ICD Code M65.152

ICD code M65.152 is used to classify and document a medical diagnosis of "Other infective (teno)synovitis, left hip." This code indicates that the patient has an infection affecting the synovial sheath, which is the protective covering around a tendon, specifically in the left hip area. The term "tenosynovitis" refers to the inflammation of this sheath, and the inclusion of "other infective" suggests that the inflammation is due to an infectious cause, rather than a non-infectious one like overuse or injury. This code is crucial for healthcare providers to accurately record the condition for treatment planning, billing, and insurance purposes.

When considering the use of the ICD code M65152 for Other infective (teno)synovitis of the left hip, the following diagnostic criteria and symptoms should be evaluated:

1. Presence of Pain: Patient reports localized pain in the left hip region, particularly during movement or weight-bearing activities.

2. Swelling: Observation of swelling or edema around the left hip joint, indicating inflammation.

3. Limited Range of Motion: Assessment reveals a reduced range of motion in the left hip, potentially due to pain or swelling.

4. Tenderness: Physical examination shows tenderness upon palpation of the left hip and surrounding areas.

5. Signs of Infection: Presence of systemic signs such as fever, chills, or malaise that may suggest an infectious process.

6. Joint Stiffness: Patient experiences stiffness in the left hip, especially after periods of inactivity.

7. Imaging Findings: Radiological studies (e.g., MRI, ultrasound) indicate signs of synovitis or other inflammatory changes in the left hip joint.

8. History of Trauma or Overuse: Patient has a history of recent trauma, overuse, or repetitive strain to the left hip that may contribute to the condition.

9. Laboratory Results: Blood tests show elevated inflammatory markers (e.g., ESR, CRP) or positive cultures indicating infection.

10. Exclusion of Other Conditions: Differential diagnosis confirms that other potential causes of hip pain and inflammation have been ruled out.

These criteria should be carefully assessed to determine the appropriateness of using the specified ICD code.

For the ICD code M65.152, which pertains to other infective (teno)synovitis of the left 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, subacromial bursa); without ultrasound guidance.

2. 20611 - Arthrocentesis, aspiration, and/or injection into a major joint or bursa (e.g., hip, knee, shoulder joint, subacromial bursa); 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 - Partial excision (craterization, saucerization, or diaphysectomy) of bone (e.g., osteomyelitis or bone abscess); femur.

5. 27347 - Radical resection of tumor (e.g., malignant neoplasm), soft tissue of thigh or knee area; less than 5 cm.

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 examples of procedures that may be performed to address conditions associated with the ICD code M65.152. It is important for healthcare providers to select the appropriate CPT code based on the specific treatment and procedures performed.

Discover how MD Clarity's RevFind software can enhance your revenue cycle management by accurately reading your contracts and detecting underpayments for CPT codes associated with ICD code M65152. Schedule a demo today to see how RevFind can help ensure you're receiving the full reimbursement you deserve.