ICD Code M65.159

ICD code M65159 is used to classify a medical condition known as "Other infective (teno)synovitis, unspecified hip." This code is part of the International Classification of Diseases, 10th Revision (ICD-10), which is a system used by healthcare providers to standardize the diagnosis of diseases and other health conditions. In this specific case, the code M65159 refers to an infection that affects the synovial sheath, which is the protective covering around a tendon, in the hip area. The term "tenosynovitis" indicates inflammation of this sheath, and the "infective" aspect suggests that the inflammation is due to an infection. The "unspecified hip" part of the code means that the documentation does not specify whether the condition affects the left or right hip. This code helps healthcare providers communicate the diagnosis clearly for treatment planning and billing purposes.

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

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

2. Diagnostic Imaging Findings:
- Evidence of inflammation in the hip joint on X-ray or MRI
- Presence of fluid accumulation in the hip joint space

3. Clinical Examination:
- Signs of warmth or redness over the hip joint
- Positive findings on physical examination indicating synovitis

4. Patient History:
- Recent history of infection (e.g., skin, respiratory, or systemic infections)
- Previous joint injuries or surgeries involving the hip

5. Laboratory Results:
- Elevated inflammatory markers (e.g., ESR, CRP)
- Positive cultures or serological tests indicating an infectious process

6. Exclusion of Other Conditions:
- Rule out other causes of hip pain, such as osteoarthritis, rheumatoid arthritis, or trauma
- Confirm that the condition is not due to a non-infectious etiology

7. Duration of Symptoms:
- Symptoms persisting for a specific duration that suggests an infectious process rather than acute trauma

By adhering to these diagnostic criteria and symptoms, healthcare providers can accurately determine when to utilize the specified ICD code.

For the ICD code M65.159, which pertains to "Other infective (teno)synovitis, unspecified 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 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 commonly associated with procedures that may be performed to diagnose or treat conditions related to the ICD code M65.159. 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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