ICD Code M65.259

ICD code M65259 is used to classify and document cases of calcific tendinitis in an unspecified thigh. Calcific tendinitis is a condition characterized by the accumulation of calcium deposits in the tendons, which can lead to pain, inflammation, and restricted movement. The "unspecified thigh" designation indicates that the specific location within the thigh is not detailed in the medical record. This code is crucial for healthcare providers to accurately report and track the incidence of this condition for treatment planning and insurance purposes.

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

1. Presence of Pain: Patient reports localized pain in the thigh area, particularly during movement or pressure.

2. Limited Range of Motion: Observed or reported difficulty in moving the thigh or hip joint due to discomfort or stiffness.

3. Swelling or Inflammation: Physical examination reveals swelling or signs of inflammation in the thigh region.

4. Tenderness on Palpation: Tenderness noted upon palpation of the affected area in the thigh.

5. Imaging Findings: Radiological imaging (e.g., X-ray, MRI) shows calcific deposits in the tendons of the thigh, confirming the diagnosis.

6. Exclusion of Other Conditions: Other potential causes of thigh pain (e.g., fractures, muscle strains, or other tendon injuries) have been ruled out through clinical evaluation and diagnostic testing.

7. Chronic Symptoms: Symptoms have persisted for a duration that suggests a chronic condition, typically lasting several weeks or longer.

8. Response to Conservative Treatment: Patient has undergone conservative treatment (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 in clinical documentation and billing processes.

For the ICD code M65.259, which pertains to calcific tendinitis of an unspecified thigh, the relevant CPT codes that could be considered 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. 23929 - Unlisted procedure, shoulder.

4. 27370 - Injection of contrast for knee arthrography.

5. 27372 - Injection procedure for contrast knee arthrography.

6. 76942 - Ultrasonic guidance for needle placement (e.g., biopsy, aspiration, injection, localization device), imaging supervision and interpretation.

These CPT codes are examples of procedures that might be used in the treatment or management of calcific tendinitis in the thigh, depending on the specific clinical scenario and treatment plan determined by the healthcare provider. Always ensure that the chosen CPT code accurately reflects the procedure performed and is supported by the appropriate documentation.

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