ICD Code M65.349

ICD code M65349 is used to classify and document the medical condition known as "Trigger finger" affecting an unspecified ring 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 specific code indicates that the condition is present in the ring finger, but it does not specify whether it is on the left or right hand. This code is crucial for healthcare providers to accurately record and communicate the diagnosis for treatment planning and billing purposes.

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

1. Patient Presentation: The patient reports difficulty in straightening the ring finger, particularly after periods of inactivity.

2. Symptoms:

- Pain or tenderness at the base of the ring finger.

- Stiffness in the ring finger, especially in the morning.

- A sensation of locking or catching when bending or straightening the finger.

- Swelling at the base of the ring finger.

3. Duration of Symptoms: Symptoms have been persistent for a duration of at least several weeks.

4. Physical Examination Findings:

- Palpable nodule or thickening in the flexor tendon sheath at the base of the ring finger.

- Limited range of motion in the ring finger due to pain or mechanical obstruction.

5. Exclusion of Other Conditions: Other potential causes of finger pain or dysfunction (such as arthritis or tendon injuries) have been ruled out through clinical evaluation or imaging studies.

6. Impact on Daily Activities: The condition is affecting the patient's ability to perform daily tasks, such as gripping objects or typing.

7. Response to Conservative Treatment: The patient has not experienced significant improvement with conservative measures, such as rest, splinting, or anti-inflammatory medications.

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

For the ICD code M65.349, which pertains to trigger finger of an unspecified ring 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, with or without synovectomy, flexor tendon, palm, each.

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

These CPT codes are typically 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.

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