ICD Code M65.222

ICD code M65.222 is used to identify the medical condition known as calcific tendinitis in the left upper arm. This condition involves the accumulation of calcium deposits in the tendons of the shoulder, leading to pain and inflammation. It is a specific diagnosis that helps healthcare providers document and communicate the exact nature of the patient's condition for treatment planning and billing purposes.

When to use the ICD code for calcific tendinitis of the left upper arm:

1. Presence of Symptoms:
- Patient reports localized pain in the left upper arm.
- Pain may worsen with movement or activity involving the shoulder.
- Possible swelling or tenderness in the affected area.

2. Physical Examination Findings:
- Limited range of motion in the left shoulder.
- Palpable tenderness over the rotator cuff area.
- Possible crepitus or a grinding sensation during shoulder movement.

3. Diagnostic Imaging:
- X-ray findings showing calcific deposits in the tendons of the left shoulder.
- Ultrasound or MRI may reveal inflammation or degeneration of the rotator cuff tendons.

4. Duration of Symptoms:
- Symptoms persisting for a specific duration, typically more than a few weeks.
- Chronic symptoms may indicate a need for further evaluation.

5. Response to Conservative Treatment:
- Lack of improvement with conservative management such as rest, ice, and physical therapy.
- Consideration of the need for more invasive interventions if symptoms persist.

6. Exclusion of Other Conditions:
- Ruling out other potential causes of shoulder pain, such as rotator cuff tears or bursitis.
- Ensuring that the diagnosis aligns with the clinical presentation and imaging findings.

By adhering to these diagnostic criteria and symptoms, healthcare providers can accurately determine when to apply the appropriate ICD code for calcific tendinitis of the left upper arm.

For the ICD code M65.222, which pertains to calcific tendinitis of the left 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. 73030 - Radiologic examination, shoulder; complete, minimum of two views.

5. 97035 - Application of a modality to 1 or more areas; ultrasound, each 15 minutes.

6. 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 calcific tendinitis in the upper arm. It is important for healthcare providers to verify the specific treatment plan and ensure that the selected CPT codes align with the services provided to the patient.

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