ICD Code M65.031

ICD code M65.031 is used to identify a medical condition characterized by an abscess of the tendon sheath located in the right forearm. 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 injury and may cause symptoms such as pain, swelling, and reduced mobility in the affected area. Proper diagnosis and treatment are essential to prevent further complications and to restore normal function to the forearm.

When to use the ICD code for an abscess of the tendon sheath in the right forearm, consider the following diagnostic criteria and symptoms:

1. Localized Swelling: Presence of a noticeable swelling in the right forearm area.

2. Pain: Patient reports localized pain or tenderness in the affected area.

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

4. Limited Range of Motion: Difficulty or pain during movement of the wrist or fingers associated with the affected tendon sheath.

5. Pus Formation: Evidence of pus or drainage from the site, indicating an infectious process.

6. Systemic Symptoms: Possible presence of fever or malaise, suggesting a systemic response to infection.

7. History of Trauma: Recent history of injury or trauma to the forearm that may have contributed to the development of the abscess.

8. Underlying Conditions: Consideration of any underlying conditions such as diabetes or immunocompromised status that may predispose the patient to infections.

These criteria should be evaluated to determine the appropriate use of the ICD code for this condition.

For the ICD code M65.031, which pertains to an abscess of the tendon sheath in the right forearm, 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. 25028 - Incision and drainage, forearm and/or wrist; deep abscess or hematoma

4. 25031 - Incision and drainage, forearm and/or wrist; with debridement of necrotic skin and subcutaneous tissue

These CPT codes are typically used for procedures involving the drainage and treatment of abscesses in the forearm area. It is important for healthcare providers to select the appropriate CPT code based on the specific procedure performed and the complexity of the case. Proper coding ensures accurate billing and reimbursement in the healthcare revenue cycle management process.

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