ICD Code M65.29

ICD code M6529 is used to identify the medical condition known as calcific tendinitis affecting multiple sites. Calcific tendinitis is a disorder characterized by the accumulation of calcium deposits in the tendons, which can lead to pain, inflammation, and reduced mobility. The "multiple sites" specification indicates that this condition is present in more than one location within the body, rather than being confined to a single tendon. This code is crucial for healthcare providers to accurately document and communicate the diagnosis for treatment planning and insurance billing purposes.

When considering the use of the ICD code for calcific tendinitis at multiple sites, the following diagnostic criteria and symptoms should be evaluated:

1. Presence of Calcific Deposits
- Radiographic evidence of calcific deposits in tendons, typically observed through X-rays or ultrasound.

2. Location of Symptoms
- Symptoms occurring in multiple anatomical sites, such as shoulders, hips, or other joints where tendons are present.

3. Pain and Discomfort
- Patients report localized pain that may be sharp or aching, often exacerbated by movement or pressure on the affected area.

4. Limited Range of Motion
- Decreased range of motion in the affected joints due to pain or stiffness.

5. Swelling and Inflammation
- Signs of swelling or inflammation around the tendon areas, which may be visible or palpable.

6. History of Overuse or Injury
- A history of repetitive motion or overuse injuries that may contribute to the development of calcific tendinitis.

7. Age and Demographics
- Consideration of age, as calcific tendinitis is more common in middle-aged individuals, particularly those engaged in certain physical activities.

8. Response to Conservative Treatment
- Evaluation of the patient's response to conservative treatments such as rest, ice, physical therapy, or anti-inflammatory medications.

9. Exclusion of Other Conditions
- Ruling out other potential causes of shoulder or joint pain, such as rotator cuff tears, bursitis, or arthritis, through clinical evaluation and imaging studies.

By assessing these criteria and symptoms, healthcare providers can determine the appropriate use of the ICD code for calcific tendinitis at multiple sites.

For the ICD code M65.29, which pertains to calcific tendinitis of multiple sites, 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., shoulder, hip, knee joint, subacromial bursa); without ultrasound guidance.

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

4. 97035 - Application of a modality to 1 or more areas; ultrasound, each 15 minutes.

5. 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 and may vary based on the specific treatment plan and site of the condition. Always ensure that the chosen CPT codes align with the specific services provided and are supported by the appropriate documentation.

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