Corticosteroid, or cortisone, is a powerful anti-inflammatory agent that can be injected into the tendon sheath at the base of the affected digit. Therefore, we hypothesize that the entire resection of the A1 pulley will lead to decrease recurrence of trigger finger by lowering the chance of pulley reformation by scar formation. Bain GI, Turnbull J, Charles MN, Roth JH, Richards RS. Once again you would never perform a CTR 64721 and then inject the same time. CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CPT. Withdraw the needle after syringe if fully empty, and apply band-aid. Some of our partners may process your data as a part of their legitimate business interest without asking for consent. Acta Chir Orthop Traumatol Cech. Percutaneous A1 pulley release has been the method of choice for patients who does not respond to conservative treatment (local steroid) with low complication rates. 1992 May;74(3):418-20. doi: 10.1302/0301-620X.74B3.1587893. Bianchi S, Gitto S, Draghi F. Ultrasound Features of Trigger Finger: Review of the Literature. A1 pulley most commonly involved in trigger finger. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. The decision to have surgery is based typically on how much pain or loss of function you have in your digit. License to use CPT for any use not authorized herein must be obtained through the AMA, CPT Intellectual Property Services, AMA Plaza 330 N. Wabash Ave., Suite 39300, Chicago, IL 60611-5885. View this study on Beta.ClinicalTrials.gov. Personal injury made simple. Laxity of ligament (728.4) tendon sheath incision; Your email address will not be published. Ultrasonography. 2008 Jun;1(2):92-6. doi: 10.1007/s12178-007-9012-1. Copyright © 2022, the American Hospital Association, Chicago, Illinois. When the respective muscles contract, the flexor tendons pull on the bones of the fingers and thumb, causing them to bend. Generally, we inject a small dose of cortisone just under the thickened pulley above and below the tendon sheath. Rheumatology (Oxford). There are different article types: Articles are often related to an LCD, and the relationship can be seen in the "Associated Documents" section of the Article or the LCD. Dr Thomas McClellan 91.7K subscribers Subscribe 360K views 5 years ago www.MPSurgery.com www.hand411.com Show more Rosemont, IL, American Academy of Orthopaedic Surgeons, 2010. 2021 Oct 7;27:e931389. MeSH CPT codes, descriptions and other data only are copyright 2022 American Medical Association. 1953 Oct;35-A(4):994-1002. from the American Academy of Orthopaedic Surgeons, nonsteroidal anti-inflammatory drugs (NSAIDs). Have the patient move their involved digit (flex/extend) while you throw away supplies. For complimentary Telehealth tools and information, click here. To view all forums, post or create a new thread, you must be an AAPC Member. J Am Acad Orthop Surg. The American Hospital Association ("the AHA") has not reviewed, and is not responsible for, the completeness or accuracy of any information contained in this material, nor was the AHA or any of its affiliates, involved in the preparation of this material, or the analysis of information provided in the material. Clipboard, Search History, and several other advanced features are temporarily unavailable. Epub 2017 Jul 25. Messages 16 best answers 0. What is an A1 pulley release? This novel surgical technique may potentially lead to a decreased number of digital stiffness, therapy, injections, or revision surgeries. Request a login. The first percutaneous release was performed in 1958 and the success rate was 100% without any reported complications. Epub 2011 Oct 29. official website and that any information you provide is encrypted The thickened nodule on the flexor tendon pops through the A1 pulley during a deep finger or thumb flexion and strikes the A1 pulley during attempts to extend the digit, making it difficult and often painful to straighten the finger or thumb. CPT is a registered . The A1 pulley release cpt code is 26055 is for trigger finger. Grade 1: Pulley sprain A partial tear of a single pulley No need for immobilization. The flexor tendons are long cord-like structures that attach the muscles of the forearm to the bones of the fingers and thumb. Reproduced with permission. Oblique pulley (3-5mm) For office visits prior to. 2017 Nov 30;359:j5285. It has become an accepted initial treatment for trigger fingers largely due to its use within the outpatient department and its low complication rate. In a severe case of trigger finger, the digit locks and becomes stuck in a bent position. Age. Percutaneous A1 pulley release is an effective, safe and convenient procedure for the treatment of trigger digits. By Chris Faubel, M.D. Required fields are marked *. No abstract available. and transmitted securely. Inability to straighten the involved finger. The tendon sheath attaches to the finger or thumb bones and keeps the flexor tendon in place as it moves to flex the digit. By clicking below on the button labeled "I accept", you hereby acknowledge that you have read, understood and agreed to all terms and conditions set forth in this agreement. This Agreement will terminate upon notice if you violate its terms. The trigger finger in diabetic patients suffered from worse renal function and glycemic control, along with a higher incidence of cardiovascular disease. not endorsed by the AHA or any of its affiliates. apply equally to all claims. ICD-10-CM Codes that Support Medical Necessity, ICD-10-CM Codes that DO NOT Support Medical Necessity, A55490 - Response to Comments: Injections - Tendon, Ligament, Ganglion Cyst, Tunnel Syndromes and Morton's Neuroma, L34076 - Injections - Tendon, Ligament, Ganglion Cyst, Tunnel Syndromes and Morton's Neuroma, INJECTION, THERAPEUTIC (EG, LOCAL ANESTHETIC, CORTICOSTEROID), CARPAL TUNNEL, INJECTION, ENZYME (EG, COLLAGENASE), PALMAR FASCIAL CORD (IE, DUPUYTREN'S CONTRACTURE), INJECTION(S); SINGLE TENDON SHEATH, OR LIGAMENT, APONEUROSIS (EG, PLANTAR "FASCIA"), INJECTION(S); SINGLE TENDON ORIGIN/INSERTION, ASPIRATION AND/OR INJECTION OF GANGLION CYST(S) ANY LOCATION, MANIPULATION, PALMAR FASCIAL CORD (IE, DUPUYTREN'S CORD), POST ENZYME INJECTION (EG, COLLAGENASE), SINGLE CORD, INJECTION(S), ANESTHETIC AGENT