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Tinel's test is used to assist in the diagnosis of carpal tunnel syndrome, not thoracic outlet syndrome. It is performed by tapping the median nerve along its course in the wrist. The test is positive when it causes tingling or pain in the thumb, index finger and middle finger.
Thoracic outlet syndrome is due to a compression of nerves or arteries at the brachial plexus, and carpal tunnel syndrome is due to nerve compression at the wrist.
Thoracic outlet syndrome is most common in women who are 35 to 55 years of age.
Neurogenic TOS is thoracic outlet syndrome caused by a nerve disorder.
Neurologic TOS requires outpatient referral and conservative outpatient physiotherapy. Vascular thoracic outlet syndrome requires more urgent care that typically includes immediate heparinization, vascular surgery consultation, color flow.
Are you asking who the physician would be to diagnose or treat them? Diagnosis can be done by just about any physician who can read an xray. As far as treating them, if they are causing thoracic outlet syndrome or other such symptoms, usually an orthopedic surgeon will be the one to remove them. This is a surgical procedure with all its attendant risks and anesthesia.
Could be thoracic outlet syndrome.
CPT codes are for procedures. ICD-9 codes are applied to diagnoses. ICD-9 code for thoracic outlet compression syndrome arterial is 353.0. The ICD-10 cross-map to this code will be G54.0. Supercoder has detailed info on this.
Perhaps 64722 for decompression of the brachial plexus and 21615 for first rib resection.
TVP of C7, Anterior Scalene, Costoclavicular, and Pectoralis Minor.
The subclavian vein is involved in 40% of cases and the subclavian artery in 1% of cases.
The lower two nerves (C8 and T1) are most commonly affected in 90% of persons, following the ulnar nerve distribution.