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M65.3
ICD-10-CM
Trigger Finger

Find information on Trigger Finger diagnosis, including clinical documentation, ICD-10 codes (M65.3, M65.4), CPT codes (26055, 26121, 26123), and treatment options. Learn about stenosing tenosynovitis, A1 pulley release, flexor tendon sheath, and other relevant medical terms for accurate healthcare coding and billing. Understand the symptoms, causes, and diagnosis of Trigger Finger for proper medical documentation and patient care.

Also known as

Stenosing Tenosynovitis
Digital Tenovaginitis Stenosans

Diagnosis Snapshot

Key Facts
  • Definition : Finger or thumb tendon inflammation causing painful clicking or locking during movement.
  • Clinical Signs : Catching or locking sensation, stiffness, tenderness at the base of the finger, palpable nodule.
  • Common Settings : Primary care, hand surgery, orthopedics, rheumatology

Related ICD-10 Code Ranges

Complete code families applicable to AAPC M65.3 Coding
M65.3

Trigger finger

Stenosing tenosynovitis, not specified as congenital.

M65.4

Trigger thumb

Stenosing tenosynovitis of thumb, not specified as congenital.

Q74.3

Congenital trigger finger

Trigger finger present at birth due to developmental issues.

M65-M65

Synovitis and tenosynovitis

Inflammation of synovial membranes, including various forms.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Is the trigger finger acquired?

  • Yes

    Specified finger?

  • No

    Is it congenital?

Documentation Best Practices

Documentation Checklist
  • Trigger finger ICD-10 documentation
  • Laterality: left or right finger affected
  • Specific digit: thumb, index, etc.
  • Locking or catching sensation documented
  • Pain, stiffness, or tenderness noted

Coding and Audit Risks

Common Risks
  • Laterality Coding Errors

    Missing or incorrect laterality (right, left, bilateral) for trigger finger diagnosis impacts reimbursement and data accuracy. Relevant ICD-10 codes require laterality specification.

  • Unspecified Finger Code

    Using unspecified trigger finger codes (e.g., M65.3) when a more specific code is documented leads to claims denials and inaccurate quality reporting.

  • A1 Pulley vs. Trigger Finger

    Confusing A1 pulley thickening/stenosis with trigger finger. Accurate documentation and distinct coding are essential for appropriate care and reimbursement.

Mitigation Tips

Best Practices
  • Rest, splinting, NSAIDs: ICD-10 M65.3, improve CDI specificity.
  • Corticosteroid injection: CPT 20550, document injection site, ensure compliance.
  • Surgical release: CPT 26055, clear documentation of procedure, coding accuracy.
  • Ergonomic modifications: Prevent recurrence, document workplace assessment.
  • Patient education: Self-care, follow-up, improve coding, comply with guidelines.

Clinical Decision Support

Checklist
  • Palpable nodule in flexor tendon
  • Finger catches during flexion/extension
  • Morning stiffness or clicking sensation
  • Pain at the base of the affected finger
  • Limited range of motion noted

Reimbursement and Quality Metrics

Impact Summary
  • Trigger Finger Reimbursement: CPT 26055, 26121, 26145. Accurate coding impacts payment. Coding errors reduce revenue.
  • Quality Metrics: Tracking surgical site infection (SSI) rates, functional outcomes, patient satisfaction scores post-procedure.
  • Impact: Accurate coding maximizes reimbursement. Incorrect laterality modifier (RT/LT) impacts payment.
  • Impact: Optimize reporting for complications like CRPS or recurrence for improved quality care and resource allocation.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes for . Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Code 727.03 for Trigger Finger
  • Specify affected finger/thumb
  • Laterality required (left/right)
  • Document nodule, snapping, locking
  • Consider injection/surgery codes

Documentation Templates

Patient presents with symptoms consistent with trigger finger, also known as stenosing tenosynovitis.  The patient reports catching, clicking, or locking of the affected finger (specify finger: thumb, index, middle, ring, or small), often worse in the morning.  Stiffness and pain at the base of the finger are noted, specifically at the level of the A1 pulley.  The patient may describe difficulty straightening or bending the finger, and sometimes a popping or snapping sensation is felt during movement.  On physical examination, palpable tenderness andor a nodule may be present at the A1 pulley.  The affected finger may demonstrate triggering, locking, or catching during flexion and extension.  Differential diagnosis includes Dupuytren's contracture, flexor tendonitis, and arthritis.  Assessment confirms the diagnosis of trigger finger (ICD-10 code M65.3), specifying laterality (right or left) and digit involved.  Treatment plan may include conservative management with rest, splinting, nonsteroidal anti-inflammatory drugs (NSAIDs), and corticosteroid injections.  Surgical intervention, such as trigger finger release (CPT code 26055), may be considered if conservative measures fail to provide adequate relief.  Patient education provided on activity modification, splinting techniques, and potential complications. Follow-up scheduled to assess treatment response and adjust plan as needed.
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