ICD Code M65.249

ICD code M65.249 is used to classify a medical diagnosis of calcific tendinitis in an unspecified hand. Calcific tendinitis is a condition characterized by the accumulation of calcium deposits in the tendons, which can lead to pain, inflammation, and reduced mobility in the affected area. The term "unspecified hand" indicates that the documentation does not specify whether the condition affects the left or right hand. This code is utilized by healthcare providers for accurate documentation and billing purposes, ensuring that the condition is appropriately recorded in the patient's medical records and communicated to insurance companies for reimbursement.

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

1. Presence of Pain: The patient reports localized pain in the hand, particularly in the area of the tendons.

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

3. Swelling or Inflammation: There is observable swelling or signs of inflammation around the affected tendons in the hand.

4. Tenderness on Palpation: The patient experiences tenderness when the affected area is palpated during the physical examination.

5. Imaging Findings: Radiological studies (such as X-rays) reveal calcific deposits in the tendons of the hand.

6. Duration of Symptoms: The symptoms have persisted for a significant period, typically more than a few weeks, indicating a chronic condition.

7. Exclusion of Other Conditions: Other potential causes of hand pain and dysfunction have been ruled out, confirming that the symptoms are specifically due to calcific tendinitis.

8. Impact on Functionality: The condition is affecting the patient's ability to perform occupational or recreational activities, necessitating medical intervention.

These criteria should be carefully evaluated to determine the appropriate use of the ICD code for documentation and billing purposes.

For the ICD code M65.249, which pertains to calcific tendinitis of an unspecified 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. 20606 - Arthrocentesis, aspiration and/or injection into an intermediate joint or bursa (e.g., temporomandibular, ankle, wrist, elbow); with ultrasound guidance, with permanent recording and reporting.

5. 23929 - Unlisted procedure, shoulder.

6. 24357 - Tenotomy, open, elbow to shoulder, each tendon.

7. 24359 - Tenolysis, elbow to shoulder; single, each tendon.

8. 24360 - Repair of ruptured musculotendinous cuff (e.g., rotator cuff) open; acute.

9. 24361 - Repair of ruptured musculotendinous cuff (e.g., rotator cuff) open; chronic.

These CPT codes are examples of procedures that may be performed to address conditions related to calcific tendinitis in the hand. It is important for healthcare providers to select the most appropriate CPT code based on the specific treatment and procedures performed.

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