What is the ICD-10 (International Classification of Diseases, 10th Revision) code for a cyst on the right wrist?

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ICD-10 Code for Cyst on Right Wrist

The ICD-10 code for a ganglion cyst of the right wrist is M67.431.

Understanding the Code Structure

  • The ICD-10 coding system uses a hierarchical structure where codes become progressively more specific through additional characters 1
  • For wrist cysts (typically ganglion cysts, which are the most common type), the code falls under the musculoskeletal system category M67 (disorders of synovium and tendon) 1
  • The complete code M67.431 breaks down as:
    • M67 = Ganglion
    • M67.4 = Ganglion of joint or tendon (ganglion cyst)
    • M67.43 = Ganglion of wrist
    • M67.431 = Ganglion of right wrist

Clinical Context for Accurate Coding

  • Ganglion cysts are the most common soft tissue masses in the wrist, typically presenting as fluid-filled lesions that can be confirmed with ultrasound or MRI 2, 3
  • The diagnosis primarily relies on history and physical examination, with imaging used to confirm the fluid-filled nature when clinically indicated 2, 4
  • If the cyst type is different (such as an epidermal inclusion cyst, mucous cyst, or other specific pathology), alternative ICD-10 codes would apply 1

Common Coding Pitfalls to Avoid

  • Laterality is mandatory: ICD-10 requires specification of right versus left side, unlike ICD-9 which was less granular 5
  • Be specific about cyst type: If documentation indicates a different type of cyst (not a ganglion), use the appropriate alternative code 1
  • Document the anatomic location precisely: "Wrist" is distinct from "hand" or "forearm" in ICD-10 coding 5
  • Verify the code annually: ICD-10 codes can be updated or modified, so confirm the current code remains accurate 6

References

Guideline

Management of Wrist Ganglion Cysts

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Guideline

Ganglion Cyst Evaluation and Management

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Guideline

Treatment for Wrist Ganglion Cyst

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

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Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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