ICD Code M65.119

ICD code M65.119 is used to identify a condition known as "Other infective (teno)synovitis, unspecified shoulder." This code is part of the International Classification of Diseases, 10th Revision (ICD-10), which is a system used by healthcare providers to classify and code all diagnoses, symptoms, and procedures. Specifically, this code refers to an infection that affects the synovial sheath surrounding a tendon in the shoulder, but it does not specify which shoulder is affected. Teno-synovitis involves inflammation of the tendon and its surrounding sheath, often leading to pain, swelling, and difficulty in moving the affected joint. The term "other infective" indicates that the infection is not caused by the most common pathogens typically associated with this condition. This code is crucial for healthcare providers to accurately document the condition for treatment planning and billing purposes.

When determining the appropriate use of the ICD code M65119, consider the following diagnostic criteria and symptoms:

1. Presence of Synovitis: Evidence of inflammation in the synovial membrane of the shoulder joint.

2. Infective Etiology: Confirmation that the synovitis is due to an infectious process, which may be bacterial, viral, or fungal in nature.

3. Unspecified Location: The diagnosis does not specify the exact location of the infection within the shoulder, indicating a broader classification.

4. Symptoms of Infection: Clinical signs such as swelling, warmth, and tenderness around the shoulder joint.

5. Limited Range of Motion: Patient reports of decreased mobility or pain during shoulder movement.

6. Systemic Symptoms: Possible accompanying symptoms such as fever, chills, or malaise that suggest a systemic infection.

7. Diagnostic Imaging: Imaging studies (e.g., MRI, ultrasound) indicating joint effusion or other signs consistent with infective tenosynovitis.

8. Exclusion of Other Causes: Ruling out other potential causes of shoulder pain and inflammation, such as trauma or non-infectious inflammatory conditions.

9. Clinical History: Consideration of the patient's medical history, including recent infections, surgeries, or immunocompromised status that may predispose them to infection.

10. Laboratory Findings: Positive cultures or serological tests supporting the diagnosis of an infectious process affecting the shoulder.

These criteria should guide healthcare providers in the appropriate application of the ICD code M65119 for accurate documentation and billing purposes.

For the ICD code M65.119, which pertains to other infective (teno)synovitis of an unspecified 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 - Incision with drainage of tendon sheath of hand and/or wrist (e.g., for abscess or tenosynovitis).

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.

These CPT codes are commonly used for procedures that may be performed to address conditions related to the ICD code M65.119. It's important for healthcare providers to select the appropriate CPT code based on the specific procedure performed and the clinical scenario.

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