendons, right shoulder

 

M66.312

Spontaneous rupture of flexor tendons, left shoulder

 

M66.321

Spontaneous rupture of flexor tendons, right upper arm

 

M66.322

Spontaneous rupture of flexor tendons, left upper arm

 

M66.331

Spontaneous rupture of flexor tendons, right forearm

 

M66.332

Spontaneous rupture of flexor tendons, left forearm

 

M66.341

Spontaneous rupture of flexor tendons, right hand

 

M66.342

Spontaneous rupture of flexor tendons, left hand

 

M66.351

Spontaneous rupture of flexor tendons, right thigh

 

M66.352

Spontaneous rupture of flexor tendons, left thigh

 

M66.361

Spontaneous rupture of flexor tendons, right lower leg

 

M66.362

Spontaneous rupture of flexor tendons, left lower leg

 

M66.371

Spontaneous rupture of flexor tendons, right ankle and foot

 

M66.372

Spontaneous rupture of flexor tendons, left ankle and foot

 

M66.38

Spontaneous rupture of flexor tendons, other site

 

M66.39

Spontaneous rupture of flexor tendons, multiple sites

 

M66.80

Spontaneous rupture of other tendons, unspecified site

 

M66.811

Spontaneous rupture of other tendons, right shoulder

 

M66.812

Spontaneous rupture of other tendons, left shoulder

 

M66.821

Spontaneous rupture of other tendons, right upper arm

 

M66.822

Spontaneous rupture of other tendons, left upper arm

 

M66.831

Spontaneous rupture of other tendons, right forearm

 

M66.832

Spontaneous rupture of other tendons, left forearm

 

M66.841

Spontaneous rupture of other tendons, right hand

 

M66.842

Spontaneous rupture of other tendons, left hand

 

M66.851

Spontaneous rupture of other tendons, right thigh

 

M66.852

Spontaneous rupture of other tendons, left thigh

 

M66.861

Spontaneous rupture of other tendons, right lower leg

 

M66.862

Spontaneous rupture of other tendons, left lower leg

 

M66.871

Spontaneous rupture of other tendons, right ankle and foot

 

M66.872

Spontaneous rupture of other tendons, left ankle and foot

 

M66.88

Spontaneous rupture of other tendons, other

 

M66.89

Spontaneous rupture of other tendons, multiple sites

 

M66.9

Spontaneous rupture of unspecified tendon

 

M67.01

Short Achilles tendon (acquired), right ankle

 

M67.02

Short Achilles tendon (acquired), left ankle

 

M67.20

Synovial hypertrophy, not elsewhere classified, unspecified site

 

M67.211

Synovial hypertrophy, not elsewhere classified, right shoulder

 

M67.212

Synovial hypertrophy, not elsewhere classified, left shoulder

 

M67.221

Synovial hypertrophy, not elsewhere classified, right upper arm

 

M67.222

Synovial hypertrophy, not elsewhere classified, left upper arm

 

M67.231

Synovial hypertrophy, not elsewhere classified, right forearm

 

M67.232

Synovial hypertrophy, not elsewhere classified, left forearm

 

M67.241

Synovial hypertrophy, not elsewhere classified, right hand

 

M67.242

Synovial hypertrophy, not elsewhere classified, left hand

 

M67.251

Synovial hypertrophy, not elsewhere classified, right thigh

 

M67.252

Synovial hypertrophy, not elsewhere classified, left thigh

 

M67.261

Synovial hypertrophy, not elsewhere classified, right lower leg

 

M67.262

Synovial hypertrophy, not elsewhere classified, left lower leg

 

M67.271

Synovial hypertrophy, not elsewhere classified, right ankle and foot

 

M67.272

Synovial hypertrophy, not elsewhere classified, left ankle and foot

 

M67.28

Synovial hypertrophy, not elsewhere classified, other site

 

M67.29

Synovial hypertrophy, not elsewhere classified, multiple sites

 

M67.30

Transient synovitis, unspecified site

 

M67.311

Transient synovitis, right shoulder

 

M67.312

Transient synovitis, left shoulder

 

M67.321

Transient synovitis, right elbow

 

M67.322

Transient synovitis, left elbow

 

M67.331

Transient synovitis, right wrist

 

M67.332

Transient synovitis, left wrist

 

M67.341

Transient synovitis, right hand

 

M67.342

Transient synovitis, left hand

 

M67.351

Transient synovitis, right hip

 

M67.352

Transient synovitis, left hip

 

M67.361

Transient synovitis, right knee

 

M67.362

Transient synovitis, left knee

 

M67.371

Transient synovitis, right ankle and foot

 

M67.372

Transient synovitis, left ankle and foot

 

M67.38

Transient synovitis, other site

 

M67.39

Transient synovitis, multiple sites

 

M67.40

Ganglion, unspecified site

 

M67.411

Ganglion, right shoulder

 

M67.412

Ganglion, left shoulder

 

M67.421

Ganglion, right elbow

 

M67.422

Ganglion, left elbow

 

M67.431

Ganglion, right wrist

 

M67.432

Ganglion, left wrist

 

M67.441

Ganglion, right hand

 

M67.442

Ganglion, left hand

 

M67.451

Ganglion, right hip

 

M67.452

Ganglion, left hip

 

M67.461

Ganglion, right knee

 

M67.462

Ganglion, left knee

 

M67.471

Ganglion, right ankle and foot

 

