ICD Code M65.049

ICD code M65049 is used to identify a medical condition characterized by an abscess located in the tendon sheath of an unspecified hand. An abscess is a collection of pus that can cause swelling and inflammation, and when it occurs in the tendon sheath, it can lead to pain and restricted movement. This code is utilized by healthcare providers to document and communicate this specific diagnosis for billing, treatment planning, and statistical purposes within the healthcare system.

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

1. Presence of Localized Swelling: Noticeable swelling in the hand, particularly around the tendon sheath area.

2. Pain and Tenderness: Patient reports pain and tenderness in the affected area, which may worsen with movement.

3. Redness and Warmth: Observation of redness and increased warmth over the swollen area, indicating inflammation.

4. Limited Range of Motion: Difficulty or pain during movement of the fingers or hand, suggesting involvement of the tendon sheath.

5. Pus or Drainage: Possible presence of pus or other discharge if the abscess has ruptured or is in the process of draining.

6. Systemic Symptoms: Patient may exhibit systemic symptoms such as fever or chills, indicating a possible infection.

7. History of Trauma or Injury: Recent history of trauma or injury to the hand that may have led to the development of the abscess.

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

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

10. Clinical Examination Findings: Findings from a physical examination that support the diagnosis of an abscess, including fluctuance or a palpable mass.

These criteria should guide healthcare providers in determining the appropriate use of the ICD code for this condition.

For the ICD code M65.049, which pertains to an abscess of the tendon sheath in an unspecified 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, finger, open (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 typically used for procedures related to the drainage or excision of abscesses or lesions in the hand, which may be necessary for treating the condition associated with ICD code M65.049. It is important for healthcare providers to select the appropriate CPT code based on the specific procedure performed and the complexity of the case.

Discover how MD Clarity's RevFind software can enhance your revenue cycle management by accurately reading your contracts and detecting underpayments for CPT codes associated with ICD code M65049. Schedule a demo today to see how RevFind can help ensure you're receiving the full reimbursement you deserve.