AND/OR STEROID, PLANTAR COMMON DIGITAL NERVE(S) (EG, MORTON'S NEUROMA), DESTRUCTION BY NEUROLYTIC AGENT; PLANTAR COMMON DIGITAL NERVE, Carpal tunnel syndrome, bilateral upper limbs, Tarsal tunnel syndrome, bilateral lower limbs, Lesion of plantar nerve, right lower limb, Lesion of plantar nerve, bilateral lower limbs, Sacrococcygeal disorders, not elsewhere classified, Calcific tendinitis, right ankle and foot, Radial styloid tenosynovitis [de Quervain], Other synovitis and tenosynovitis, right shoulder, Other synovitis and tenosynovitis, left shoulder, Other synovitis and tenosynovitis, right upper arm, Other synovitis and tenosynovitis, left upper arm, Other synovitis and tenosynovitis, right forearm, Other synovitis and tenosynovitis, left forearm, Other synovitis and tenosynovitis, right hand, Other synovitis and tenosynovitis, left hand, Other synovitis and tenosynovitis, right thigh, Other synovitis and tenosynovitis, left thigh, Other synovitis and tenosynovitis, right lower leg, Other synovitis and tenosynovitis, left lower leg, Other synovitis and tenosynovitis, right ankle and foot, Other synovitis and tenosynovitis, left ankle and foot, Other synovitis and tenosynovitis, other site, Other synovitis and tenosynovitis, multiple sites, Short Achilles tendon (acquired), right ankle, Short Achilles tendon (acquired), left ankle, Other specified disorders of tendon, right shoulder, Other specified disorders of tendon, left shoulder, Other specified disorders of tendon, right elbow, Other specified disorders of tendon, left elbow, Other specified disorders of tendon, right wrist, Other specified disorders of tendon, left wrist, Other specified disorders of tendon, right hand, Other specified disorders of tendon, left hand, Other specified disorders of tendon, right hip, Other specified disorders of tendon, left hip, Other specified disorders of tendon, right knee, Other specified disorders of tendon, left knee, Other specified disorders of tendon, right ankle and foot, Other specified disorders of tendon, left ankle and foot, Other specified disorders of synovium and tendon, other site, Other specified disorders of synovium and tendon, multiple sites, Incomplete rotator cuff tear or rupture of right shoulder, not specified as traumatic, Incomplete rotator cuff tear or rupture of left shoulder, not specified as traumatic, Other specified enthesopathies of right lower limb, excluding foot, Other specified enthesopathies of left lower limb, excluding foot, Other enthesopathy of right foot and ankle, Other enthesopathy of left foot and ankle, Other enthesopathies, not elsewhere classified, Sprain of jaw, right side, initial encounter, Sprain of jaw, right side, subsequent encounter, Sprain of jaw, left side, initial encounter, Sprain of jaw, left side, subsequent encounter, Sprain of jaw, bilateral, initial encounter, Sprain of jaw, bilateral, subsequent encounter, Sprain of joints and ligaments of other parts of head, initial encounter, Sprain of joints and ligaments of other parts of head, subsequent encounter, Sprain of joints and ligaments of other parts of head, sequela, Sprain of ligaments of cervical spine, initial encounter, Sprain of ligaments of cervical spine, subsequent encounter, Sprain of ligaments of cervical spine, sequela, Sprain of joints and ligaments of other parts of neck, initial encounter, Sprain of joints and ligaments of other parts of neck, subsequent encounter, Sprain of joints and ligaments of other parts of neck, sequela, Strain of muscle, fascia and tendon at neck level, initial encounter, Strain of muscle, fascia and tendon at neck level, subsequent encounter, Strain of muscle, fascia and tendon at neck level, sequela, Sprain of ligaments of thoracic spine, initial encounter, Sprain of ligaments of thoracic spine, subsequent encounter, Sprain of ligaments of thoracic spine, sequela, Sprain of sternoclavicular (joint) (ligament), initial encounter, Sprain of sternoclavicular (joint) (ligament), subsequent encounter, Sprain of sternoclavicular (joint) (ligament), sequela, Strain of muscle and tendon of front wall of thorax, initial encounter, Strain of muscle and tendon of front wall of thorax, subsequent encounter, Strain of muscle and tendon of front wall of thorax, sequela, Strain of muscle and tendon of back wall of thorax, initial encounter, Strain of muscle and tendon of back wall of thorax, subsequent encounter, Strain of muscle and tendon of back wall of thorax, sequela, Sprain of ligaments of lumbar spine, initial encounter, Sprain of ligaments of lumbar spine, subsequent encounter, Sprain of ligaments of lumbar spine, sequela, Strain of muscle, fascia and tendon of abdomen, initial encounter, Strain of muscle, fascia and tendon of abdomen, subsequent encounter, Strain of muscle, fascia and tendon of abdomen, sequela, Strain of muscle, fascia and tendon of lower back, initial encounter, Strain of muscle, fascia and tendon of lower back, subsequent encounter, Strain of muscle, fascia and tendon of lower back, sequela, Strain of muscle, fascia and tendon of pelvis, initial encounter, Strain of muscle, fascia and tendon of pelvis, subsequent encounter, Strain of muscle, fascia and tendon of pelvis, sequela, Sprain of right coracohumeral (ligament), initial encounter, Sprain of right coracohumeral (ligament), subsequent encounter, Sprain of right coracohumeral (ligament), sequela, Sprain of left coracohumeral (ligament), initial encounter, Sprain of left coracohumeral (ligament), subsequent encounter, Sprain of left coracohumeral (ligament), sequela, Sprain of right rotator cuff capsule, initial encounter, Sprain of right rotator cuff capsule, subsequent encounter, Sprain of right rotator cuff capsule, sequela, Sprain of left rotator cuff capsule, initial encounter, Sprain of left rotator cuff capsule, subsequent encounter, Sprain of left rotator cuff capsule, sequela, Sprain of other specified parts of right shoulder girdle, initial encounter, Sprain of other specified parts of right shoulder girdle, subsequent encounter, Sprain of other specified parts of right shoulder girdle, sequela, Sprain of other specified parts of left shoulder girdle, initial encounter, Sprain of other specified parts of left shoulder girdle, subsequent