ICD CODES

ICD Code M65.30

ICD code M6530 is used to classify and identify the medical condition known as trigger finger, where the specific finger is not specified.

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What is ICD diagnosis code M65.30

ICD code M6530 is used to classify and document the medical condition known as "trigger finger" when it affects an unspecified finger. Trigger finger, medically referred to as stenosing tenosynovitis, is a condition where one of your fingers gets stuck in a bent position and may straighten with a snap, similar to a trigger being pulled and released. This code is utilized in healthcare settings to ensure accurate diagnosis, treatment planning, and billing processes. By using this specific ICD code, healthcare providers can effectively communicate the condition's presence in medical records and insurance claims, even when the exact finger affected is not specified.

When to use ICD code M65.30

When considering the use of the ICD code for trigger finger, the following diagnostic criteria and symptoms should be evaluated:

1. Patient History
- Previous episodes of finger locking or catching.
- History of repetitive hand movements or activities.

2. Physical Examination
- Tenderness at the base of the affected finger.
- Swelling or thickening of the flexor tendon sheath.

3. Symptoms
- Pain in the affected finger, especially during movement.
- Stiffness in the finger, particularly in the morning.
- Inability to fully extend or flex the finger without resistance.

4. Duration of Symptoms
- Symptoms persisting for several weeks or months without improvement.

5. Response to Conservative Treatment
- Lack of improvement with rest, splinting, or anti-inflammatory medications.

6. Exclusion of Other Conditions
- Ruling out other potential causes of finger pain or dysfunction, such as arthritis or tendon injuries.

7. Imaging or Diagnostic Tests (if applicable)
- Consideration of ultrasound or MRI if there is uncertainty in diagnosis or to assess the severity of the condition.

By adhering to these criteria, healthcare providers can ensure accurate coding and appropriate management of the condition.

Billable CPT codes for ICD code M65.30

For the ICD code M6530, which pertains to trigger finger of an unspecified finger, the relevant CPT codes that may be applicable for treatment include:

1. 26055 - Tendon sheath incision (e.g., for trigger finger).

2. 26145 - Release of flexor tendon, palm, or finger (e.g., for trigger finger).

3. 20550 - Injection(s); single tendon sheath, or ligament, aponeurosis (e.g., for trigger finger).

These CPT codes represent common procedures associated with the treatment of trigger finger and can be used for billing and documentation purposes in healthcare settings. 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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