ICD Code M65.242

ICD code M65.242 is used to identify the medical condition known as calcific tendinitis specifically affecting the left hand. Calcific tendinitis is a disorder characterized by the accumulation of calcium deposits in the tendons, which can lead to pain, inflammation, and restricted movement. In this case, the condition is localized to the tendons of the left hand, potentially impacting the patient's ability to perform daily tasks that require hand dexterity. This code is utilized in healthcare documentation and billing to ensure accurate diagnosis reporting and appropriate treatment planning.

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

1. Presence of Pain: Patient reports localized pain in the left hand, particularly around the affected tendon.

2. Swelling: Observation of swelling or inflammation in the area surrounding the tendon in the left hand.

3. Limited Range of Motion: Patient exhibits restricted movement or difficulty in performing activities involving the left hand.

4. Tenderness: Palpation reveals tenderness over the affected tendon in the left hand.

5. Imaging Confirmation: Radiological imaging (e.g., X-ray) shows calcific deposits in the tendon of the left hand.

6. Duration of Symptoms: Symptoms have persisted for a specific duration, typically more than a few weeks, indicating a chronic condition.

7. Exclusion of Other Conditions: Differential diagnosis has ruled out other potential causes of hand pain, such as fractures, arthritis, or other tendon injuries.

8. Response to Conservative Treatment: Patient has undergone conservative treatment (e.g., rest, ice, physical therapy) without significant improvement, suggesting the need for further intervention.

9. Functional Impairment: The condition is affecting the patient's ability to perform daily activities or work-related tasks involving the left hand.

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

For the ICD code M65.242, which pertains to calcific tendinitis of the left hand, 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. 20600 - Arthrocentesis, aspiration and/or injection into a small joint or bursa (e.g., fingers, toes); without ultrasound guidance.

3. 20605 - Arthrocentesis, aspiration and/or injection into an intermediate joint or bursa (e.g., temporomandibular, ankle, wrist, elbow); without ultrasound guidance.

4. 97035 - Application of a modality to 1 or more areas; ultrasound, each 15 minutes.

5. 97110 - Therapeutic exercises to develop strength and endurance, range of motion, and flexibility (each 15 minutes).

These CPT codes are commonly used for procedures that may be involved in the treatment of calcific tendinitis in the hand. It is important for healthcare providers to select the appropriate CPT code based on the specific treatment rendered and to ensure that documentation supports the services billed.

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