encounter, Sprain of other specified parts of left shoulder girdle, sequela, Strain of muscle(s) and tendon(s) of the rotator cuff of right shoulder, initial encounter, Strain of muscle(s) and tendon(s) of the rotator cuff of right shoulder, subsequent encounter, Strain of muscle(s) and tendon(s) of the rotator cuff of right shoulder, sequela, Strain of muscle(s) and tendon(s) of the rotator cuff of left shoulder, initial encounter, Strain of muscle(s) and tendon(s) of the rotator cuff of left shoulder, subsequent encounter, Strain of muscle(s) and tendon(s) of the rotator cuff of left shoulder, sequela, Strain of muscle, fascia and tendon of long head of biceps, right arm, initial encounter, Strain of muscle, fascia and tendon of long head of biceps, right arm, subsequent encounter, Strain of muscle, fascia and tendon of long head of biceps, right arm, sequela, Strain of muscle, fascia and tendon of long head of biceps, left arm, initial encounter, Strain of muscle, fascia and tendon of long head of biceps, left arm, subsequent encounter, Strain of muscle, fascia and tendon of long head of biceps, left arm, sequela, Strain of muscle, fascia and tendon of other parts of biceps, right arm, initial encounter, Strain of muscle, fascia and tendon of other parts of biceps, right arm, subsequent encounter, Strain of muscle, fascia and tendon of other parts of biceps, right arm, sequela, Strain of muscle, fascia and tendon of other parts of biceps, left arm, initial encounter, Strain of muscle, fascia and tendon of other parts of biceps, left arm, subsequent encounter, Strain of muscle, fascia and tendon of other parts of biceps, left arm, sequela, Strain of muscle, fascia and tendon of triceps, right arm, initial encounter, Strain of muscle, fascia and tendon of triceps, right arm, subsequent encounter, Strain of muscle, fascia and tendon of triceps, right arm, sequela, Strain of muscle, fascia and tendon of triceps, left arm, initial encounter, Strain of muscle, fascia and tendon of triceps, left arm, subsequent encounter, Strain of muscle, fascia and tendon of triceps, left arm, sequela, Strain of other muscles, fascia and tendons at shoulder and upper arm level, right arm, initial encounter, Strain of other muscles, fascia and tendons at shoulder and upper arm level, right arm, subsequent encounter, Strain of other muscles, fascia and tendons at shoulder and upper arm level, right arm, sequela, Strain of other muscles, fascia and tendons at shoulder and upper arm level, left arm, initial encounter, Strain of other muscles, fascia and tendons at shoulder and upper arm level, left arm, subsequent encounter, Strain of other muscles, fascia and tendons at shoulder and upper arm level, left arm, sequela, Radial collateral ligament sprain of right elbow, initial encounter, Radial collateral ligament sprain of right elbow, subsequent encounter, Radial collateral ligament sprain of right elbow, sequela, Radial collateral ligament sprain of left elbow, initial encounter, Radial collateral ligament sprain of left elbow, subsequent encounter, Radial collateral ligament sprain of left elbow, sequela, Ulnar collateral ligament sprain of right elbow, initial encounter, Ulnar collateral ligament sprain of right elbow, subsequent encounter, Ulnar collateral ligament sprain of right elbow, sequela, Ulnar collateral ligament sprain of left elbow, initial encounter, Ulnar collateral ligament sprain of left elbow, subsequent encounter, Ulnar collateral ligament sprain of left elbow, sequela, Other sprain of right elbow, initial encounter, Other sprain of right elbow, subsequent encounter, Other sprain of left elbow, initial encounter, Other sprain of left elbow, subsequent encounter, Strain of flexor muscle, fascia and tendon of right thumb at forearm level, initial encounter, Strain of flexor muscle, fascia and tendon of right thumb at forearm level, subsequent encounter, Strain of flexor muscle, fascia and tendon of right thumb at forearm level, sequela, Strain of flexor muscle, fascia and tendon of left thumb at forearm level, initial encounter, Strain of flexor muscle, fascia and tendon of left thumb at forearm level, subsequent encounter, Strain of flexor muscle, fascia and tendon of left thumb at forearm level, sequela, Strain of flexor muscle, fascia and tendon of right index finger at forearm level, initial encounter, Strain of flexor muscle, fascia and tendon of right index finger at forearm level, subsequent encounter, Strain of flexor muscle, fascia and tendon of right index finger at forearm level, sequela, Strain of flexor muscle, fascia and tendon of left index finger at forearm level, initial encounter, Strain of flexor muscle, fascia and tendon of left index finger at forearm level, subsequent encounter, Strain of flexor muscle, fascia and tendon of left index finger at forearm level, sequela, Strain of flexor muscle, fascia and tendon of right middle finger at forearm level, initial encounter, Strain of flexor muscle, fascia and tendon of right middle finger at forearm level, subsequent encounter, Strain of flexor muscle, fascia and tendon of right middle finger at forearm level, sequela, Strain of flexor muscle, fascia and tendon of left middle finger at forearm level, initial encounter, Strain of flexor muscle, fascia and tendon of left middle finger at forearm level, subsequent encounter, Strain of flexor muscle, fascia and tendon of left middle finger at forearm level, sequela, Strain of flexor muscle, fascia and tendon of right ring finger at forearm level, initial encounter, Strain of flexor muscle, fascia and tendon of right ring finger at forearm level, subsequent encounter, Strain of flexor muscle, fascia and tendon of right ring finger at forearm level, sequela, Strain of flexor muscle, fascia and tendon of left ring finger at forearm level, initial encounter, Strain of flexor muscle, fascia and tendon of left ring finger at forearm level, subsequent encounter, Strain of flexor muscle, fascia and tendon of left ring finger at forearm level, sequela, Strain of flexor muscle, fascia and tendon of right little finger at forearm level, initial encounter, Strain of flexor muscle, fascia and tendon of right little finger at forearm level, subsequent encounter, Strain of flexor