ICD Code M65.332

ICD code M65.332 is used to identify the condition known as "trigger finger" specifically affecting the left middle finger. Trigger finger, medically referred to as stenosing tenosynovitis, occurs when the sheath surrounding the tendon in the finger becomes inflamed, leading to pain, stiffness, and a sensation of locking or catching when the finger is bent or straightened. This particular code helps healthcare providers accurately document and communicate the specific location and nature of the condition for billing, treatment planning, and statistical purposes.

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

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

2. Physical Examination Findings:
- Observation of a palpable nodule or thickening in the flexor tendon sheath of the left middle finger.
- Limited range of motion in the left middle finger, especially during flexion and extension.

3. Functional Impairment:
- Difficulty in performing daily activities that require the use of the left middle finger, such as gripping or pinching.
- Patient reports a sensation of locking or catching when attempting to move the left middle finger.

4. Duration of Symptoms:
- Symptoms have persisted for a significant period, typically more than a few weeks.
- Patient has not responded to conservative treatment measures, such as rest or splinting.

5. Exclusion of Other Conditions:
- Other potential causes of finger pain or stiffness have been ruled out through clinical evaluation.
- No signs of inflammatory arthritis or other systemic conditions affecting hand function.

6. Patient History:
- Patient has a history of repetitive hand use or activities that may contribute to the development of trigger finger.
- Any relevant comorbidities, such as diabetes or rheumatoid arthritis, that may predispose the patient to this condition.

By following these diagnostic criteria and symptoms, healthcare providers can determine the appropriate use of the ICD code for trigger finger in the left middle finger.

For the ICD code M65.332, which pertains to trigger finger of the left middle 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, and/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 commonly used in procedures related to the treatment of trigger finger conditions. It's important for healthcare providers to select the appropriate CPT code based on the specific treatment performed and the clinical scenario. Proper coding ensures accurate billing and reimbursement in the healthcare revenue cycle management process.

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