Find information on Dupuytren's Contracture diagnosis, including clinical documentation, medical coding, and healthcare resources. Learn about Palmar Fibromatosis, also known as Viking Disease, and understand its symptoms, treatment options, and ICD-10 codes related to Dupuytren's disease. This resource provides valuable insights for healthcare professionals, patients, and medical coders seeking information on Dupuytren's Contracture.
Also known as
Dupuytren's contracture
Thickening and shrinking of palmar fascia causing finger contractures.
Knuckle pads
Fibrous thickening of the skin over the dorsal aspects of interphalangeal joints.
Trigger finger
Stenosing tenosynovitis interfering with tendon gliding in the fingers or thumb.
Soft tissue disorders
Disorders of muscles, tendons, synovia, bursae, and fascia.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the diagnosis Dupuytren's contracture?
Yes
Is it affecting the right hand?
No
Do not code as Dupuytren's contracture. Review diagnosis.
When to use each related code
| Description |
|---|
| Thickening and scarring of hand palmar fascia causing finger contractures. |
| Thickening of the plantar fascia causing foot arch pain. |
| Benign, slow-growing fibrous tumor, often painless. |
Missing or incorrect laterality (right, left, bilateral) coding for Dupuytren's Contracture impacts reimbursement and data accuracy.
Using unspecified codes (e.g., M72.0) when a more specific ICD-10 code for Dupuytren's Contracture exists (e.g., M72.00, M72.01, M72.02) leads to underreporting severity.
Failing to document and code associated conditions like diabetes or epilepsy, frequently linked to Dupuytren's Contracture, can affect risk adjustment and quality metrics.
Q: What are the most effective non-surgical treatment options for early-stage Dupuytren's contracture to prevent disease progression and improve hand function in my patients?
A: For early-stage Dupuytren's contracture, non-surgical interventions like needle aponeurotomy (NA) and collagenase clostridium histolyticum (CCH) injections can be effective in disrupting the contracted cords and improving finger extension. NA involves inserting a needle to weaken and break the cord, while CCH enzymatically dissolves the collagen within the cord. Splinting and hand therapy are often recommended alongside these procedures to maintain flexibility and function. The choice between NA and CCH often depends on the specific location and severity of the contracture, as well as patient preferences and comorbidities. Explore how these non-surgical options can be integrated into your treatment plan for early-stage Dupuytren's contracture patients. Consider implementing individualized hand therapy protocols for optimal outcomes.
Q: How can I accurately differentiate Dupuytren's contracture from other similar hand conditions like trigger finger or flexor tendonitis during a physical exam to ensure a precise diagnosis and tailored treatment plan?
A: Differentiating Dupuytren's contracture from other hand conditions requires a thorough physical examination. While Dupuytren's involves palpable cords and nodules in the palm and fingers with progressive flexion contractures, trigger finger presents with a snapping or locking sensation during finger movement. Flexor tendonitis typically involves localized pain and tenderness along the tendon sheath without the characteristic cord formation seen in Dupuytren's. Careful palpation of the hand and assessment of finger range of motion are crucial for distinguishing these conditions. Additionally, considering the patient's medical history and risk factors, such as age, family history, and associated conditions like diabetes, can aid in accurate diagnosis. Learn more about specific examination techniques for differentiating Dupuytren's from other common hand ailments to refine your diagnostic accuracy.
Patient presents with complaints consistent with Dupuytren's contracture, also known as palmar fibromatosis or Viking disease. The patient reports progressive flexion contracture of the [specify finger(s) affected - e.g., fourth and fifth digits of the right hand]. Physical examination reveals palpable cords and nodules in the palmar fascia, with restricted extension of the affected finger(s). The patient's grip strength is [describe - e.g., reduced, normal, or specify measurement]. No sensory deficits were noted. The onset of symptoms was [timeframe - e.g., gradual over several months, sudden]. The patient denies any history of trauma to the hand. Family history is positive for Dupuytren's contracture in [specify relationship - e.g., father]. The patient's current medications include [list medications]. No known drug allergies. Assessment: Dupuytren's contracture. Plan: Discussed treatment options including observation, needle aponeurotomy, collagenase injection, and surgical fasciectomy. Patient education provided on Dupuytren's contracture prognosis and potential complications. Scheduled follow-up appointment in [timeframe - e.g., four weeks] to reassess and determine the appropriate course of treatment. ICD-10 code M72.0 will be used for billing and coding purposes. Differential diagnoses considered included trigger finger and camptodactyly.