muscle, fascia and tendon of right little finger at forearm level, sequela, Strain of flexor muscle, fascia and tendon of left little finger at forearm level, initial encounter, Strain of flexor muscle, fascia and tendon of left little finger at forearm level, subsequent encounter, Strain of flexor muscle, fascia and tendon of left little finger at forearm level, sequela, Strain of other flexor muscle, fascia and tendon at forearm level, right arm, initial encounter, Strain of other flexor muscle, fascia and tendon at forearm level, right arm, subsequent encounter, Strain of other flexor muscle, fascia and tendon at forearm level, right arm, sequela, Strain of other flexor muscle, fascia and tendon at forearm level, left arm, initial encounter, Strain of other flexor muscle, fascia and tendon at forearm level, left arm, subsequent encounter, Strain of other flexor muscle, fascia and tendon at forearm level, left arm, sequela, Strain of extensor or abductor muscles, fascia and tendons of right thumb at forearm level, initial encounter, Strain of extensor or abductor muscles, fascia and tendons of right thumb at forearm level, subsequent encounter, Strain of extensor or abductor muscles, fascia and tendons of right thumb at forearm level, sequela, Strain of extensor or abductor muscles, fascia and tendons of left thumb at forearm level, initial encounter, Strain of extensor or abductor muscles, fascia and tendons of left thumb at forearm level, subsequent encounter, Strain of extensor or abductor muscles, fascia and tendons of left thumb at forearm level, sequela, Strain of extensor muscle, fascia and tendon of right index finger at forearm level, initial encounter, Strain of extensor muscle, fascia and tendon of right index finger at forearm level, subsequent encounter, Strain of extensor muscle, fascia and tendon of right index finger at forearm level, sequela, Strain of extensor muscle, fascia and tendon of left index finger at forearm level, initial encounter, Strain of extensor muscle, fascia and tendon of left index finger at forearm level, subsequent encounter, Strain of extensor muscle, fascia and tendon of left index finger at forearm level, sequela, Strain of extensor muscle, fascia and tendon of right middle finger at forearm level, initial encounter, Strain of extensor muscle, fascia and tendon of right middle finger at forearm level, subsequent encounter, Strain of extensor muscle, fascia and tendon of right middle finger at forearm level, sequela, Strain of extensor muscle, fascia and tendon of left middle finger at forearm level, initial encounter, Strain of extensor muscle, fascia and tendon of left middle finger at forearm level, subsequent encounter, Strain of extensor muscle, fascia and tendon of left middle finger at forearm level, sequela, Strain of extensor muscle, fascia and tendon of right ring finger at forearm level, initial encounter, Strain of extensor muscle, fascia and tendon of right ring finger at forearm level, subsequent encounter, Strain of extensor muscle, fascia and tendon of right ring finger at forearm level, sequela, Strain of extensor muscle, fascia and tendon of left ring finger at forearm level, initial encounter, Strain of extensor muscle, fascia and tendon of left ring finger at forearm level, subsequent encounter, Strain of extensor muscle, fascia and tendon of left ring finger at forearm level, sequela, Strain of extensor muscle, fascia and tendon of right little finger at forearm level, initial encounter, Strain of extensor muscle, fascia and tendon of right little finger at forearm level, subsequent encounter, Strain of extensor muscle, fascia and tendon of right little finger at forearm level, sequela, Strain of extensor muscle, fascia and tendon of left little finger at forearm level, initial encounter, Strain of extensor muscle, fascia and tendon of left little finger at forearm level, subsequent encounter, Strain of extensor muscle, fascia and tendon of left little finger at forearm level, sequela, Strain of other extensor muscle, fascia and tendon at forearm level, right arm, initial encounter, Strain of other extensor muscle, fascia and tendon at forearm level, right arm, subsequent encounter, Strain of other extensor muscle, fascia and tendon at forearm level, right arm, sequela, Strain of other extensor muscle, fascia and tendon at forearm level, left arm, initial encounter, Strain of other extensor muscle, fascia and tendon at forearm level, left arm, subsequent encounter, Strain of other extensor muscle, fascia and tendon at forearm level, left arm, sequela, Strain of other muscles, fascia and tendons at forearm level, right arm, initial encounter, Strain of other muscles, fascia and tendons at forearm level, right arm, subsequent encounter, Strain of other muscles, fascia and tendons at forearm level, right arm, sequela, Strain of other muscles, fascia and tendons at forearm level, left arm, initial encounter, Strain of other muscles, fascia and tendons at forearm level, left arm, subsequent encounter, Strain of other muscles, fascia and tendons at forearm level, left arm, sequela, Other specified sprain of right wrist, initial encounter, Other specified sprain of right wrist, subsequent encounter, Other specified sprain of right wrist, sequela, Other specified sprain of left wrist, initial encounter, Other specified sprain of left wrist, subsequent encounter, Other specified sprain of left wrist, sequela, Other sprain of right thumb, initial encounter, Other sprain of right thumb, subsequent encounter, Other sprain of left thumb, initial encounter, Other sprain of left thumb, subsequent encounter, Other sprain of right index finger, initial encounter, Other sprain of right index finger, subsequent encounter, Other sprain of right index finger, sequela, Other sprain of left index finger, initial encounter, Other sprain of left index finger, subsequent encounter, Other sprain of left index finger, sequela, Other sprain of right middle finger, initial encounter, Other sprain of right middle finger, subsequent encounter, Other sprain of right middle finger, sequela, Other sprain of left middle finger, initial encounter, Other sprain of left middle finger, subsequent encounter, Other sprain of left middle finger, sequela, Other