ICD Code M65.811

ICD code M65.811 is used to identify a medical condition characterized by inflammation of the synovium and tendon sheath in the right shoulder. Synovitis refers to the inflammation of the synovial membrane, which lines joints and tendon sheaths, while tenosynovitis involves inflammation of the tendon sheath itself. This condition can lead to pain, swelling, and reduced mobility in the affected shoulder, often requiring medical evaluation and treatment to manage symptoms and improve function.

When to use the ICD code M65811 for Other synovitis and tenosynovitis, right shoulder:

1. Presence of Synovitis: Documented inflammation of the synovial membrane in the right shoulder joint.

2. Symptoms of Pain: Patient reports localized pain in the right shoulder, particularly during movement or at rest.

3. Swelling: Observable swelling or edema in the right shoulder area.

4. Limited Range of Motion: Patient exhibits restricted movement in the right shoulder, affecting daily activities.

5. Tenderness: Palpation of the right shoulder reveals tenderness over the affected area.

6. Joint Stiffness: Patient experiences stiffness in the right shoulder, especially after periods of inactivity.

7. History of Trauma: Any recent injury or trauma to the right shoulder that may have contributed to the condition.

8. Underlying Conditions: Presence of autoimmune disorders or other systemic conditions that may predispose the patient to synovitis or tenosynovitis.

9. Diagnostic Imaging: Results from imaging studies (e.g., MRI, ultrasound) indicating inflammation or other abnormalities in the right shoulder joint.

10. Exclusion of Other Conditions: Ruling out other potential causes of shoulder pain and inflammation, such as rotator cuff injuries or osteoarthritis.

For the ICD code M65.811, which pertains to other synovitis and tenosynovitis of the right shoulder, the relevant CPT codes that may be applicable for treatment include:

1. 20610 - Arthrocentesis, aspiration, and/or injection into a major joint or bursa (e.g., shoulder, hip, knee joint, subacromial bursa); without ultrasound guidance.

2. 20611 - Arthrocentesis, aspiration, and/or injection into a major joint or bursa (e.g., shoulder, hip, knee joint, subacromial bursa); with ultrasound guidance, with permanent recording and reporting.

3. 29826 - Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with or without coracoacromial release.

4. 29827 - Arthroscopy, shoulder, surgical; with rotator cuff repair.

5. 29828 - Arthroscopy, shoulder, surgical; biceps tenodesis.

6. 20550 - Injection(s); single tendon sheath, or ligament, aponeurosis (e.g., plantar "fascia").

7. 20551 - Injection(s); single tendon origin/insertion.

These CPT codes are commonly used for procedures that may be performed to address conditions related to synovitis and tenosynovitis of the shoulder. It is important for healthcare providers to select the appropriate CPT code based on the specific procedure performed and the clinical scenario.

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