ICD Code M65.041

ICD code M65.041 is used to identify a medical condition characterized by an abscess of the tendon sheath in the right hand. This condition involves the accumulation of pus within the protective covering of a tendon, which can lead to pain, swelling, and restricted movement in the affected area. Proper diagnosis and treatment are essential to prevent further complications and to restore normal hand function. This code is part of the International Classification of Diseases (ICD) system, which is used by healthcare providers to standardize the diagnosis and billing processes.

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

1. Localized Pain: Patient reports localized pain in the right hand, particularly around the affected tendon sheath.

2. Swelling: Noticeable swelling in the area surrounding the tendon sheath, indicating inflammation or infection.

3. Redness and Warmth: The skin over the affected area may appear red and feel warm to the touch, suggesting an inflammatory response.

4. Limited Range of Motion: The patient may experience restricted movement in the affected finger or hand due to pain or swelling.

5. Pus Formation: Presence of pus or drainage from the site, indicating an abscess formation.

6. Fever: The patient may exhibit systemic symptoms such as fever, which can indicate a more widespread infection.

7. History of Trauma: A recent history of trauma or injury to the hand that could predispose the area to infection.

8. Underlying Conditions: Consideration of any underlying conditions (e.g., diabetes, immunocompromised state) that may contribute to the development of an abscess.

9. Diagnostic Imaging: Results from imaging studies (e.g., ultrasound or MRI) that confirm the presence of an abscess in the tendon sheath.

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

These criteria should be evaluated in conjunction with clinical judgment to determine the appropriate use of the ICD code.

For the ICD code M65.041, which refers to an abscess of the tendon sheath in the right hand, 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 (e.g., felon).

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

4. 26025 - Incision, extensor tendon sheath, hand (e.g., for trigger finger).

5. 26160 - Excision of lesion of tendon sheath or joint capsule (e.g., cyst, mucous cyst, or ganglion), hand or finger.

These CPT codes are commonly used for procedures related to the treatment of abscesses in the tendon sheath of the hand. It is important for healthcare providers to select the appropriate CPT code based on the specific procedure performed and the complexity of the case. Always ensure that the documentation supports the chosen CPT code for accurate billing and reimbursement.

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