sprain of right ring finger, initial encounter, Other sprain of right ring finger, subsequent encounter, Other sprain of right ring finger, sequela, Other sprain of left ring finger, initial encounter, Other sprain of left ring finger, subsequent encounter, Other sprain of left ring finger, sequela, Other sprain of right little finger, initial encounter, Other sprain of right little finger, subsequent encounter, Other sprain of right little finger, sequela, Other sprain of left little finger, initial encounter, Other sprain of left little finger, subsequent encounter, Other sprain of left little finger, sequela, Sprain of other part of right wrist and hand, initial encounter, Sprain of other part of right wrist and hand, subsequent encounter, Sprain of other part of right wrist and hand, sequela, Sprain of other part of left wrist and hand, initial encounter, Sprain of other part of left wrist and hand, subsequent encounter, Sprain of other part of left wrist and hand, sequela, Strain of long flexor muscle, fascia and tendon of right thumb at wrist and hand level, initial encounter, Strain of long flexor muscle, fascia and tendon of right thumb at wrist and hand level, subsequent encounter, Strain of long flexor muscle, fascia and tendon of right thumb at wrist and hand level, sequela, Strain of long flexor muscle, fascia and tendon of left thumb at wrist and hand level, initial encounter, Strain of long flexor muscle, fascia and tendon of left thumb at wrist and hand level, subsequent encounter, Strain of long flexor muscle, fascia and tendon of left thumb at wrist and hand level, sequela, Strain of flexor muscle, fascia and tendon of right index finger at wrist and hand level, initial encounter, Strain of flexor muscle, fascia and tendon of right index finger at wrist and hand level, subsequent encounter, Strain of flexor muscle, fascia and tendon of right index finger at wrist and hand level, sequela, Strain of flexor muscle, fascia and tendon of left index finger at wrist and hand level, initial encounter, Strain of flexor muscle, fascia and tendon of left index finger at wrist and hand level, subsequent encounter, Strain of flexor muscle, fascia and tendon of left index finger at wrist and hand level, sequela, Strain of flexor muscle, fascia and tendon of right middle finger at wrist and hand level, initial encounter, Strain of flexor muscle, fascia and tendon of right middle finger at wrist and hand level, subsequent encounter, Strain of flexor muscle, fascia and tendon of right middle finger at wrist and hand level, sequela, Strain of flexor muscle, fascia and tendon of left middle finger at wrist and hand level, initial encounter, Strain of flexor muscle, fascia and tendon of left middle finger at wrist and hand level, subsequent encounter, Strain of flexor muscle, fascia and tendon of left middle finger at wrist and hand level, sequela, Strain of flexor muscle, fascia and tendon of right ring finger at wrist and hand level, initial encounter, Strain of flexor muscle, fascia and tendon of right ring finger at wrist and hand level, subsequent encounter, Strain of flexor muscle, fascia and tendon of right ring finger at wrist and hand level, sequela, Strain of flexor muscle, fascia and tendon of left ring finger at wrist and hand level, initial encounter, Strain of flexor muscle, fascia and tendon of left ring finger at wrist and hand level, subsequent encounter, Strain of flexor muscle, fascia and tendon of left ring finger at wrist and hand level, sequela, Strain of flexor muscle, fascia and tendon of right little finger at wrist and hand level, initial encounter, Strain of flexor muscle, fascia and tendon of right little finger at wrist and hand level, subsequent encounter, Strain of flexor muscle, fascia and tendon of right little finger at wrist and hand level, sequela, Strain of flexor muscle, fascia and tendon of left little finger at wrist and hand level, initial encounter, Strain of flexor muscle, fascia and tendon of left little finger at wrist and hand level, subsequent encounter, Strain of flexor muscle, fascia and tendon of left little finger at wrist and hand level, sequela, Strain of extensor muscle, fascia and tendon of right thumb at wrist and hand level, initial encounter, Strain of extensor muscle, fascia and tendon of right thumb at wrist and hand level, subsequent encounter, Strain of extensor muscle, fascia and tendon of right thumb at wrist and hand level, sequela, Strain of extensor muscle, fascia and tendon of left thumb at wrist and hand level, initial encounter, Strain of extensor muscle, fascia and tendon of left thumb at wrist and hand level, subsequent encounter, Strain of extensor muscle, fascia and tendon of left thumb at wrist and hand level, sequela, Strain of extensor muscle, fascia and tendon of right index finger at wrist and hand level, initial encounter, Strain of extensor muscle, fascia and tendon of right index finger at wrist and hand level, subsequent encounter, Strain of extensor muscle, fascia and tendon of right index finger at wrist and hand level, sequela, Strain of extensor muscle, fascia and tendon of left index finger at wrist and hand level, initial encounter, Strain of extensor muscle, fascia and tendon of left index finger at wrist and hand level, subsequent encounter, Strain of extensor muscle, fascia and tendon of left index finger at wrist and hand level, sequela, Strain of extensor muscle, fascia and tendon of right middle finger at wrist and hand level, initial encounter, Strain of extensor muscle, fascia and tendon of right middle finger at wrist and hand level, subsequent encounter, Strain of extensor muscle, fascia and tendon of right middle finger at wrist and hand level, sequela, Strain of extensor muscle, fascia and tendon of left middle finger at wrist and hand level, initial encounter, Strain of extensor muscle, fascia and tendon of left middle finger at wrist and hand level, subsequent encounter, Strain of extensor muscle, fascia and tendon of left middle finger at wrist and hand level, sequela, Strain of extensor muscle, fascia and tendon of right ring finger at wrist and hand level, initial encounter, Strain of extensor muscle, fascia and tendon of right ring finger at wrist and hand