ICD code M65329 is used to identify the medical condition known as trigger finger affecting an unspecified index finger.
ICD code M65329 is used to identify the medical condition known as "Trigger finger" affecting an unspecified 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 specifically indicates that the trigger finger condition is present in the index finger, but it does not specify whether it is the left or right hand. This level of detail is crucial for healthcare providers to ensure accurate diagnosis, treatment planning, and billing processes.
When to use the ICD code for trigger finger, unspecified index finger:
1. Patient Presentation: The patient reports symptoms related to the index finger, specifically:
- Pain or discomfort in the finger.
- Stiffness or difficulty in moving the finger.
2. Physical Examination Findings:
- Tenderness at the base of the index finger.
- Swelling or thickening of the flexor tendon sheath.
3. Functional Limitations:
- Inability to fully extend or flex the index finger.
- Locking or catching sensation during finger movement.
4. Duration of Symptoms:
- Symptoms persisting for an extended period, typically more than a few weeks.
5. Exclusion of Other Conditions:
- No evidence of fractures or dislocations in the index finger.
- Ruling out other potential causes of finger pain, such as arthritis or tendon injuries.
6. Response to Conservative Treatment:
- Lack of improvement with conservative measures such as rest, splinting, or anti-inflammatory medications.
7. Patient History:
- Previous history of similar symptoms or conditions affecting the hand or fingers.
- Relevant comorbidities that may contribute to the condition, such as diabetes or rheumatoid arthritis.
By adhering to these diagnostic criteria and symptoms, healthcare providers can accurately determine when to apply the appropriate ICD code for trigger finger, unspecified index finger.
For the ICD code M65.329, which pertains to trigger finger of an unspecified index finger, 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, 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 are typically used in the context of procedures or treatments related to the condition indicated by the ICD code M65.329. It's important for healthcare providers to select the appropriate CPT code based on the specific treatment or procedure performed.
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