ICD Code M65.052

ICD code M65.052 is used to classify a medical diagnosis of an abscess of the tendon sheath located in the left thigh. 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 area. Proper identification and coding of this condition are crucial for accurate medical documentation, treatment planning, and billing processes within the healthcare revenue cycle.

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

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

2. Pain: Patient reports pain or tenderness in the affected region, particularly when moving the thigh or leg.

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

4. Limited Range of Motion: Difficulty or discomfort when attempting to move the left thigh or knee joint.

5. Fever: Patient may exhibit systemic symptoms such as fever, suggesting a possible infection.

6. Pus or Drainage: Presence of pus or other drainage from the site, indicating an abscess formation.

7. History of Injury: Recent history of trauma or injury to the left thigh that may have contributed to the development of the abscess.

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

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: Findings from a physical examination that support the diagnosis, such as tenderness over the tendon sheath and signs of inflammation.

These criteria should be carefully evaluated to determine the appropriate use of the ICD code.

For the ICD code M65.052, which pertains to an abscess of the tendon sheath in the left thigh, 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; open.

4. 26025 - Drainage of tendon sheath, hand; with synovectomy.

5. 27301 - Incision and drainage, deep abscess, bursa, or hematoma, thigh or knee region.

6. 27305 - Incision and drainage, deep abscess, bursa, or hematoma, thigh or knee region; complicated.

These CPT codes are typically used for procedures involving the drainage or treatment of abscesses in the tendon sheath or related areas. The selection of the appropriate CPT code will depend on the specific procedure performed and the complexity of the case. Always ensure that the chosen CPT code accurately reflects the services provided to ensure proper billing and reimbursement.

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