level, subsequent encounter, Strain of extensor muscle, fascia and tendon of right ring finger at wrist and hand level, sequela, Strain of extensor muscle, fascia and tendon of left ring finger at wrist and hand level, initial encounter, Strain of extensor muscle, fascia and tendon of left ring finger at wrist and hand level, subsequent encounter, Strain of extensor muscle, fascia and tendon of left ring finger at wrist and hand level, sequela, Strain of extensor muscle, fascia and tendon of right little finger at wrist and hand level, initial encounter, Strain of extensor muscle, fascia and tendon of right little finger at wrist and hand level, subsequent encounter, Strain of extensor muscle, fascia and tendon of right little finger at wrist and hand level, sequela, Strain of extensor muscle, fascia and tendon of left little finger at wrist and hand level, initial encounter, Strain of extensor muscle, fascia and tendon of left little finger at wrist and hand level, subsequent encounter, Strain of extensor muscle, fascia and tendon of left little finger at wrist and hand level, sequela, Strain of intrinsic muscle, fascia and tendon of right thumb at wrist and hand level, initial encounter, Strain of intrinsic muscle, fascia and tendon of right thumb at wrist and hand level, subsequent encounter, Strain of intrinsic muscle, fascia and tendon of right thumb at wrist and hand level, sequela, Strain of intrinsic muscle, fascia and tendon of left thumb at wrist and hand level, initial encounter, Strain of intrinsic muscle, fascia and tendon of left thumb at wrist and hand level, subsequent encounter, Strain of intrinsic muscle, fascia and tendon of left thumb at wrist and hand level, sequela, Strain of intrinsic muscle, fascia and tendon of right index finger at wrist and hand level, initial encounter, Strain of intrinsic muscle, fascia and tendon of right index finger at wrist and hand level, subsequent encounter, Strain of intrinsic muscle, fascia and tendon of right index finger at wrist and hand level, sequela, Strain of intrinsic muscle, fascia and tendon of left index finger at wrist and hand level, initial encounter, Strain of intrinsic muscle, fascia and tendon of left index finger at wrist and hand level, subsequent encounter, Strain of intrinsic muscle, fascia and tendon of left index finger at wrist and hand level, sequela, Strain of intrinsic muscle, fascia and tendon of right middle finger at wrist and hand level, initial encounter, Strain of intrinsic muscle, fascia and tendon of right middle finger at wrist and hand level, subsequent encounter, Strain of intrinsic muscle, fascia and tendon of right middle finger at wrist and hand level, sequela, Strain of intrinsic muscle, fascia and tendon of left middle finger at wrist and hand level, initial encounter, Strain of intrinsic muscle, fascia and tendon of left middle finger at wrist and hand level, subsequent encounter, Strain of intrinsic muscle, fascia and tendon of left middle finger at wrist and hand level, sequela, Strain of intrinsic muscle, fascia and tendon of right ring finger at wrist and hand level, initial encounter, Strain of intrinsic muscle, fascia and tendon of right ring finger at wrist and hand level, subsequent encounter, Strain of intrinsic muscle, fascia and tendon of right ring finger at wrist and hand level, sequela, Strain of intrinsic muscle, fascia and tendon of left ring finger at wrist and hand level, initial encounter, Strain of intrinsic muscle, fascia and tendon of left ring finger at wrist and hand level, subsequent encounter, Strain of intrinsic muscle, fascia and tendon of left ring finger at wrist and hand level, sequela, Strain of intrinsic muscle, fascia and tendon of right little finger at wrist and hand level, initial encounter, Strain of intrinsic muscle, fascia and tendon of right little finger at wrist and hand level, subsequent encounter, Strain of intrinsic muscle, fascia and tendon of right little finger at wrist and hand level, sequela, Strain of intrinsic muscle, fascia and tendon of left little finger at wrist and hand level, initial encounter, Strain of intrinsic muscle, fascia and tendon of left little finger at wrist and hand level, subsequent encounter, Strain of intrinsic muscle, fascia and tendon of left little finger at wrist and hand level, sequela, Strain of other specified muscles, fascia and tendons at wrist and hand level, right hand, initial encounter, Strain of other specified muscles, fascia and tendons at wrist and hand level, right hand, subsequent encounter, Strain of other specified muscles, fascia and tendons at wrist and hand level, right hand, sequela, Strain of other specified muscles, fascia and tendons at wrist and hand level, left hand, initial encounter, Strain of other specified muscles, fascia and tendons at wrist and hand level, left hand, subsequent encounter, Strain of other specified muscles, fascia and tendons at wrist and hand level, left hand, sequela, Iliofemoral ligament sprain of right hip, initial encounter, Iliofemoral ligament sprain of right hip, subsequent encounter, Iliofemoral ligament sprain of right hip, sequela, Iliofemoral ligament sprain of left hip, initial encounter, Iliofemoral ligament sprain of left hip, subsequent encounter, Iliofemoral ligament sprain of left hip, sequela, Ischiocapsular ligament sprain of right hip, initial encounter, Ischiocapsular ligament sprain of right hip, subsequent encounter, Ischiocapsular ligament sprain of right hip, sequela, Ischiocapsular ligament sprain of left hip, initial encounter, Ischiocapsular ligament sprain of left hip, subsequent encounter, Ischiocapsular ligament sprain of left hip, sequela, Other sprain of right hip, initial encounter, Other sprain of right hip, subsequent encounter, Other sprain of left hip, initial encounter, Other sprain of left hip, subsequent encounter, Strain of muscle, fascia and tendon of right hip, initial encounter, Strain of muscle, fascia and tendon of right hip, subsequent encounter, Strain of muscle, fascia and tendon of right hip, sequela, Strain of muscle, fascia and tendon of left hip, initial encounter, Strain of muscle, fascia and tendon of left hip, subsequent encounter, Strain of muscle, fascia and tendon of left hip, sequela, Strain