M67.472

Ganglion, left ankle and foot

 

M67.48

Ganglion, other site

 

M67.49

Ganglion, multiple sites

 

M67.51

Plica syndrome, right knee

 

M67.52

Plica syndrome, left knee

 

M67.80

Other specified disorders of synovium and tendon, unspecified site

 

M67.811

Other specified disorders of synovium, right shoulder

 

M67.812

Other specified disorders of synovium, left shoulder

 

M67.813

Other specified disorders of tendon, right shoulder

 

M67.814

Other specified disorders of tendon, left shoulder

 

M67.821

Other specified disorders of synovium, right elbow

 

M67.822

Other specified disorders of synovium, left elbow

 

M67.823

Other specified disorders of tendon, right elbow

 

M67.824

Other specified disorders of tendon, left elbow

 

M67.831

Other specified disorders of synovium, right wrist

 

M67.832

Other specified disorders of synovium, left wrist

 

M67.833

Other specified disorders of tendon, right wrist

 

M67.834

Other specified disorders of tendon, left wrist

 

M67.841

Other specified disorders of synovium, right hand

 

M67.842

Other specified disorders of synovium, left hand

 

M67.843

Other specified disorders of tendon, right hand

 

M67.844

Other specified disorders of tendon, left hand

 

M67.851

Other specified disorders of synovium, right hip

 

M67.852

Other specified disorders of synovium, left hip

 

M67.853

Other specified disorders of tendon, right hip

 

M67.854

Other specified disorders of tendon, left hip

 

M67.861

Other specified disorders of synovium, right knee

 

M67.862

Other specified disorders of synovium, left knee

 

M67.863

Other specified disorders of tendon, right knee

 

M67.864

Other specified disorders of tendon, left knee

 

M67.871

Other specified disorders of synovium, right ankle and foot

 

M67.872

Other specified disorders of synovium, left ankle and foot

 

M67.873

Other specified disorders of tendon, right ankle and foot

 

M67.874

Other specified disorders of tendon, left ankle and foot

 

M67.88

Other specified disorders of synovium and tendon, other site

 

M67.89

Other specified disorders of synovium and tendon, multiple sites

 

M67.90

Unspecified disorder of synovium and tendon, unspecified site

 

M67.911

Unspecified disorder of synovium and tendon, right shoulder

 

M67.912

Unspecified disorder of synovium and tendon, left shoulder

 

M67.921

Unspecified disorder of synovium and tendon, right upper arm

 

M67.922

Unspecified disorder of synovium and tendon, left upper arm

 

M67.931

Unspecified disorder of synovium and tendon, right forearm

 

M67.932

Unspecified disorder of synovium and tendon, left forearm

 

M67.941

Unspecified disorder of synovium and tendon, right hand

 

M67.942

Unspecified disorder of synovium and tendon, left hand

 

M67.951

Unspecified disorder of synovium and tendon, right thigh

 

M67.952

Unspecified disorder of synovium and tendon, left thigh

 

M67.961

Unspecified disorder of synovium and tendon, right lower leg

 

M67.962

Unspecified disorder of synovium and tendon, left lower leg

 

M67.971

Unspecified disorder of synovium and tendon, right ankle and foot

 

M67.972

Unspecified disorder of synovium and tendon, left ankle and foot

 

M67.98

Unspecified disorder of synovium and tendon, other site

 

M67.99

Unspecified disorder of synovium and tendon, multiple sites

 

M72.0 - M72.9

Fibroblastic disorders

 

M75.01

Adhesive capsulitis of right shoulder

 

M75.02

Adhesive capsulitis of left shoulder

 

M79.601

Pain in right arm

 

M79.602

Pain in left arm

 

M79.604

Pain in right leg

 

M79.605

Pain in left leg

 

M79.621

Pain in right upper arm

 

M79.622

Pain in left upper arm

 

M79.631

Pain in right forearm

 

M79.632

Pain in left forearm

 

M79.641

Pain in right hand

 

M79.642

Pain in left hand

 

M79.644

Pain in right finger(s)

 

M79.645

Pain in left finger(s)

 

M79.651

Pain in right thigh

 

M79.652

Pain in left thigh

 

M79.661

Pain in right lower leg

 

M79.662

Pain in left lower leg

 

M79.671

Pain in right foot

 

M79.672

Pain in left foot

 

M79.674

Pain in right toe(s)

 

M79.675

Pain in left toe(s)

 

M79.7

Fibromyalgia

 

N81.84

Pelvic muscle wasting

Appplicable Modifiers

Some modifiers

Policy History

Date

Action

Description

09/10/2024

Review Policy

Delete ICD-10 CM (M65.9) Effective date 09/30/2024, Add ICD-10 CM (M65.911 – M65.99) Effective Date 10/01/2024

11/11/2020

Annual Review

Reviewed by the Physician Advisory Board Comitte. Recomended Archive policy.No changes on policy statement.

11/14/2019

Annual Review.  Deletion of infective disease codes.

Reviewed by the Physician Advisory Board Comitte.  Deletion of Diagnosis related with acute infectious process and abcess.  ICD 10 ranges M00.00 - M00.89 and M60.00 (related) and M65.00 (related)

09/21/2018

Annual Review

Policy Update

12/28/2017

Revision

Added ICD-10

09/21/2016

Revision

Policy Update

06/22/2016

Revision

Policy Update

12/28/2017

Revision

Added ICD-10

09/21/2016

Revision

No changes