ICD Code M65.229

ICD code M65229 is used to identify a medical condition known as calcific tendinitis in an unspecified upper arm. Calcific tendinitis is a disorder characterized by the accumulation of calcium deposits in the tendons of the shoulder, which can lead to pain and inflammation. The term "unspecified upper arm" indicates that the condition is present in the upper arm, but the specific side (left or right) is not detailed in the documentation. This code is crucial for healthcare providers to accurately document and communicate the diagnosis for billing, treatment planning, and statistical purposes.

When to use the ICD code for calcific tendinitis, unspecified upper arm:

1. Presence of Pain: The patient reports localized pain in the upper arm, particularly during movement or at rest.

2. Limited Range of Motion: The patient exhibits a reduced range of motion in the shoulder or upper arm, making it difficult to perform daily activities.

3. Swelling or Tenderness: There is observable swelling or tenderness in the upper arm area, particularly around the shoulder joint.

4. Imaging Findings: Radiological imaging (such as X-rays) reveals calcific deposits in the tendons of the upper arm, confirming the diagnosis.

5. History of Overuse or Injury: The patient has a history of repetitive overhead activities or trauma to the shoulder that may contribute to the development of calcific tendinitis.

6. Response to Conservative Treatment: The patient has not responded adequately to conservative treatments such as rest, ice, or physical therapy, indicating a need for further evaluation and diagnosis.

7. Exclusion of Other Conditions: Other potential causes of shoulder pain (such as rotator cuff tears or bursitis) have been ruled out through clinical evaluation and diagnostic imaging.

For the ICD code M65.229, which pertains to calcific tendinitis of an unspecified 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. 23929 - Unlisted procedure, shoulder.

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

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