ICD Code M65.269

ICD code M65269 is used to identify a medical condition known as calcific tendinitis in an unspecified lower leg. Calcific tendinitis is a disorder characterized by the accumulation of calcium deposits in the tendons, which can lead to pain, inflammation, and restricted movement. The term "unspecified lower leg" indicates that the specific location within the lower leg where the condition is present has not been detailed in the medical documentation. This code is utilized by healthcare providers for accurate diagnosis, treatment planning, and billing purposes, ensuring that the condition is properly recorded in the patient's medical records.

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

1. Presence of Pain: The patient reports localized pain in the lower leg, particularly around the tendon area.

2. Swelling: There is noticeable swelling in the lower leg, which may be accompanied by tenderness upon palpation.

3. Limited Range of Motion: The patient experiences restricted movement in the affected leg, particularly during activities that involve the use of the tendon.

4. History of Overuse: The patient has a history of repetitive activities or overuse of the lower leg that may contribute to tendon irritation.

5. Imaging Findings: Diagnostic imaging (such as X-rays or ultrasound) reveals calcific deposits in the tendon of the lower leg.

6. Exclusion of Other Conditions: Other potential causes of lower leg pain and swelling (such as fractures, infections, or other inflammatory conditions) have been ruled out.

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

8. Response to Conservative Treatment: The patient has not responded adequately to conservative treatment measures, such as rest, ice, or physical therapy.

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 M65.269, which pertains to calcific tendinitis of an unspecified 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. 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, elbow, wrist); without ultrasound guidance.

4. 20610 - Arthrocentesis, aspiration and/or injection into a major joint or bursa (e.g., shoulder, hip, knee, subacromial bursa); without ultrasound guidance.

5. 76942 - Ultrasonic guidance for needle placement (e.g., biopsy, aspiration, injection, localization device), imaging supervision and interpretation.

These CPT codes are commonly used for procedures that may be involved in the treatment of calcific tendinitis in the lower leg. It is important for healthcare providers to select the appropriate CPT code based on the specific procedure performed and the clinical scenario.

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