Most of the codes in ICD-10-CM Chapter the site may be the bone, joint, or muscle involved
13 Diseases of the Musculoskeletal System
and Connective Tissue have site and
laterality designations. According to ICD-
10-CM guidelines what is considered the
site?
What is being removed for hallux valgus Bunion
surgery
A patient presents to the ED with back S33.5XXA
pain and is diagnosed with a lumbar
sprain. What ICD-10-CM code is reported?
a. M53.3
b. M54.5
c. S33.8XXA
d. S33.5XXA
What information is required to accurately Whether the osteoarthritis is primary, secondary, post-
code osteoarthritis in ICD-10-CM? traumatic, the site and laterality
A patient is seen in the same day surgery 29819
unit for an arthroscopy to remove some
loose bodies in the shoulder area. What
CPT® code is reported?
A 42 year-old with chronic right 20610-RT J3301X4
trochanteric bursitis is scheduled to
,receive an injection at the Pain Clinic. A
22-gauge spinal needle is introduced into
the trochanteric bursa, and a total volume
of 8 cc of normal saline and 40 mg of
Kenalog is injected. What are the CPT®
codes?
A 6 year-old male suffered a fracture after 24538-LT
falling off the monkey bars at school. He
fell on an outstretched hand and suffered
a transcondylar fracture of the left
humerus. After prep and drape, a
manipulation was done to achieve
anatomic reduction. Once the joint was
adequately reduced, pins were placed
through the skin distally and proximally
into the bone to maintain excellent
fixation and anatomic reduction. The pins
were bent, trimmed and covered with a
sterile dressing and a posterior splint was
placed on the patient's arm. What CPT®
code is reported?
A 44 year-old male with biplanar 20697
deformity, acquired limb length
discrepancies and tibial nonunion has
undergone deformity correction. He now
requires exchange of an external fixation
strut 45 days postoperatively. One of the
struts for his multiplane external fixation
device is removed and then replaced with
an adjustable strut. The intraoperative
mounting parameters, deformity
parameters and initial strut settings are
entered into the computer prior to Jim's
discharge and a daily schedule is
generated for him to perform the gradual
deformity correction necessary. What
CPT® code(s) is/are reported?
,A 63 year-old man presents with a neck 21552
mass to be excised. The neck mass was
palpated and an incision was then made
and carried down through the dermis with
electrocautery. The subcutaneous tissue of
the skin was opened encountering an
organized mass with a benign appearance
of a lipoma. Using careful blunt and sharp
dissection, the mass measuring 5 cm was
completely excised around its entire
circumference leaving the capsule intact.
The mass was removed from its posterior
attachments using electrocautery. What
CPT® code is reported for this procedure?
A 49 year-old presents with an abscess of 26010-F5
the right thumb. The physician incises the
abscess and purulent sanguineous fluid is
drained. The wound is packed with
iodoform packing. What CPT® code is
reported?
, A 14 year-old status post injury over one 29846-LT
year ago to her left wrist presented with
recurrent wrist pain. The patient was taken
to the operating room and placed under
general anesthesia. She was placed in
wrist traction. The radiocarpal joint was
entered endoscopically through sharp skin
incisions and blunt dissection into the
joint. There was found to be mild synovitis
in the dorsal ulnar aspect of the wrist. This
was debrided arthroscopically with a
shaver. There was a peripheral tear of the
triangular fibrocartilage. This area was
shaved to promote healing. Using
outside-in technique, a PDS suture was
placed across the TFCC and into the
capsule. There was synovitis within the
midcarpal joint, but there was no articular
injury. All instruments were removed and
the wounds were closed with interrupted
nylon sutures. What CPT® code(s) is /are
reported?
A 27 year-old presents with right-sided 20553
thoracic myofascial pain. A 25-gauge 1.5-
inch needle on a 10 cc controlled syringe
with 0.25% bupivacaine was used. After
negative aspiration, 2 cc were injected
into each trigger point. A total of four
trigger points were injected. A total of 8
cc of bupivacaine was used on the
rhomboid major, rhomboid minor, and
levator scapular muscles. What CPT®
code(s) is/are reported for this procedure?
The patient presents today for closed 21315
reduction of a nasal fracture. The
depressed right nasal bone was elevated
using heavy reduction forceps while the
left nasal bone was pushed to the midline.
This resulted in good alignment of the
external nasal dorsum. What CPT® code
is reported for this procedure?
