Rent test: Technique, accuracy, and what it can miss

The rent test finds a full-thickness rotator cuff tear by feel, with a likelihood ratio near 30. Read more on technique, Codman’s point, and its limits.
Fibular translation test: Technique, accuracy, and pitfalls

A high ankle sprain rarely announces itself. The pain sits above the lateral malleolus, and the swelling can look mild for the first day. Meanwhile, the lateral ligament tests you reach for first come back clean. So the patient goes home with ice, advice, and a review date, and recovery drags on. The fibular translation […]
ICD-10 code S63.121A: Right thumb IP subluxation

ICD-10 code S63.121A: subluxation of the right thumb IP joint, initial encounter. Billable status, 7th characters, siblings and CPT pairs.
Whipple test: Technique, accuracy, and interpretation

Shoulder pain that flares on overhead reaching usually starts in the rotator cuff, and the supraspinatus tends to go first. The hard part isn’t spotting a sore shoulder, but rather telling a torn tendon from an irritated one without sending every patient for an MRI. The Whipple test is one way to answer that question. […]
Modified Ashworth Scale

Download your free Modified Ashworth Scale form A single printable page carrying the Bohannon and Smith testing instructions and all six score definitions. The recording area has a name and date header, one muscle tested line, a score column from 0 to 4, and an additional comments box. Download template The Modified Ashworth Scale grades […]
ICD-10 Code S63.252D: Unspecified dislocation of right middle finger

S63.252D is billable for follow-up care of a right middle finger dislocation. Use A at the first visit, S for a late effect.
ICD-10 code S63.501D: Unspecified sprain of right wrist

S63.501D covers a right wrist sprain at every follow-up visit while it heals. Use A for the first visit, S only after recovery.
HCPCS code L0622: Sacroiliac orthosis, custom fabricated

HCPCS code L0622 is a Level II code for a flexible, custom fabricated sacroiliac orthosis. It sits in the DMEPOS category, which covers durable medical equipment, prosthetics, orthotics, and supplies. The code is maintained by the Centers for Medicare and Medicaid Services (CMS). The full official descriptor reads: Sacroiliac orthosis (SO), flexible, provides pelvic-sacral support, […]
CPT code 23146: Excision of bone cyst, clavicle or scapula with allograft

CPT code 23146 describes excision or curettage of a bone cyst or benign tumor of the clavicle or scapula, with allograft. The American Medical Association (AMA) maintains the CPT code set. It places 23146 in the Excision Procedures on the Shoulder subsection of the Musculoskeletal System chapter. Two details in that descriptor decide whether the […]
CPT code 23670: Open treatment of shoulder dislocation with greater tuberosity fracture

CPT code 23670 covers open treatment of a shoulder dislocation with a fracture of the greater humeral tuberosity. Internal fixation is included when the surgeon performs it. That is the official descriptor maintained by the American Medical Association (AMA). The code sits in the Musculoskeletal System section of the CPT codebook, under Shoulder, in the […]