ICD Code M65.322

ICD code M65.322 is used to identify the medical condition known as "trigger finger" specifically affecting the left index 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 part of the International Classification of Diseases (ICD) system, which is used by healthcare providers to standardize the diagnosis of medical conditions for billing and documentation purposes. The specificity of this code helps ensure accurate communication and efficient processing within the healthcare revenue cycle.

When to use the ICD code for Trigger Finger, Left Index Finger:

1. Presence of Symptoms:
- Patient reports pain or discomfort in the left index finger.
- Patient experiences stiffness in the left index finger, particularly in the morning.

2. Physical Examination Findings:
- Notable swelling or tenderness at the base of the left index finger.
- Palpable nodules or lumps in the tendon sheath of the left index finger.

3. Functional Limitations:
- Difficulty in flexing or extending the left index finger.
- Inability to fully straighten the left index finger when attempting to extend it.

4. Duration of Symptoms:
- Symptoms have persisted for a minimum of several weeks.
- Episodes of locking or catching of the left index finger have been recurrent.

5. Exclusion of Other Conditions:
- Other potential causes of finger pain or stiffness have been ruled out (e.g., arthritis, tendon injuries).
- No signs of infection or systemic conditions affecting the finger.

6. Response to Conservative Treatment:
- Symptoms have not improved with rest, splinting, or anti-inflammatory medications.
- Patient has not responded to physical therapy interventions aimed at improving finger mobility.

7. Patient History:
- Patient has a history of repetitive hand use or conditions that predispose to trigger finger (e.g., diabetes, rheumatoid arthritis).

By following these diagnostic criteria and symptoms, healthcare providers can determine the appropriate use of the ICD code for this condition.

For the ICD code M65.322, which pertains to a specific condition, the relevant CPT codes that may be used for treatment include:

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

2. 26145 - Release of constriction of tendon sheath, such as for trigger finger.

3. 20550 - Injection(s); single tendon sheath, or ligament, aponeurosis (e.g., plantar "fascia").

These CPT codes are typically used in the context of surgical or non-surgical interventions to address the condition associated with ICD code M65.322. It is important for healthcare providers to select the appropriate CPT code based on the specific treatment administered.

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