ICD Code M65.112

ICD code M65.112 is used to identify a medical condition known as "Other infective (teno)synovitis, left shoulder." This code is part of the International Classification of Diseases, 10th Revision (ICD-10), which is a standardized system used by healthcare providers to classify and code all diagnoses, symptoms, and procedures. In this specific case, the code M65.112 refers to an infection that affects the synovial sheath surrounding a tendon in the left shoulder. Teno-synovitis is an inflammation of the fluid-filled sheath (synovium) that surrounds a tendon, typically resulting in joint pain, swelling, and difficulty moving the affected area. The "other infective" part of the code indicates that the condition is caused by an infection, but it does not specify the exact pathogen responsible. This code helps healthcare providers document the condition accurately for treatment, billing, and statistical purposes.

When considering the use of the ICD code for "Other infective (teno)synovitis, left shoulder," healthcare providers should evaluate the following diagnostic criteria and symptoms:

1. Localized Pain: The patient experiences pain specifically in the left shoulder area, which may worsen with movement or pressure.

2. Swelling: Noticeable swelling around the left shoulder joint, indicating inflammation of the tendon sheath.

3. Redness and Warmth: The affected area may appear red and feel warm to the touch, suggesting an infection.

4. Reduced Range of Motion: The patient may have difficulty moving the left shoulder through its full range of motion due to pain or stiffness.

5. Tenderness: Palpation of the left shoulder reveals tenderness, particularly around the tendons and synovial sheath.

6. Fever: The patient may present with a low-grade fever, indicating a systemic response to infection.

7. History of Infection or Injury: There may be a recent history of a puncture wound, surgery, or other trauma to the left shoulder that could have introduced an infection.

8. Laboratory Tests: Elevated white blood cell count or positive blood cultures may support the diagnosis of an infective process.

9. Imaging Studies: Ultrasound or MRI may show fluid accumulation or other signs of inflammation in the tendon sheath of the left shoulder.

10. Response to Antibiotics: Improvement in symptoms following antibiotic treatment can further confirm the diagnosis of an infective process.

These criteria should be carefully assessed to ensure accurate coding and effective treatment planning.

For the ICD code M65.112, which pertains to other infective (teno)synovitis of the left shoulder, the relevant CPT codes that may be applicable for treatment include:

1. 20610 - Arthrocentesis, aspiration, and/or injection into a major joint or bursa (e.g., shoulder, hip, knee joint, subacromial bursa); without ultrasound guidance.

2. 20611 - Arthrocentesis, aspiration, and/or injection into a major joint or bursa (e.g., shoulder, hip, knee joint, subacromial bursa); with ultrasound guidance, with permanent recording and reporting.

3. 26055 - Tendon sheath incision (e.g., for trigger finger).

4. 26160 - Excision of lesion of tendon sheath or joint capsule (e.g., cyst, mucous cyst, or ganglion), hand or finger.

5. 29805 - Arthroscopy, shoulder, diagnostic, with or without synovial biopsy (separate procedure).

6. 29806 - Arthroscopy, shoulder, surgical; capsulorrhaphy.

7. 29807 - Arthroscopy, shoulder, surgical; repair of a superior labral anterior posterior (SLAP) lesion.

These CPT codes are examples of procedures that might be performed to address the condition associated with ICD code M65.112. The specific choice of CPT code would depend on the exact nature of the treatment provided and the clinical judgment of the healthcare provider. Always consult with a coding specialist or refer to the latest coding guidelines to ensure accurate and compliant coding practices.

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