ICD Code M65.272

ICD code M65.272 is used to identify a medical condition known as calcific tendinitis specifically affecting the left ankle and foot. Calcific tendinitis is characterized by the accumulation of calcium deposits in the tendons, which can lead to inflammation, pain, and reduced mobility in the affected area. This condition can be particularly troublesome for patients, as it may interfere with daily activities and overall quality of life. Proper diagnosis and coding of this condition are essential for healthcare providers to ensure accurate treatment planning and appropriate billing processes within the healthcare revenue cycle.

When determining the appropriate use of the ICD code for calcific tendinitis of the left ankle and foot, consider the following diagnostic criteria and symptoms:

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

2. Swelling: There is observable swelling in the affected area, indicating inflammation.

3. Limited Range of Motion: The patient experiences restricted movement in the left ankle and foot, often due to pain or discomfort.

4. Tenderness: The area around the left ankle and foot is tender to the touch, particularly over the affected tendon.

5. Imaging Findings: Radiological examinations (such as X-rays) reveal calcific deposits in the tendons of the left ankle and foot.

6. History of Overuse or Injury: The patient has a history of repetitive strain or acute injury to the left ankle and foot that may contribute to the development of calcific tendinitis.

7. Response to Conservative Treatment: The patient has undergone conservative treatment measures (e.g., rest, ice, physical therapy) without significant improvement, indicating a need for further evaluation and coding.

8. Exclusion of Other Conditions: Other potential causes of ankle and foot pain (such as fractures, arthritis, or tendon tears) have been ruled out through clinical evaluation and diagnostic testing.

By adhering to these criteria, healthcare providers can accurately determine when to apply the appropriate ICD code for calcific tendinitis of the left ankle and foot.

For the ICD code M65.272, which pertains to calcific tendinitis of the left 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. 29240 - 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 for procedures and treatments associated with calcific tendinitis in the specified area. It's important for healthcare providers to select the appropriate code based on the specific treatment or procedure performed.

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