ICD Code M65.261

ICD code M65.261 is used to identify the medical condition known as calcific tendinitis in the right lower leg. This condition involves the accumulation of calcium deposits in the tendons of the lower leg, leading to inflammation and pain. The "M" in the code indicates that it pertains to musculoskeletal and connective tissue disorders, while the specific numbers and letters that follow provide detailed information about the location and nature of the condition. In this case, the code specifies that the calcific tendinitis is affecting the right lower leg, which is crucial for accurate diagnosis, treatment planning, and billing purposes in the healthcare revenue cycle.

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

1. Patient History
- Previous episodes of pain or discomfort in the right lower leg.
- History of repetitive strain or overuse activities involving the right leg.

2. Physical Examination Findings
- Tenderness localized to the right lower leg, particularly around the affected tendon.
- Swelling or inflammation in the area of the tendon.

3. Pain Characteristics
- Sharp or aching pain in the right lower leg, especially during movement or activity.
- Pain that worsens with specific activities, such as climbing stairs or running.

4. Imaging Results
- Presence of calcific deposits observed on X-ray or ultrasound imaging of the right lower leg.
- Evidence of tendon inflammation or degeneration in imaging studies.

5. Functional Limitations
- Reduced range of motion in the right lower leg due to pain or discomfort.
- Difficulty performing daily activities that require the use of the right leg.

6. Response to Treatment
- Lack of improvement with conservative treatments such as rest, ice, or physical therapy.
- Need for further intervention, such as corticosteroid injections or surgical evaluation.

7. Exclusion of Other Conditions
- Ruling out other potential causes of pain in the right lower leg, such as fractures, ligament injuries, or other tendon pathologies.

By adhering to these criteria, healthcare providers can accurately determine when to apply the appropriate ICD code for calcific tendinitis of the right lower leg.

For the ICD code M65.261, which refers to calcific tendinitis of the right lower leg, 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) without ultrasound guidance.

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

4. 29280 - Application of a short leg cast (below knee to toes).

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 associated with calcific tendinitis in the lower leg. It's important for healthcare providers to select the appropriate CPT code based on the specific treatment or procedure performed.

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