of right quadriceps muscle, fascia and tendon, initial encounter, Strain of right quadriceps muscle, fascia and tendon, subsequent encounter, Strain of right quadriceps muscle, fascia and tendon, sequela, Strain of left quadriceps muscle, fascia and tendon, initial encounter, Strain of left quadriceps muscle, fascia and tendon, subsequent encounter, Strain of left quadriceps muscle, fascia and tendon, sequela, Strain of adductor muscle, fascia and tendon of right thigh, initial encounter, Strain of adductor muscle, fascia and tendon of right thigh, subsequent encounter, Strain of adductor muscle, fascia and tendon of right thigh, sequela, Strain of adductor muscle, fascia and tendon of left thigh, initial encounter, Strain of adductor muscle, fascia and tendon of left thigh, subsequent encounter, Strain of adductor muscle, fascia and tendon of left thigh, sequela, Strain of muscle, fascia and tendon of the posterior muscle group at thigh level, right thigh, initial encounter, Strain of muscle, fascia and tendon of the posterior muscle group at thigh level, right thigh, subsequent encounter, Strain of muscle, fascia and tendon of the posterior muscle group at thigh level, right thigh, sequela, Strain of muscle, fascia and tendon of the posterior muscle group at thigh level, left thigh, initial encounter, Strain of muscle, fascia and tendon of the posterior muscle group at thigh level, left thigh, subsequent encounter, Strain of muscle, fascia and tendon of the posterior muscle group at thigh level, left thigh, sequela, Strain of other specified muscles, fascia and tendons at thigh level, right thigh, initial encounter, Strain of other specified muscles, fascia and tendons at thigh level, right thigh, subsequent encounter, Strain of other specified muscles, fascia and tendons at thigh level, right thigh, sequela, Strain of other specified muscles, fascia and tendons at thigh level, left thigh, initial encounter, Strain of other specified muscles, fascia and tendons at thigh level, left thigh, subsequent encounter, Strain of other specified muscles, fascia and tendons at thigh level, left thigh, sequela, Sprain of medial collateral ligament of right knee, initial encounter, Sprain of medial collateral ligament of right knee, subsequent encounter, Sprain of medial collateral ligament of right knee, sequela, Sprain of medial collateral ligament of left knee, initial encounter, Sprain of medial collateral ligament of left knee, subsequent encounter, Sprain of medial collateral ligament of left knee, sequela, Sprain of lateral collateral ligament of right knee, initial encounter, Sprain of lateral collateral ligament of right knee, subsequent encounter, Sprain of lateral collateral ligament of right knee, sequela, Sprain of lateral collateral ligament of left knee, initial encounter, Sprain of lateral collateral ligament of left knee, subsequent encounter, Sprain of lateral collateral ligament of left knee, sequela, Sprain of anterior cruciate ligament of right knee, initial encounter, Sprain of anterior cruciate ligament of right knee, subsequent encounter, Sprain of anterior cruciate ligament of right knee, sequela, Sprain of anterior cruciate ligament of left knee, initial encounter, Sprain of anterior cruciate ligament of left knee, subsequent encounter, Sprain of anterior cruciate ligament of left knee, sequela, Sprain of posterior cruciate ligament of right knee, initial encounter, Sprain of posterior cruciate ligament of right knee, subsequent encounter, Sprain of posterior cruciate ligament of right knee, sequela, Sprain of posterior cruciate ligament of left knee, initial encounter, Sprain of posterior cruciate ligament of left knee, subsequent encounter, Sprain of posterior cruciate ligament of left knee, sequela, Sprain of the superior tibiofibular joint and ligament, right knee, initial encounter, Sprain of the superior tibiofibular joint and ligament, right knee, subsequent encounter, Sprain of the superior tibiofibular joint and ligament, right knee, sequela, Sprain of the superior tibiofibular joint and ligament, left knee, initial encounter, Sprain of the superior tibiofibular joint and ligament, left knee, subsequent encounter, Sprain of the superior tibiofibular joint and ligament, left knee, sequela, Sprain of other specified parts of right knee, initial encounter, Sprain of other specified parts of right knee, subsequent encounter, Sprain of other specified parts of right knee, sequela, Sprain of other specified parts of left knee, initial encounter, Sprain of other specified parts of left knee, subsequent encounter, Sprain of other specified parts of left knee, sequela, Strain of right Achilles tendon, initial encounter, Strain of right Achilles tendon, subsequent encounter, Strain of left Achilles tendon, initial encounter, Strain of left Achilles tendon, subsequent encounter, Strain of other muscle(s) and tendon(s) of posterior muscle group at lower leg level, right leg, initial encounter, Strain of other muscle(s) and tendon(s) of posterior muscle group at lower leg level, right leg, subsequent encounter, Strain of other muscle(s) and tendon(s) of posterior muscle group at lower leg level, right leg, sequela, Strain of other muscle(s) and tendon(s) of posterior muscle group at lower leg level, left leg, initial encounter, Strain of other muscle(s) and tendon(s) of posterior muscle group at lower leg level, left leg, subsequent encounter, Strain of other muscle(s) and tendon(s) of posterior muscle group at lower leg level, left leg, sequela, Strain of muscle(s) and tendon(s) of anterior muscle group at lower leg level, right leg, initial encounter, Strain of muscle(s) and tendon(s) of anterior muscle group at lower leg level, right leg, subsequent encounter, Strain of muscle(s) and tendon(s) of anterior muscle group at lower leg level, right leg, sequela, Strain of muscle(s) and tendon(s) of anterior muscle group at lower leg level, left leg, initial encounter, Strain of muscle(s) and tendon(s) of anterior muscle group at lower leg level, left leg, subsequent encounter, Strain of muscle(s) and tendon(s) of anterior muscle group at lower leg level, left leg, sequela, Strain of muscle(s) and tendon(s) of peroneal muscle group at lower leg level, right