ICD Code M65.231

ICD code M65.231 is used to identify the medical condition known as calcific tendinitis in the right forearm. This condition involves the accumulation of calcium deposits in the tendons of the forearm, leading to inflammation and pain. It is a specific diagnosis that helps healthcare providers document and communicate the precise location and nature of the tendinitis, which is essential for treatment planning and insurance billing.

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

1. Patient History
- Previous history of shoulder or forearm injuries.
- History of repetitive overhead activities or sports.

2. Clinical Symptoms
- Localized pain in the right forearm, particularly during movement.
- Swelling or tenderness in the affected area.
- Limited range of motion in the right forearm.

3. Physical Examination Findings
- Palpable tenderness over the affected tendon.
- Signs of inflammation, such as warmth or redness in the area.
- Pain elicited during specific movements or resistance testing.

4. Imaging Studies
- Presence of calcific deposits observed on X-ray or ultrasound.
- Evidence of tendon inflammation or degeneration in imaging results.

5. Response to Conservative Treatment
- Lack of improvement with rest, ice, and anti-inflammatory medications.
- Persistence of symptoms despite physical therapy interventions.

6. Exclusion of Other Conditions
- Ruling out other potential causes of forearm pain, such as fractures, arthritis, or nerve entrapment syndromes.

7. Duration of Symptoms
- Symptoms persisting for a significant period, typically more than a few weeks.

These criteria can guide healthcare providers in determining the appropriate use of the ICD code for documentation and billing purposes.

For the ICD code M65.231, which pertains to calcific tendinitis of the right forearm, 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. 20605 - Arthrocentesis, aspiration and/or injection into a small joint or bursa (e.g., fingers, toes); without ultrasound guidance.

3. 20606 - Arthrocentesis, aspiration and/or injection into a small joint or bursa (e.g., fingers, toes); with ultrasound guidance, with permanent recording and reporting.

4. 23930 - Incision and drainage, upper arm or elbow area; deep abscess or hematoma.

5. 24357 - Tenotomy, elbow to shoulder, single, each tendon.

6. 24359 - Tenotomy, elbow to shoulder, multiple, same incision.

7. 24360 - Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff).

8. 24361 - Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, secondary, with or without graft, each tendon or muscle (excludes rotator cuff).

These CPT codes are examples of procedures that might be considered for the treatment of calcific tendinitis in the right forearm, depending on the specific clinical scenario and treatment plan determined by the healthcare provider. Always ensure that the chosen CPT code accurately reflects the procedure performed and is supported by the appropriate documentation.

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