ICD Code M65.012

ICD code M65.012 is used to identify a medical condition characterized by an abscess of the tendon sheath located in the left shoulder. An abscess in this context refers to a localized collection of pus that has accumulated within the tendon sheath, which is the protective covering surrounding a tendon. This condition can result from an infection or inflammation and may cause symptoms such as pain, swelling, and restricted movement in the affected shoulder. Proper diagnosis and treatment are essential to prevent further complications and to restore normal function to the shoulder.

When determining the appropriate use of the ICD code for an abscess of the tendon sheath in the left shoulder, consider the following diagnostic criteria and symptoms:

1. Localized Swelling: Presence of a noticeable lump or swelling in the left shoulder area.

2. Pain: Patient reports pain or tenderness in the left shoulder, particularly around the tendon sheath.

3. Redness and Warmth: Observation of erythema (redness) and increased warmth over the affected area.

4. Limited Range of Motion: Difficulty or pain during movement of the left shoulder, indicating potential involvement of the tendon sheath.

5. Fever: Patient may present with systemic symptoms such as fever, indicating a possible infectious process.

6. Pus or Drainage: Evidence of pus or drainage from the site, which may be noted during physical examination.

7. History of Injury or Infection: Patient history may include prior trauma to the shoulder or previous infections that could predispose to abscess formation.

8. Imaging Findings: Diagnostic imaging (e.g., ultrasound or MRI) may reveal fluid collection or abscess formation in the tendon sheath.

9. Response to Treatment: Lack of improvement with conservative treatment measures may indicate the need for further intervention, such as drainage.

10. Clinical Examination: Findings from a thorough clinical examination that support the diagnosis of an abscess in the tendon sheath.

These criteria should be carefully evaluated to ensure accurate coding and appropriate treatment planning.

For the ICD code M65.012, which pertains to an abscess of the tendon sheath in the left shoulder, the relevant CPT codes that may be applicable for treatment include:

1. 26010 - Drainage of finger abscess; simple.

2. 26011 - Drainage of finger abscess; complicated (eg, felon).

3. 26020 - Drainage of tendon sheath, hand; each.

4. 26025 - Incision, extensor tendon sheath, wrist.

5. 26030 - Incision, flexor tendon sheath, palm, or finger (eg, for trigger finger).

6. 26160 - Excision of lesion of tendon sheath or joint capsule (eg, cyst, mucous cyst, or ganglion), hand or finger.

These CPT codes are typically used for procedures involving the drainage or incision of abscesses and tendon sheaths, which may be necessary for treating conditions associated with ICD code M65.012. It is important for healthcare providers to select the appropriate CPT code based on the specific procedure performed and the clinical scenario.

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