ICD 10 CM M20.02 | Description & Clinical Information
ICD 10 M20.02 describes a specific type of finger deformity known as Boutonniere deformity, which is characterized by the inability of the middle joint of the finger to straighten and the bending of the fingertip upwards, caused by an injury to the tendon that runs along the top of the finger, resulting from a hard blow to the finger while it is bent, a laceration that cuts the tendon, or arthritis.
Official Description Of M20.02
The ICD 10 CM book defines ICD 10 code M20.02 as:
Excludes1: clubbing of fingers (R68.3)
palmar fascial fibromatosis [Dupuytren] (M72.0)
trigger finger (M65.3)
Excludes1: acquired absence of fingers and toes (Z89.-)
congenital absence of fingers and toes (Q71.3-, Q72.3-)
congenital deformities and malformations of fingers and toes (Q66.-, Q68-Q70, Q74.-)
When To Use M20.02
The diagnosis described by the ICD 10 CM M20.02 code pertains to a specific deformity known as the Boutonniere deformity. This condition is marked by swelling and pain around the middle joint of the finger, which causes difficulty in straightening the finger. This deformity can affect any finger, but it typically impacts the middle finger most commonly.
To diagnose the Boutonniere deformity, healthcare providers rely on performing a physical examination of the affected fingers. They can also use imaging techniques such as Xrays to gain further insight into the severity of the condition.
Due to the nature of the Boutonniere deformity, early intervention is critical to prevent further damage and improve the potential for a full recovery. Treatment options can vary, depending on the underlying cause of the deformity, extent of the injury or damage, and the patient’s overall health.
A common treatment option for the Boutonniere deformity involves the use of a splint to straighten the finger and maintain the tendons attached while they heal. The splint holds the affected finger in place for a period, allowing it to heal naturally. In certain cases, stretching exercises may also be recommended by the healthcare provider to help improve the strength and flexibility of the finger over time.
If the deformity is severe, or if it fails to respond to non-invasive treatments, medical intervention such as surgery may be required. Surgical repair options can depend on various factors, such as the severity of the injury, and the patient’s overall health, medical history, and treatment goals.
It should be noted that while the Boutonniere deformity can be a painful and challenging condition to deal with, prompt and appropriate medical intervention can yield positive outcomes for many patients. Recovering from the condition may take time and dedication, but the use of appropriate medical interventions and follow-up care can help to promote a full recovery.
