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
Trigger finger
Stenosing tenosynovitis, not specified as congenital.
Trigger thumb
Stenosing tenosynovitis of thumb, not specified as congenital.
Congenital trigger finger
Trigger finger present at birth due to developmental issues.
Synovitis and tenosynovitis
Inflammation of synovial membranes, including various forms.
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?
Missing or incorrect laterality (right, left, bilateral) for trigger finger diagnosis impacts reimbursement and data accuracy. Relevant ICD-10 codes require laterality specification.
Using unspecified trigger finger codes (e.g., M65.3) when a more specific code is documented leads to claims denials and inaccurate quality reporting.
Confusing A1 pulley thickening/stenosis with trigger finger. Accurate documentation and distinct coding are essential for appropriate care and reimbursement.
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.