ICD Code M65.062

ICD code M65.062 is used to identify a medical condition characterized by an abscess of the tendon sheath located in the left lower leg. An abscess in this context refers to a localized collection of pus that has accumulated within the tissue of the tendon sheath, often due to an infection. This condition can cause pain, swelling, and restricted movement in the affected area. Proper diagnosis and treatment are essential to prevent further complications, such as the spread of infection or damage to the surrounding tissues. This code is part of the ICD-10-CM classification system, which is used by healthcare providers to document and bill for medical diagnoses and procedures.

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

1. Localized Swelling: Presence of a noticeable swelling in the left lower leg, specifically around the tendon sheath area.

2. Pain and Tenderness: Patient reports pain and tenderness in the affected area, particularly when pressure is applied.

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

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

5. Fever: Patient may present with systemic symptoms such as fever, indicating a possible infectious process.

6. Pus or Drainage: Presence of purulent material or drainage from the site, which may be visible or noted during examination.

7. History of Trauma or Infection: Recent history of trauma to the area or previous infections that could predispose the patient to an abscess formation.

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

9. Response to Treatment: Lack of improvement or worsening of symptoms despite initial conservative treatment measures, indicating the need for further intervention.

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

For the ICD code M65.062, which pertains to an abscess of the tendon sheath in the left 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; without synovectomy

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

5. 27603 - Incision and drainage, leg or ankle; deep abscess or hematoma

6. 27604 - Incision and drainage, leg or ankle; infected bursa

These CPT codes are typically used for procedures involving the drainage of abscesses or infections in the tendon sheath or surrounding 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 documentation supports the chosen CPT code for accurate billing and reimbursement.

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