ICD Code M65.339

ICD code M65339 is used to identify the condition known as "trigger finger" affecting an unspecified middle finger. Trigger finger is a disorder characterized by the catching or locking of a finger in a bent position, which can cause pain and stiffness. This specific code is utilized when the condition affects the middle finger, but the documentation does not specify whether it is the left or right hand. Proper coding of this condition is crucial for accurate billing and reimbursement processes in healthcare settings.

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

1. Patient Presentation:

- Patient reports pain or discomfort in the middle finger.

- Patient experiences difficulty in straightening the middle finger.

2. Physical Examination Findings:

- Presence of tenderness at the base of the middle finger.

- Palpable nodule or thickening in the flexor tendon sheath of the middle finger.

3. Symptoms:

- Locking or catching sensation when flexing or extending the middle finger.

- Swelling or inflammation around the affected finger.

4. Duration of Symptoms:

- Symptoms persisting for several weeks or months without improvement.

- Episodes of locking or catching occurring intermittently.

5. Impact on Daily Activities:

- Difficulty performing daily tasks that require the use of the middle finger.

- Limitations in grip strength or dexterity due to finger dysfunction.

6. Exclusion of Other Conditions:

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

- Confirmation that symptoms are localized to the middle finger without involvement of other fingers.

7. Response to Initial Treatment:

- Lack of improvement with conservative measures such as rest, splinting, or anti-inflammatory medications.

- Consideration of further intervention if symptoms persist despite initial treatment efforts.

These criteria should guide healthcare providers in determining the appropriate use of the ICD code for this specific condition.

For the ICD code M65.339, which pertains to trigger finger of an unspecified 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, 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 and treatments associated with the condition indicated by ICD code M65.339. It's important for healthcare providers to select the appropriate CPT code based on the specific treatment administered.

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