ICD Code M65.221

ICD code M65.221 is used to identify the condition known as calcific tendinitis in the right upper arm. This condition involves the accumulation of calcium deposits in the tendons of the shoulder, which can lead to pain, inflammation, and restricted movement. The code specifically denotes that the calcific tendinitis is affecting the right side, allowing healthcare providers to accurately document and treat the condition based on its precise location. This specificity is crucial for effective treatment planning and insurance billing, ensuring that the patient's medical records accurately reflect their condition.

When to use the ICD code for calcific tendinitis of the right upper arm, consider the following diagnostic criteria and symptoms:

1. Patient History
- Previous history of shoulder pain or injury.
- Reports of gradual onset of pain in the right upper arm.

2. Pain Characteristics
- Localized pain in the right shoulder or upper arm.
- Pain that worsens with movement or specific activities.

3. Physical Examination Findings
- Tenderness upon palpation of the right shoulder or upper arm.
- Limited range of motion in the shoulder joint.

4. Imaging Studies
- Presence of calcific deposits observed on X-ray or ultrasound in the right shoulder region.
- Exclusion of other potential causes of shoulder pain through imaging.

5. Functional Impairment
- Difficulty performing daily activities that require shoulder movement.
- Impact on occupational or recreational activities due to pain or limited mobility.

6. Response to Conservative Treatment
- Lack of improvement with conservative management such as rest, ice, or physical therapy.
- Persistence of symptoms despite non-invasive interventions.

7. Exclusion of Other Conditions
- Ruling out other shoulder pathologies such as rotator cuff tears or bursitis.
- Confirmation that symptoms are consistent with calcific tendinitis rather than other diagnoses.

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

For the ICD code M65.221, which pertains to calcific tendinitis of the right upper arm, the relevant CPT codes that may be applicable for treatment include:

1. 20550 - Injection(s); single tendon sheath, or ligament, aponeurosis (e.g., plantar "fascia").

2. 20610 - Arthrocentesis, aspiration and/or injection into a major joint or bursa (e.g., shoulder, hip, knee joint, subacromial bursa); without ultrasound guidance.

3. 20611 - Arthrocentesis, aspiration and/or injection into a major joint or bursa (e.g., shoulder, hip, knee joint, subacromial bursa); with ultrasound guidance, with permanent recording and reporting.

4. 23929 - Unlisted procedure, shoulder.

5. 73030 - Radiologic examination, shoulder; complete, minimum of two views.

6. 97035 - Application of a modality to 1 or more areas; ultrasound, each 15 minutes.

7. 97110 - Therapeutic exercises to develop strength and endurance, range of motion and flexibility, each 15 minutes.

These CPT codes are commonly used for procedures and treatments associated with conditions like calcific tendinitis in the upper arm. It's important for healthcare providers to select the appropriate CPT code based on the specific treatment or procedure performed.

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