Right Thumb Pain ICD-10-CM Codes | 2023

What ICD-10 Codes are Used for Right Thumb Pain

ICD-10 codes classify and code medical conditions, including pain in specific body parts. Regarding right thumb pain, there could be various underlying causes. To help identify the cause, healthcare providers use specific ICD-10 codes. 

Here are the commonly used Right Thumb Pain ICD-10 codes, along with clinical descriptions for each code:

• M65.831 - Other synovitis and tenosynovitis, right hand: This code is used when there is inflammation of the synovium or tenosynovium in the right thumb or hand, causing pain and discomfort.
• M65.841 - Other unspecified disorders of synovium and tenosynovium, right hand: This code is used when there is a disorder affecting the synovium or tenosynovium in the right hand without a specific diagnosis, leading to pain in the right thumb.
• M79.642 - Pain in the right thumb: This code is straightforward, indicating that the patient is experiencing pain in their right thumb.
• S60.401A - Contusion of right thumb, initial encounter: This code is used when the right thumb has been injured due to blunt trauma, resulting in pain.
• M65.821 - Calcific tendinitis of right hand: This code is applied when calcium deposits in the tendons of the right hand, causing inflammation and pain, including the right thumb.
• G56.02 - Lesion of ulnar nerve at wrist and hand level, right upper limb: This code is used when damage or compression of the ulnar nerve in the right hand or wrist potentially causes pain in the right thumb.
• M19.041 - Primary osteoarthritis, right hand: This code is utilized when primary osteoarthritis affects the joints of the right hand, leading to pain, including in the right thumb.
• M67.841 - Ganglion, right hand: Ganglion cysts can develop in the right hand, including the right thumb. This code is applied when there's a ganglion causing discomfort and pain.
• S61.401A - Open wound of right thumb without damage to nail, initial encounter: This code is used when there is an open wound on the right thumb, such as a cut or laceration, leading to pain in the affected area.
• M20.11 - Hallux valgus (acquired) (congenital), right foot: While this code technically relates to the right foot, it can be relevant if right thumb pain is referred from other sources, such as altered gait due to hallux valgus, which may lead to hand and thumb discomfort.

Which Right Thumb Pain ICD Codes are Billable

Whether an ICD-10 code for right thumb pain is billable depends on various factors, including the specific circumstances, the healthcare provider's documentation, and the payer's policies. Here is a general indication of whether commonly used ICD-10 codes for right thumb pain are typically billable:

• M65.831 - Other synovitis and tenosynovitis, right hand: Yes.
• M65.841 - Other unspecified disorders of synovium and tenosynovium, right hand: Yes.
• M79.642 - Pain in the right thumb: Yes.
• S60.401A - Contusion of right thumb, initial encounter: Yes.
• M65.821 - Calcific tendinitis of right hand: Yes.
• G56.02 - Lesion of ulnar nerve at wrist and hand level, right upper limb: Yes.
• M19.041 - Primary osteoarthritis, right hand: Yes.
• M67.841 - Ganglion, right hand: Yes.
• S61.401A - Open wound of right thumb without damage to nail; initial encounter: Yes.
• M20.11 - Hallux valgus (acquired) (congenital), right foot: No, this code primarily relates to the right foot and is not directly billable for right thumb pain. However, it might be relevant in cases where right thumb pain is indirectly associated with an issue like altered gait due to hallux valgus.

Please note that billing practices can vary based on the specifics of each case and the policies of the healthcare provider and payer. Healthcare professionals must ensure accurate and compliant coding when submitting claims for reimbursement.

Clinical Information

• Gather patient history to understand right thumb pain. Ask about onset, duration, and previous episodes.
• Locate the pain in the right thumb and check for radiation to other areas of the hand or fingers to pinpoint the source of discomfort.
• Identify activities that worsen or improve the pain. This can reveal the cause of the issue, such as overuse or repetitive motions.
• Explore any history of recent traumas or injuries to the right thumb, such as falls, sports-related incidents, or accidents. Trauma can be a direct cause of thumb pain.
• Check for swelling, redness, or inflammation in the right thumb, which may indicate arthritis or tenosynovitis.
• Inquire about numbness, tingling, or weakness in the thumb or adjacent fingers. These sensory disturbances can help in differentiating nerve-related issues.
• Review the patient's medical history, paying attention to pre-existing conditions like osteoarthritis, rheumatoid arthritis, or diabetes, as these can contribute to thumb pain.
• Understand the patient's occupation and hobbies, as certain repetitive or strenuous activities can strain the hand and thumb, potentially causing or exacerbating pain.
• Document the medications the patient is currently taking, as certain drugs can have side effects or interactions that contribute to hand pain or may provide relief.
• Inquire about any family history of musculoskeletal or joint-related problems, as there may be a genetic predisposition to certain conditions.
• Order imaging (X-rays, MRI, ultrasound) to assess the thumb structure and surrounding tissues.
• Conduct a thorough physical examination of the right thumb. Assess range of motion, tenderness, and strength, which can provide valuable clinical data.
• Differentiate similar symptoms like carpal tunnel syndrome, De Quervain's tenosynovitis, or trigger thumb to ensure accurate diagnosis and treatment.
• Ask about past treatments for thumb pain to guide future treatment decisions.
• Discuss the patient's goals and expectations for pain relief and functional improvement to personalize the treatment plan.

Synonyms Include

• Pain in the right thumb
• Right thumb discomfort
• Right thumb ache
• Right thumb soreness
• Right thumb distress
• Right thumb throbbing