ICD Code M65.131

ICD code M65.131 is used to identify a medical condition known as "Other infective (teno)synovitis, right wrist." This code is part of the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM), which is a system used by healthcare providers to classify and code all diagnoses, symptoms, and procedures recorded in conjunction with hospital care in the United States.The condition described by this code involves an infection that affects the synovial sheath, which is the protective covering surrounding a tendon in the right wrist. This infection can lead to inflammation, pain, and swelling, potentially impairing wrist movement and function. Proper diagnosis and coding of this condition are crucial for effective treatment planning and accurate billing and reimbursement processes within the healthcare revenue cycle.

When to use the ICD code for Other infective (teno)synovitis, right wrist:

1. Presence of Symptoms:
- Swelling in the right wrist
- Pain or tenderness in the wrist area
- Limited range of motion in the wrist
- Warmth or redness over the affected area

2. Diagnostic Imaging Findings:
- Evidence of fluid accumulation in the wrist joint or surrounding tendons on ultrasound or MRI
- Signs of inflammation or infection in imaging studies

3. Clinical Examination:
- Positive findings during physical examination indicating inflammation of the tendon sheath
- Palpable tenderness along the tendons in the wrist

4. Laboratory Tests:
- Elevated white blood cell count indicating infection
- Positive cultures from synovial fluid or other relevant specimens

5. History of Recent Trauma or Overuse:
- Recent injury or repetitive strain to the wrist
- Previous history of infections or inflammatory conditions affecting the wrist

6. Response to Treatment:
- Lack of improvement with conservative management (e.g., rest, ice, anti-inflammatory medications)
- Need for further intervention, such as aspiration or surgical evaluation

7. Differential Diagnosis:
- Exclusion of other conditions that may mimic symptoms, such as rheumatoid arthritis or gout

These criteria should be carefully evaluated to determine the appropriate use of the ICD code in clinical documentation and billing processes.

For the ICD code M65.131, which pertains to other infective (teno)synovitis of the right wrist, the relevant CPT codes that may be applicable for treatment include:

1. 26055 - Incision and drainage of tendon sheath of the wrist.

2. 26160 - Excision of lesion of tendon sheath or joint capsule (e.g., cyst, mucous cyst, or ganglion), wrist area.

3. 20600 - Arthrocentesis, aspiration, and/or injection into a small joint or bursa (e.g., fingers, toes); without ultrasound guidance.

4. 20605 - Arthrocentesis, aspiration, and/or injection into an intermediate joint or bursa (e.g., wrist, elbow, ankle, temporomandibular); without ultrasound guidance.

5. 20606 - Arthrocentesis, aspiration, and/or injection into an intermediate joint or bursa (e.g., wrist, elbow, ankle, temporomandibular); with ultrasound guidance, with permanent recording and reporting.

6. 29846 - Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement.

These CPT codes are examples of procedures that might be performed to address the condition associated with the ICD code M65.131. It is important for healthcare providers to select the most appropriate CPT code based on the specific treatment and procedures performed.

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