ICD Code M60.242

ICD code M60242 is used to classify a medical condition known as a foreign body granuloma of soft tissue, specifically located in the left hand. This condition occurs when the body's immune system reacts to a foreign substance that has entered the soft tissue, such as a splinter or piece of glass, and forms a granuloma, which is a small area of inflammation. The code indicates that this granuloma is not classified under any other specific category, highlighting its unique nature in the left hand. This code is essential for accurate medical documentation and billing, ensuring that healthcare providers can track and manage the treatment of this specific condition effectively.

When to use the ICD code for Foreign body granuloma of soft tissue, not elsewhere classified, left hand:

1. Presence of a Foreign Body: Documented evidence of a foreign object embedded in the soft tissue of the left hand.

2. Granulomatous Inflammation: Histological confirmation of granulomatous inflammation in the affected area, indicating a chronic inflammatory response.

3. Localized Symptoms: Patient reports localized symptoms such as swelling, tenderness, or pain in the left hand.

4. Absence of Infection: No signs of acute infection (e.g., fever, purulent discharge) associated with the granuloma.

5. Duration of Symptoms: Symptoms have persisted for a significant duration, typically longer than a few weeks, indicating a chronic condition.

6. Exclusion of Other Diagnoses: Other potential causes of soft tissue masses or lesions have been ruled out through clinical evaluation and imaging studies.

7. Impact on Functionality: The condition affects the patient's ability to use the left hand, impacting daily activities or occupational tasks.

8. Treatment History: Previous treatments or interventions have been documented, including any surgical attempts to remove the foreign body or manage the granuloma.

9. Follow-Up Evaluations: Regular follow-up assessments show persistence of the granuloma despite treatment efforts, warranting the use of the specific ICD code.

For the ICD code M60242, which pertains to a foreign body granuloma of soft tissue in the left hand, the relevant CPT codes that may be applicable for treatment include:

1. 10120 - Incision and removal of foreign body, subcutaneous tissues; simple.

2. 10121 - Incision and removal of foreign body, subcutaneous tissues; complicated.

3. 20520 - Removal of foreign body in muscle or tendon sheath; simple.

4. 20525 - Removal of foreign body in muscle or tendon sheath; deep or complicated.

5. 26111 - Excision of lesion of tendon sheath or joint capsule (e.g., cyst, mucous cyst, or ganglion), hand or finger.

These CPT codes are typically used for procedures involving the removal of foreign bodies or lesions from soft tissues, which may be relevant for addressing the condition described by ICD code M60242. It is important for healthcare providers to select the appropriate CPT code based on the specific procedure performed and the complexity of the case.

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