ICD Code M65.151

ICD code M65.151 is used to identify a medical condition known as "Other infective (teno)synovitis, right hip." 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 M65.151 refers to an infection that affects the synovial sheath, which is the protective layer surrounding a tendon, in the right hip area. Teno(synovitis) indicates inflammation of the tendon sheath, and when it is described as "infective," it means that the inflammation is caused by an infection, possibly due to bacteria or other pathogens. This condition can lead to pain, swelling, and reduced mobility in the affected hip joint, requiring medical evaluation and treatment to manage the infection and alleviate symptoms.

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

1. Presence of Symptoms:
- Pain in the right hip joint
- Swelling or inflammation around the hip area
- Limited range of motion in the right hip
- Tenderness upon palpation of the hip joint

2. Diagnostic Imaging Findings:
- MRI or ultrasound indicating fluid accumulation in the synovial space
- Evidence of synovial thickening or abnormal joint morphology

3. Laboratory Results:
- Positive cultures from joint aspiration indicating infection
- Elevated white blood cell count in synovial fluid analysis
- Increased inflammatory markers in blood tests (e.g., CRP, ESR)

4. Clinical History:
- Recent history of trauma or injury to the hip
- Previous joint surgery or injection in the hip area
- Underlying conditions that predispose to infection (e.g., diabetes, immunosuppression)

5. Duration of Symptoms:
- Symptoms persisting for a specific duration (e.g., more than a few days) without improvement
- Recurrence of symptoms after a previous episode

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

7. Differential Diagnosis:
- Exclusion of other potential causes of hip pain and swelling (e.g., osteoarthritis, rheumatoid arthritis, bursitis)

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 M65.151, which pertains to other infective (teno)synovitis of the right hip, 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., hip, knee, shoulder joint); without ultrasound guidance.

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

3. 27301 - Incision and drainage of deep abscess, bursa, or hematoma, thigh or knee region.

4. 27340 - Injection procedure for hip arthrography; without anesthesia.

5. 27370 - Injection of contrast for hip arthrography.

6. 29860 - Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure).

7. 29861 - Arthroscopy, hip, surgical; with removal of loose body or foreign body.

These CPT codes are typically used for procedures that may be performed to diagnose or treat conditions associated with the ICD code M65.151. It is important for healthcare providers to select the appropriate CPT code based on the specific procedure performed and the clinical scenario.

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