leg, initial encounter, Strain of muscle(s) and tendon(s) of peroneal muscle group at lower leg level, right leg, subsequent encounter, Strain of muscle(s) and tendon(s) of peroneal muscle group at lower leg level, right leg, sequela, Strain of muscle(s) and tendon(s) of peroneal muscle group at lower leg level, left leg, initial encounter, Strain of muscle(s) and tendon(s) of peroneal muscle group at lower leg level, left leg, subsequent encounter, Strain of muscle(s) and tendon(s) of peroneal muscle group at lower leg level, left leg, sequela, Strain of other muscle(s) and tendon(s) at lower leg level, right leg, initial encounter, Strain of other muscle(s) and tendon(s) at lower leg level, right leg, subsequent encounter, Strain of other muscle(s) and tendon(s) at lower leg level, right leg, sequela, Strain of other muscle(s) and tendon(s) at lower leg level, left leg, initial encounter, Strain of other muscle(s) and tendon(s) at lower leg level, left leg, subsequent encounter, Strain of other muscle(s) and tendon(s) at lower leg level, left leg, sequela, Sprain of calcaneofibular ligament of right ankle, initial encounter, Sprain of calcaneofibular ligament of right ankle, subsequent encounter, Sprain of calcaneofibular ligament of right ankle, sequela, Sprain of calcaneofibular ligament of left ankle, initial encounter, Sprain of calcaneofibular ligament of left ankle, subsequent encounter, Sprain of calcaneofibular ligament of left ankle, sequela, Sprain of deltoid ligament of right ankle, initial encounter, Sprain of deltoid ligament of right ankle, subsequent encounter, Sprain of deltoid ligament of right ankle, sequela, Sprain of deltoid ligament of left ankle, initial encounter, Sprain of deltoid ligament of left ankle, subsequent encounter, Sprain of deltoid ligament of left ankle, sequela, Sprain of tibiofibular ligament of right ankle, initial encounter, Sprain of tibiofibular ligament of right ankle, subsequent encounter, Sprain of tibiofibular ligament of right ankle, sequela, Sprain of tibiofibular ligament of left ankle, initial encounter, Sprain of tibiofibular ligament of left ankle, subsequent encounter, Sprain of tibiofibular ligament of left ankle, sequela, Sprain of other ligament of right ankle, initial encounter, Sprain of other ligament of right ankle, subsequent encounter, Sprain of other ligament of right ankle, sequela, Sprain of other ligament of left ankle, initial encounter, Sprain of other ligament of left ankle, subsequent encounter, Sprain of other ligament of left ankle, sequela, Sprain of tarsal ligament of right foot, initial encounter, Sprain of tarsal ligament of right foot, subsequent encounter, Sprain of tarsal ligament of right foot, sequela, Sprain of tarsal ligament of left foot, initial encounter, Sprain of tarsal ligament of left foot, subsequent encounter, Sprain of tarsal ligament of left foot, sequela, Sprain of tarsometatarsal ligament of right foot, initial encounter, Sprain of tarsometatarsal ligament of right foot, subsequent encounter, Sprain of tarsometatarsal ligament of right foot, sequela, Sprain of tarsometatarsal ligament of left foot, initial encounter, Sprain of tarsometatarsal ligament of left foot, subsequent encounter, Sprain of tarsometatarsal ligament of left foot, sequela, Other sprain of right foot, initial encounter, Other sprain of right foot, subsequent encounter, Other sprain of left foot, initial encounter, Other sprain of left foot, subsequent encounter, Strain of muscle and tendon of long flexor muscle of toe at ankle and foot level, right foot, initial encounter, Strain of muscle and tendon of long flexor muscle of toe at ankle and foot level, right foot, subsequent encounter, Strain of muscle and tendon of long flexor muscle of toe at ankle and foot level, right foot, sequela, Strain of muscle and tendon of long flexor muscle of toe at ankle and foot level, left foot, initial encounter, Strain of muscle and tendon of long flexor muscle of toe at ankle and foot level, left foot, subsequent encounter, Strain of muscle and tendon of long flexor muscle of toe at ankle and foot level, left foot, sequela, Strain of muscle and tendon of long extensor muscle of toe at ankle and foot level, right foot, initial encounter, Strain of muscle and tendon of long extensor muscle of toe at ankle and foot level, right foot, subsequent encounter, Strain of muscle and tendon of long extensor muscle of toe at ankle and foot level, right foot, sequela, Strain of muscle and tendon of long extensor muscle of toe at ankle and foot level, left foot, initial encounter, Strain of muscle and tendon of long extensor muscle of toe at ankle and foot level, left foot, subsequent encounter, Strain of muscle and tendon of long extensor muscle of toe at ankle and foot level, left foot, sequela, Strain of intrinsic muscle and tendon at ankle and foot level, right foot, initial encounter, Strain of intrinsic muscle and tendon at ankle and foot level, right foot, subsequent encounter, Strain of intrinsic muscle and tendon at ankle and foot level, right foot, sequela, Strain of intrinsic muscle and tendon at ankle and foot level, left foot, initial encounter, Strain of intrinsic muscle and tendon at ankle and foot level, left foot, subsequent encounter, Strain of intrinsic muscle and tendon at ankle and foot level, left foot, sequela, Laceration of intrinsic muscle and tendon at ankle and foot level, right foot, initial encounter, Laceration of intrinsic muscle and tendon at ankle and foot level, right foot, subsequent encounter, Laceration of intrinsic muscle and tendon at ankle and foot level, right foot, sequela, Strain of other specified muscles and tendons at ankle and foot level, right foot, initial encounter, Strain of other specified muscles and tendons at ankle and foot level, right foot, subsequent encounter, Strain of other specified muscles and tendons at ankle and foot level, right foot, sequela, Strain of other specified muscles and tendons at ankle and foot level, left foot, initial encounter, Strain of other specified muscles and tendons at ankle and foot level, left foot, subsequent encounter, Strain of other specified muscles and tendons at ankle and foot level, left foot, sequela, Some older versions have been archived.