ICD Code M65.141

ICD code M65.141 is used to identify a medical condition known as "Other infective (teno)synovitis, right hand." 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. In this specific case, the code M65.141 refers to an infection that affects the synovial sheath, which is the protective layer surrounding a tendon, in the right hand. Teno-synovitis is characterized by inflammation, which can lead to pain, swelling, and difficulty in moving the affected hand. The term "other infective" indicates that the condition is caused by an infection, but it does not specify the exact pathogen responsible. This code is crucial for healthcare providers to accurately document the condition for treatment planning, billing, and statistical purposes.

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

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

2. Clinical Findings:
- Redness or warmth over the affected tendon sheath
- Palpable tenderness along the tendon
- Possible crepitus or a sensation of grating during movement

3. Diagnostic Imaging:
- MRI or ultrasound findings indicating inflammation of the tendon sheath
- Evidence of fluid accumulation in the tendon sheath

4. Laboratory Tests:
- Positive cultures from synovial fluid or tissue indicating infection
- Elevated white blood cell count or inflammatory markers in blood tests

5. History of Recent Trauma or Infection:
- Recent injury to the hand or wrist
- History of systemic infections or conditions that predispose to tenosynovitis

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 intervention, due to persistent symptoms

7. Differential Diagnosis:
- Exclusion of other causes of hand pain or swelling, such as rheumatoid arthritis or gout, through clinical evaluation and testing.

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

For the ICD code M65.141, which pertains to other infective (teno)synovitis of the right hand, the relevant CPT codes that may be applicable for treatment include:

1. 26055 - Incision and drainage of tendon sheath of hand.

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

3. 26340 - Manipulation of tendon sheath, hand, under anesthesia.

4. 20600 - Arthrocentesis, aspiration, and/or injection into a small joint or bursa (e.g., fingers, toes); without ultrasound guidance.

5. 20604 - Arthrocentesis, aspiration, and/or injection into a small joint or bursa (e.g., fingers, toes); with ultrasound guidance, with permanent recording and reporting.

These CPT codes are typically used for procedures that address conditions related to tenosynovitis in the hand. It is important for healthcare providers to select the appropriate CPT code based on the specific procedure performed and the clinical scenario. Always ensure that the documentation supports the chosen CPT code for accurate billing and reimbursement.

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