ICD Code M65.071

ICD code M65.071 is used to identify a medical condition characterized by an abscess of the tendon sheath located in the right ankle and foot. 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 ankle and foot.

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

1. Localized Swelling: Presence of a noticeable lump or swelling in the area of the right ankle or foot.

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

3. Redness and Warmth: Observation of erythema (redness) and increased warmth around the swollen area.

4. Limited Range of Motion: Difficulty or pain during movement of the ankle or foot, indicating potential involvement of the tendon sheath.

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

6. Pus or Drainage: Presence of pus or other discharge from the site, which may be noted during physical examination.

7. History of Trauma: Recent history of injury or trauma to the ankle or foot that may have contributed to the development of the abscess.

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

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

10. Response to Treatment: Evaluation of the patient's response to initial treatment measures, such as antibiotics, which may indicate the need for further intervention.

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

For the ICD code M65.071, which pertains to an abscess of the tendon sheath in the right ankle and foot, the relevant CPT codes that may be applicable for treatment include:

1. 28001 - Incision and drainage of bursa, foot.

2. 28002 - Incision and drainage below fascia, with or without tendon sheath involvement, foot; single bursal space.

3. 28003 - Incision and drainage below fascia, with or without tendon sheath involvement, foot; multiple areas.

4. 27603 - Incision and drainage, leg or ankle; deep abscess or hematoma.

These CPT codes are typically used for procedures involving the incision and drainage of abscesses or infections in the foot and ankle region, which may be necessary for treating conditions associated with ICD code M65.071. It is important for healthcare providers to select the appropriate CPT code based on the specific procedure performed and the clinical scenario.

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