ICD Code M65.822

ICD code M65.822 is used to identify a medical condition known as "Other synovitis and tenosynovitis" specifically affecting the left upper arm. Synovitis refers to the inflammation of the synovial membrane, which lines joints and tendons, while tenosynovitis involves inflammation of the sheath surrounding a tendon. This code is utilized by healthcare providers to accurately document and communicate this specific diagnosis for billing, treatment planning, and statistical purposes. It ensures that the condition is precisely categorized, facilitating effective management and reimbursement processes within the healthcare revenue cycle.

When to use the ICD code M65822 for Other synovitis and tenosynovitis, left upper arm:

1. Presence of Synovitis
- Swelling in the joint area of the left upper arm.
- Pain and tenderness in the affected joint.

2. Symptoms of Tenosynovitis
- Pain along the tendons in the left upper arm.
- Difficulty in moving the arm or performing daily activities.

3. Duration of Symptoms
- Symptoms persisting for a significant period (typically more than a few weeks).
- Fluctuation in severity of symptoms over time.

4. Exclusion of Other Conditions
- Ruling out other potential causes of joint pain or swelling, such as fractures or infections.
- Confirmation that the symptoms are not due to systemic diseases (e.g., rheumatoid arthritis).

5. Diagnostic Imaging Findings
- MRI or ultrasound indicating inflammation of the synovial membrane or tendons in the left upper arm.
- Evidence of fluid accumulation in the joint space.

6. Response to Treatment
- Lack of improvement with conservative treatments (e.g., rest, ice, anti-inflammatory medications).
- Need for further intervention, such as corticosteroid injections or physical therapy.

7. Patient History
- History of repetitive motion or overuse of the left upper arm.
- Previous episodes of synovitis or tenosynovitis in the same area.

8. Physical Examination Findings
- Tenderness upon palpation of the left upper arm joint.
- Limited range of motion due to pain or swelling.

By following these diagnostic criteria and symptoms, healthcare providers can determine the appropriate use of the ICD code M65822.

For the ICD code M65.822, which pertains to "Other synovitis and tenosynovitis, left upper arm," 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. 20550 - Injection(s); single tendon sheath, or ligament, aponeurosis (e.g., plantar "fascia").

4. 20551 - Injection(s); single tendon origin/insertion.

5. 73030 - Radiologic examination, shoulder; complete, minimum of two views.

6. 76881 - Ultrasound, extremity, nonvascular, real-time with image documentation; complete.

7. 97035 - Application of a modality to 1 or more areas; ultrasound, each 15 minutes.

8. 97110 - Therapeutic exercises to develop strength and endurance, range of motion, and flexibility (each 15 minutes).

These CPT codes are examples of procedures that may be used in the treatment of synovitis and tenosynovitis of the left upper arm. The selection of specific codes will depend on the individual patient's treatment plan and the healthcare provider's clinical judgment. Always ensure that the chosen CPT codes accurately reflect the services provided and are supported by the patient's medical record.

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