ICD Code M65.232

ICD code M65.232 is used to identify a medical condition known as calcific tendinitis in the left forearm. This condition involves the accumulation of calcium deposits in the tendons of the forearm, leading to inflammation and pain. The code specifically denotes that the issue is located in the left forearm, which is crucial for accurate diagnosis and treatment planning. This code is part of the International Classification of Diseases (ICD) system, which helps healthcare providers document and track diseases and conditions consistently.

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

1. Presence of Pain: Patient reports localized pain in the left forearm, particularly during movement or at rest.

2. Swelling: Observation of swelling or inflammation in the left forearm area, particularly around the affected tendon.

3. Limited Range of Motion: Patient exhibits restricted movement in the left forearm, with difficulty performing daily activities.

4. Tenderness: Palpation of the left forearm reveals tenderness over the affected tendon.

5. Imaging Confirmation: Radiological evidence (e.g., X-ray or ultrasound) shows calcific deposits in the tendon of the left forearm.

6. Chronic Symptoms: Patient has a history of recurrent pain or discomfort in the left forearm that has persisted over time.

7. Exclusion of Other Conditions: Other potential causes of forearm pain (e.g., fractures, arthritis) have been ruled out through clinical evaluation and diagnostic testing.

8. Response to Conservative Treatment: Patient has undergone conservative treatment measures (e.g., rest, ice, physical therapy) without significant improvement in symptoms.

These criteria should be carefully evaluated to determine the appropriate use of the ICD code for this condition.

For the ICD code M65.232, which pertains to calcific tendinitis of the left 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. 23929 - Unlisted procedure, shoulder.

5. 24357 - Tenotomy, elbow to shoulder, single tendon (e.g., biceps, triceps, brachialis, brachioradialis), percutaneous.

6. 24359 - Tenotomy, elbow to shoulder, single tendon (e.g., biceps, triceps, brachialis, brachioradialis), open.

These CPT codes are examples of procedures that may be performed to address conditions associated with calcific tendinitis of the left forearm. It is important for healthcare providers to select the appropriate CPT code based on the specific treatment rendered and the clinical scenario. Always verify with the latest coding guidelines and payer policies to ensure accurate billing and reimbursement.

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