Find information on Left Middle Trigger Finger diagnosis, including ICD-10 code M65.322, clinical documentation requirements, and healthcare coding guidelines. Learn about symptoms, treatment options, and medical billing specifics for Trigger Finger of the left middle finger. This resource provides essential information for physicians, coders, and other healthcare professionals.
Also known as
Trigger finger
Stenosing tenosynovitis, including trigger finger.
Disorders of synovium and tendon
Includes various disorders affecting synovium, tendon, and bursa.
Diseases of the musculoskeletal system and connective tissue
Encompasses a wide range of musculoskeletal and connective tissue disorders.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the trigger finger on the left middle finger?
Yes
Is there contracture?
No
This decision tree is for Left Middle Trigger Finger. Re-evaluate diagnosis.
When to use each related code
| Description |
|---|
| Left Middle Trigger Finger |
| Trigger Finger |
| Left Multiple Trigger Fingers |
Missing or incorrect laterality (left, right, bilateral) for trigger finger impacts reimbursement and data accuracy. Use M65.321 for left middle finger.
Using unspecified trigger finger codes (M65.3) when the middle finger is affected leads to lower reimbursement. Specificity is crucial for accurate coding.
Lack of documentation specifying involvement of the A1 pulley may lead to coding queries or denials. Clear documentation supports accurate trigger finger coding.
Patient presents with complaints consistent with left middle trigger finger, also known as stenosing tenosynovitis of the left third digit. Symptoms include catching, clicking, or locking of the left middle finger, particularly upon flexion and extension. The patient may also report pain at the base of the left middle finger near the A1 pulley, stiffness, and a palpable nodule or tenderness in the affected area. On examination, a positive trigger finger test was elicited with palpable locking and snapping of the left middle finger tendon. The patient reports difficulty with activities of daily living requiring fine motor skills. Differential diagnoses considered include Dupuytren's contracture, arthritis, and flexor tendonitis. Assessment confirms the diagnosis of left middle trigger finger (ICD-10: M65.322). Treatment options discussed include conservative management with rest, splinting, nonsteroidal anti-inflammatory drugs (NSAIDs), and corticosteroid injections. Surgical intervention, such as trigger finger release, may be considered if conservative measures fail. Patient education provided regarding activity modification, proper splinting techniques, and potential risks and benefits of treatment options. Follow-up scheduled in four weeks to assess response to treatment and discuss further management if necessary.