ICD Code M65.829

ICD code M65829 is used to identify a medical condition characterized by inflammation of the synovium and tendon sheath in the upper arm, but without specifying which part of the upper arm is affected. Synovitis refers to the inflammation of the synovial membrane, which lines joints and tendons, while tenosynovitis involves inflammation of the tendon sheath. This code is typically used when the exact location within the upper arm is not detailed in the medical documentation, allowing healthcare providers to categorize and manage the condition appropriately for billing and treatment purposes.

When to use the ICD code M65829 for Other synovitis and tenosynovitis, unspecified upper arm, consider the following diagnostic criteria and symptoms:

1. Presence of Synovitis
- Swelling and inflammation of the synovial membrane in the upper arm.

2. Symptoms of Tenosynovitis
- Pain along the tendons in the upper arm, particularly during movement.

3. Limited Range of Motion
- Difficulty or discomfort when attempting to move the arm or shoulder.

4. Tenderness to Palpation
- Localized tenderness when pressing on the affected area of the upper arm.

5. Joint Stiffness
- Stiffness in the upper arm joint, especially after periods of inactivity.

6. Swelling
- Noticeable swelling in the upper arm region, which may be accompanied by warmth.

7. Exclusion of Other Conditions
- Diagnosis should rule out other potential causes of upper arm pain or swelling, such as fractures, arthritis, or infections.

8. Duration of Symptoms
- Symptoms persisting for a significant period, typically more than a few days, indicating a chronic condition.

9. Response to Conservative Treatment
- Lack of improvement with conservative measures such as rest, ice, or over-the-counter anti-inflammatory medications.

10. Imaging or Diagnostic Tests
- Results from imaging studies (e.g., MRI, ultrasound) indicating inflammation of the synovial tissue or tendons in the upper arm.

These criteria should guide healthcare providers in determining the appropriate use of the ICD code for accurate documentation and billing purposes.

For the ICD code M65829, which pertains to other synovitis and tenosynovitis of the unspecified 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. 29280 - Strapping; elbow or wrist.

6. 29530 - Application of a finger splint; static.

These CPT codes are commonly used for procedures that may be performed to address conditions associated with synovitis and tenosynovitis in the upper arm. It is important for healthcare providers to select the appropriate CPT code based on the specific procedure performed and the clinical scenario. Always ensure that the chosen CPT code accurately reflects the services provided to ensure proper billing and reimbursement.

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