ICD Code M65.132

ICD code M65.132 is used to identify a medical condition known as "Other infective (teno)synovitis, left 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. In this specific case, the code M65.132 refers to an infection that affects the synovial sheath surrounding the tendons in the left wrist. Teno(synovitis) is an inflammation of the fluid-filled sheath (called the synovium) that surrounds a tendon. When this condition is described as "infective," it indicates that the inflammation is due to an infection, which could be caused by bacteria, viruses, or other pathogens. The code helps healthcare providers document the condition accurately for treatment planning, billing, and statistical purposes.

When considering the use of the ICD code M65132 for Other infective (teno)synovitis of the left wrist, the following diagnostic criteria and symptoms should be evaluated:

1. Presence of Symptoms:
- Pain in the left wrist, particularly during movement.
- Swelling or inflammation around the wrist joint.
- Tenderness upon palpation of the wrist area.

2. Physical Examination Findings:
- Limited range of motion in the left wrist.
- Warmth or redness over the affected area.
- Possible crepitus or a sensation of grating during wrist movement.

3. Diagnostic Imaging:
- MRI or ultrasound findings indicating synovial inflammation or effusion in the left wrist.
- X-rays may show joint space narrowing or other changes consistent with synovitis.

4. Laboratory Tests:
- Elevated inflammatory markers (e.g., ESR, CRP) in blood tests.
- Synovial fluid analysis showing signs of infection (e.g., presence of white blood cells, bacteria).

5. History of Recent Injury or Infection:
- Recent trauma to the left wrist that may have predisposed the area to infection.
- History of systemic infections or conditions that could lead to secondary infective tenosynovitis.

6. Exclusion of Other Conditions:
- Ruling out other causes of wrist pain and swelling, such as rheumatoid arthritis, gout, or osteoarthritis.
- Confirmation that the symptoms are not due to a non-infective etiology.

7. Response to Initial Treatment:
- Lack of improvement with conservative management (e.g., rest, ice, anti-inflammatory medications) may indicate the need for further investigation and coding.

These criteria should be thoroughly assessed to ensure accurate coding and appropriate management of the condition.

For the ICD code M65.132, which pertains to other infective (teno)synovitis of the left wrist, the relevant CPT codes that may be applicable for treatment include:

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

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

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, acromioclavicular); without ultrasound guidance.

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

6. 29846 - Arthroscopy, wrist, surgical; excision and/or repair of soft tissue and/or joint structures (e.g., capsule, ligament, triangular fibrocartilage).

These CPT codes are examples of procedures that might be performed to address the condition associated with ICD code M65.132. The choice of CPT code would depend on the specific clinical scenario and treatment plan determined by the healthcare provider.

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