ICD Code M65.251

ICD code M65.251 is used to identify the medical condition known as calcific tendinitis specifically affecting the right thigh. Calcific tendinitis is a disorder characterized by the accumulation of calcium deposits in the tendons, which can lead to pain, inflammation, and reduced mobility in the affected area. In this case, the code specifies that the condition is localized to the tendons of the right thigh, allowing healthcare providers to accurately document and manage the patient's condition for treatment and billing purposes.

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

1. Localized Pain: Patient reports persistent pain in the right thigh, particularly around the hip or groin area.

2. Swelling: Observation of localized swelling or tenderness in the right thigh region.

3. Limited Range of Motion: Difficulty or discomfort when attempting to move the hip or thigh, indicating restricted mobility.

4. Imaging Findings: Confirmation through imaging studies (e.g., X-ray, MRI) showing calcific deposits in the tendons of the right thigh.

5. Age Factor: Consideration of the patient's age, as calcific tendinitis is more common in adults, particularly those aged 30-60.

6. History of Overuse: Patient has a history of repetitive activities or overuse injuries involving the right thigh or hip.

7. Response to Conservative Treatment: Lack of improvement or worsening of symptoms despite conservative treatment measures (e.g., rest, ice, physical therapy).

8. Exclusion of Other Conditions: Ruling out other potential causes of thigh pain, such as fractures, bursitis, or other tendon injuries.

9. Duration of Symptoms: Symptoms persisting for a significant duration, typically more than a few weeks, indicating a chronic condition.

10. Patient's Functional Impact: Assessment of how the symptoms affect the patient's daily activities or quality of life, warranting the need for a specific diagnosis.

For the ICD code M65.251, which pertains to calcific tendinitis of the right thigh, 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., knee, hip, shoulder joint); without ultrasound guidance.

3. 20611 - Arthrocentesis, aspiration and/or injection into a major joint or bursa (e.g., knee, hip, shoulder joint); with ultrasound guidance, with permanent recording and reporting.

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 in the treatment of conditions related to calcific tendinitis and may vary based on the specific treatment plan and interventions chosen by the healthcare provider. Always ensure that the chosen CPT codes align with the specific services provided and the payer's guidelines.

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