13 Diseases of the Musculoskeletal System
and Connective Tissue have site and
laterality designations. According to ICD-
10-CM guidelines what is considered the
site?
What is being removed for hallux valgus Bunion
surgery
A patient presents to the ED with back S33.5XXA
pain and is diagnosed with a lumbar
sprain. What ICD-10-CM code is reported?
a. M53.3
b. M54.5
c. S33.8XXA
d. S33.5XXA
What information is required to accurately Whether the osteoarthritis is primary, secondary, post-
code osteoarthritis in ICD-10-CM? traumatic, the site and laterality
A patient is seen in the same day surgery 29819
unit for an arthroscopy to remove some
loose bodies in the shoulder area. What
CPT® code is reported?
A 42 year-old with chronic right 20610-RT J3301X4
trochanteric bursitis is scheduled to
,receive an injection at the Pain Clinic. A
22-gauge spinal needle is introduced into
the trochanteric bursa, and a total volume
of 8 cc of normal saline and 40 mg of
Kenalog is injected. What are the CPT®
codes?
A 6 year-old male suffered a fracture after 24538-LT
falling off the monkey bars at school. He
fell on an outstretched hand and suffered
a transcondylar fracture of the left
humerus. After prep and drape, a
manipulation was done to achieve
anatomic reduction. Once the joint was
adequately reduced, pins were placed
through the skin distally and proximally
into the bone to maintain excellent
fixation and anatomic reduction. The pins
were bent, trimmed and covered with a
sterile dressing and a posterior splint was
placed on the patient's arm. What CPT®
code is reported?
A 44 year-old male with biplanar 20697
deformity, acquired limb length
discrepancies and tibial nonunion has
undergone deformity correction. He now
requires exchange of an external fixation
strut 45 days postoperatively. One of the
struts for his multiplane external fixation
device is removed and then replaced with
an adjustable strut. The intraoperative
mounting parameters, deformity
parameters and initial strut settings are
entered into the computer prior to Jim's
discharge and a daily schedule is
generated for him to perform the gradual
deformity correction necessary. What
CPT® code(s) is/are reported?
,A 63 year-old man presents with a neck 21552
mass to be excised. The neck mass was
palpated and an incision was then made
and carried down through the dermis with
electrocautery. The subcutaneous tissue of
the skin was opened encountering an
organized mass with a benign appearance
of a lipoma. Using careful blunt and sharp
dissection, the mass measuring 5 cm was
completely excised around its entire
circumference leaving the capsule intact.
The mass was removed from its posterior
attachments using electrocautery. What
CPT® code is reported for this procedure?
A 49 year-old presents with an abscess of 26010-F5
the right thumb. The physician incises the
abscess and purulent sanguineous fluid is
drained. The wound is packed with
iodoform packing. What CPT® code is
reported?
, A 14 year-old status post injury over one 29846-LT
year ago to her left wrist presented with
recurrent wrist pain. The patient was taken
to the operating room and placed under
general anesthesia. She was placed in
wrist traction. The radiocarpal joint was
entered endoscopically through sharp skin
incisions and blunt dissection into the
joint. There was found to be mild synovitis
in the dorsal ulnar aspect of the wrist. This
was debrided arthroscopically with a
shaver. There was a peripheral tear of the
triangular fibrocartilage. This area was
shaved to promote healing. Using
outside-in technique, a PDS suture was
placed across the TFCC and into the
capsule. There was synovitis within the
midcarpal joint, but there was no articular
injury. All instruments were removed and
the wounds were closed with interrupted
nylon sutures. What CPT® code(s) is /are
reported?
A 27 year-old presents with right-sided 20553
thoracic myofascial pain. A 25-gauge 1.5-
inch needle on a 10 cc controlled syringe
with 0.25% bupivacaine was used. After
negative aspiration, 2 cc were injected
into each trigger point. A total of four
trigger points were injected. A total of 8
cc of bupivacaine was used on the
rhomboid major, rhomboid minor, and
levator scapular muscles. What CPT®
code(s) is/are reported for this procedure?
The patient presents today for closed 21315
reduction of a nasal fracture. The
depressed right nasal bone was elevated
using heavy reduction forceps while the
left nasal bone was pushed to the midline.
This resulted in good alignment of the
external nasal dorsum. What CPT® code
is reported for this procedure?
