ICD Code M65.849

ICD code M65849 is used to identify a medical condition characterized by inflammation of the synovium and tendon sheaths in an unspecified hand. Synovitis refers to the inflammation of the synovial membrane, which lines joints and tendon sheaths, while tenosynovitis involves inflammation of the sheath surrounding a tendon. This code is applied when the specific hand affected is not detailed in the medical documentation, allowing healthcare providers to accurately record and bill for the diagnosis and treatment of this condition.

When to use the ICD code M65849 for Other synovitis and tenosynovitis, unspecified hand:

1. Presence of Synovitis
- Swelling of the synovial membrane in the hand.

2. Presence of Tenosynovitis
- Inflammation of the tendon sheath in the hand.

3. Localized Pain
- Pain in the hand that may worsen with movement or pressure.

4. Stiffness
- Reduced range of motion in the affected hand, particularly after periods of inactivity.

5. Tenderness
- Sensitivity to touch in the affected area of the hand.

6. Swelling
- Noticeable swelling in the joints or tendons of the hand.

7. Warmth
- Increased warmth in the affected area compared to surrounding tissues.

8. Joint Effusion
- Accumulation of fluid in the joints of the hand.

9. Exclusion of Other Conditions
- Confirmation that symptoms are not attributable to other specific conditions or diagnoses affecting the hand.

10. Duration of Symptoms
- Symptoms persisting for a significant period, typically more than a few days, indicating a chronic or ongoing issue.

These criteria should be evaluated to determine the appropriate use of the ICD code M65849 in clinical documentation and billing processes.

For the ICD code M65849, which pertains to other synovitis and tenosynovitis of an unspecified hand, the relevant CPT codes that may be applicable include:

1. 20600 - Arthrocentesis, aspiration, and/or injection into a small joint or bursa (e.g., fingers, toes); without ultrasound guidance.

2. 20605 - Arthrocentesis, aspiration, and/or injection into an intermediate joint or bursa (e.g., wrist, elbow, ankle, temporomandibular, acromioclavicular joints); without ultrasound guidance.

3. 20606 - Arthrocentesis, aspiration, and/or injection into an intermediate joint or bursa (e.g., wrist, elbow, ankle, temporomandibular, acromioclavicular joints); with ultrasound guidance, with permanent recording and reporting.

4. 20610 - Arthrocentesis, aspiration, and/or injection into a major joint or bursa (e.g., knee, hip, shoulder, sacroiliac, bicipital tendon sheath); without ultrasound guidance.

5. 20611 - Arthrocentesis, aspiration, and/or injection into a major joint or bursa (e.g., knee, hip, shoulder, sacroiliac, bicipital tendon sheath); with ultrasound guidance, with permanent recording and reporting.

6. 26160 - Excision of lesion of tendon sheath or joint capsule (e.g., cyst, mucous cyst, or ganglion), hand or finger.

7. 26340 - Manipulation, finger joint, under anesthesia, each joint.

These CPT codes are commonly used for procedures that might be performed to treat conditions associated with synovitis and tenosynovitis of the hand. 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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