ICD Code M65.239

ICD code M65239 is used to identify a medical condition known as calcific tendinitis in an unspecified forearm. Calcific tendinitis is a disorder characterized by the accumulation of calcium deposits in the tendons, which can lead to pain, inflammation, and restricted movement. The term "unspecified forearm" indicates that the condition is present in the forearm, but the specific side—whether left or right—is not detailed in the documentation. This code helps healthcare providers accurately document and communicate the diagnosis for billing and treatment purposes.

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

1. Presence of Pain: The patient reports localized pain in the forearm, which may be exacerbated by movement or pressure.

2. Limited Range of Motion: The patient exhibits restricted mobility in the affected forearm, making it difficult to perform daily activities.

3. Swelling or Inflammation: There is observable swelling or signs of inflammation in the forearm area, indicating a possible underlying condition.

4. Tenderness on Palpation: The forearm is tender to touch, particularly over the area where calcification may be present.

5. Imaging Findings: Radiological examinations (such as X-rays) reveal calcific deposits in the tendons of the forearm, confirming the diagnosis.

6. Exclusion of Other Conditions: Other potential causes of forearm pain, such as fractures, tendon tears, or arthritis, have been ruled out through clinical evaluation and diagnostic testing.

7. Chronic Symptoms: The patient has experienced symptoms for an extended period, typically more than a few weeks, indicating a chronic condition rather than an acute injury.

8. Response to Conservative Treatment: The patient has undergone conservative treatment measures (e.g., rest, ice, physical therapy) without significant improvement, suggesting the need for further evaluation and coding.

These criteria should be carefully assessed to determine the appropriate use of the ICD code in clinical documentation and billing processes.

For the ICD code M65.239, which pertains to calcific tendinitis of an unspecified 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. 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. 73090 - Radiologic examination; forearm, 2 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 that may be associated with the management of calcific tendinitis in the forearm. It is important for healthcare providers to select the appropriate CPT code based on the specific treatment or procedure performed.

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