ICD-10-CM Code R68.3

Clubbing of fingers

Version 2020 Billable Code No Valid Principal Dx

Valid for Submission

R68.3 is a billable code used to specify a medical diagnosis of clubbing of fingers. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code R68.3 might also be used to specify conditions or terms like clubbing of nail, clubbing of nails associated with systemic disorder, clubbing of toes, finger clubbing, nail changes associated with systemic disease, o/e - hands - finger clubbing, etc

According to ICD-10-CM guidelines this code should not to be used as a principal diagnosis code when a related definitive diagnosis has been established.

ICD-10:R68.3
Short Description:Clubbing of fingers
Long Description:Clubbing of fingers

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code R68.3:

Inclusion Terms

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • Clubbing of nails

Type 1 Excludes

Type 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • congenital clubfinger Q68.1

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code R68.3 are found in the index:


Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Clubbing of nail
  • Clubbing of nails associated with systemic disorder
  • Clubbing of toes
  • Finger clubbing
  • Nail changes associated with systemic disease
  • O/E - hands - finger clubbing
  • O/E - nails - koilonychia
  • Pseudo-clubbing

Diagnostic Related Groups

The ICD-10 code R68.3 is grouped in the following groups for version MS-DRG V37.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC).
applicable from 10/01/2020 through 09/30/2020.

  • 205 - OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC
  • 206 - OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC

Convert R68.3 to ICD-9

  • 781.5 - Clubbing of fingers

Code Classification

  • Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00–R99)
    • General symptoms and signs (R50-R69)
      • Other general symptoms and signs (R68)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


Finger Injuries and Disorders

You use your fingers and thumbs to do everything from grasping objects to playing musical instruments to typing. When there is something wrong with them, it can make life difficult. Common problems include

  • Injuries that result in fractures, ruptured ligaments and dislocations
  • Osteoarthritis - wear-and-tear arthritis. It can also cause deformity.
  • Tendinitis - irritation of the tendons
  • Dupuytren's contracture - a hereditary thickening of the tough tissue that lies just below the skin of your palm. It causes the fingers to stiffen and bend.
  • Trigger finger - an irritation of the sheath that surrounds the flexor tendons. It can cause the tendon to catch and release like a trigger.

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