Orthopedic Coding Alert

Reader questions: 716.14, 718.84 are for SLAC wrist

- Published on Wed, Dec 02, 2009 Updated on Wed, Oct 01, 2014

Question: What diagnosis applies to a SLAC wrist due to scaphoid fracture?

Kentucky Subscriber

Answer: Look at your post-traumatic arthritis diagnosis choices such as 716.14 (Traumatic arthopathy; hand) with 718.84 (Other joint derangement, not elsewhere classified; hand).

Definition: SLAC stands for scapholunate advanced collapse, meaning the patient has a scaphoid or scapholunate ligament injury with collapse on the radial side of the wrist. SLAC is a common pattern of degenerative arthritis in the wrist.

-- Reader Questions and You Be the Coder were reviewed by Heidi Stout, CPC, CCS-P, director of orthopedic coding services at The Coding Network LLC; and Bill Mallon, MD, orthopedic surgeon and medical director at Triangle Orthopaedic Associates in Durham, N.C.

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