ICD Code M65.271

ICD code M65.271 is used to identify the medical condition known as calcific tendinitis in the right ankle and foot. This condition involves the accumulation of calcium deposits in the tendons of the specified area, leading to inflammation and pain. It is important for healthcare providers to accurately document this condition using the ICD code to ensure proper treatment planning and billing processes.

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

1. Presence of Pain: Patient reports localized pain in the right ankle and foot, particularly during movement or weight-bearing activities.

2. Swelling: Observation of swelling or inflammation around the affected tendons in the right ankle and foot.

3. Limited Range of Motion: Assessment reveals restricted movement in the right ankle and foot due to pain or discomfort.

4. Tenderness: Physical examination shows tenderness upon palpation of the affected area in the right ankle and foot.

5. Imaging Findings: Radiological studies (e.g., X-rays) indicate the presence of calcific deposits in the tendons of the right ankle and foot.

6. History of Overuse or Injury: Patient has a history of repetitive stress or acute injury to the right ankle and foot that may contribute to the condition.

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

8. Exclusion of Other Conditions: Differential diagnosis confirms that other potential causes of ankle and foot pain (e.g., fractures, arthritis) have been ruled out.

These criteria should guide healthcare providers in determining the appropriate use of the ICD code for this specific condition.

For the ICD code M65.271, which pertains to calcific tendinitis of the right ankle and foot, 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. 20605 - Arthrocentesis, aspiration and/or injection into a small joint or bursa (e.g., fingers, toes); without ultrasound guidance.

3. 20606 - Arthrocentesis, aspiration and/or injection into a small joint or bursa (e.g., fingers, toes); with ultrasound guidance, with permanent recording and reporting.

4. 29280 - Strapping; ankle and/or foot.

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 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 selected CPT codes align with the specific services provided and the payer's guidelines.

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