ICD Code M65.061

ICD code M65.061 is used to identify a medical condition characterized by an abscess of the tendon sheath located in the right lower leg. 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 restricted movement in the affected area. Proper diagnosis and treatment are essential to prevent further complications and to restore normal function to the leg.

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

1. Presence of Localized Swelling: Observe for a noticeable swelling in the right lower leg, particularly around the tendon sheath area.

2. Pain and Tenderness: Assess for localized pain and tenderness upon palpation of the affected area.

3. Redness and Warmth: Look for signs of erythema (redness) and increased warmth in the region surrounding the abscess.

4. Limited Range of Motion: Evaluate any restrictions in movement or discomfort during the range of motion of the affected leg.

5. Fever or Systemic Symptoms: Monitor for systemic symptoms such as fever, chills, or malaise that may indicate an infection.

6. Pus or Drainage: Identify any presence of pus or drainage from the site, which may be indicative of an abscess.

7. History of Trauma or Injury: Consider any recent history of trauma, injury, or overuse that may have contributed to the development of the abscess.

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

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

10. Response to Initial Treatment: Evaluate the patient's response to initial conservative treatment measures, such as antibiotics or rest, to determine if further intervention is necessary.

These criteria should guide healthcare providers in the appropriate use of the ICD code for accurate documentation and billing purposes.

For the ICD code M65.061, which pertains to an abscess of the tendon sheath in the right lower leg, 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, forearm and/or wrist; open

5. 26030 - Incision and drainage, bursa, open

6. 27301 - Incision and drainage, deep abscess, bursa, or hematoma, thigh or knee region

7. 27305 - Incision and drainage, deep abscess, bursa, or hematoma, leg or ankle region

These CPT codes are examples of procedures that might be performed to address the condition described by ICD code M65.061. The specific choice of CPT code would depend on the exact nature and location of the procedure performed. Always consult with a coding specialist or refer to the latest CPT coding guidelines to ensure accurate coding for billing and documentation purposes.

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