Z32.01 - Encounter for pregnancy test, result positive

Clinical Definition

Lateral epicondylitis, commonly known as tennis elbow, is an overuse injury causing inflammation and microtears of the tendons that attach to the lateral epicondyle of the humerus, primarily affecting the extensor carpi radialis brevis muscle.

Documentation Requirements

• Laterality must be specified:

  • Right elbow

  • Left elbow

  • Bilateral (if both)

• Acuity status:

  • Acute

  • Chronic

  • Recurrent

• Work-relatedness if applicable

• Mechanism of injury if known

• Associated symptoms/signs:

  • Pain with wrist extension

  • Point tenderness

  • Grip strength changes

Common Synonyms

• Tennis elbow

• Lateral elbow pain

• Pitcher's elbow

• Mouse elbow

• Computer elbow

Coding Conflicts

Excludes1:

• Radiohumeral bursitis (M71.02)

• Arthritis of elbow joint

• Medial epicondylitis (golfer's elbow)

Scribing.io Automation

The AI scribe automatically detects key phrases like:

• "Lateral epicondyle tenderness"

• "Pain with resisted wrist extension"

• "Tennis elbow symptoms"

• Laterality mentions ("right", "left", "bilateral")

• Duration descriptors ("chronic", "acute", "ongoing for X weeks")
  The system then maps these to appropriate ICD-10 codes while maintaining specificity requirements.