ICD CODES

ICD Code M65.852

ICD code M65852 is used to classify and identify the condition of other synovitis and tenosynovitis affecting the left thigh.

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What is ICD diagnosis code M65.852

ICD code M65.852 is used to identify a medical diagnosis of "Other synovitis and tenosynovitis, left thigh." This code is part of the International Classification of Diseases, 10th Revision (ICD-10), which is a system used by healthcare providers to classify and code all diagnoses, symptoms, and procedures. Specifically, this code indicates that the patient is experiencing inflammation of the synovial membrane (synovitis) or the sheath surrounding a tendon (tenosynovitis) in the left thigh. This condition can cause pain, swelling, and reduced mobility in the affected area, and it may require medical intervention such as medication, physical therapy, or, in some cases, surgery. Proper coding is essential for accurate medical billing and ensuring that healthcare providers receive appropriate reimbursement for their services.

When to use ICD code M65.852

When to use the ICD code M65852 for Other synovitis and tenosynovitis, left thigh:

1. Presence of Synovitis
- Swelling and inflammation of the synovial membrane in the left thigh region.

2. Symptoms of Tenosynovitis
- Pain and tenderness along the tendons in the left thigh.
- Stiffness or reduced range of motion in the affected area.

3. Localized Pain
- Pain that is specifically located in the left thigh, potentially worsening with movement or pressure.

4. Swelling
- Noticeable swelling in the left thigh, which may be accompanied by warmth or redness.

5. History of Injury or Overuse
- Recent history of trauma, repetitive motion, or overuse of the left thigh muscles or tendons.

6. Diagnostic Imaging Findings
- MRI or ultrasound results indicating inflammation of the synovial tissue or tendons in the left thigh.

7. Exclusion of Other Conditions
- Ruling out other potential causes of thigh pain or swelling, such as fractures, infections, or systemic diseases.

8. Duration of Symptoms
- Symptoms persisting for a specific duration, typically more than a few days, indicating a chronic condition rather than an acute injury.

9. Response to Treatment
- Lack of improvement with conservative treatments, such as rest, ice, or anti-inflammatory medications, suggesting a need for further evaluation and coding.

These criteria should be assessed to determine the appropriate use of the ICD code M65852.

Billable CPT codes for ICD code M65.852

For the ICD code M65.852, which pertains to "Other synovitis and tenosynovitis, left thigh," 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., knee, hip, shoulder joint); without ultrasound guidance.

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

3. 27370 - Injection of contrast for knee arthrography.

4. 27369 - Injection procedure for contrast knee arthrography.

5. 27350 - Injection procedure for hip arthrography.

6. 27360 - Removal of foreign body, thigh or knee area; deep.

These CPT codes are commonly used for procedures that may be performed to address conditions related to synovitis and tenosynovitis in the left thigh. It is important for healthcare providers to select the appropriate CPT code based on the specific procedure performed and the clinical scenario. Always verify with the latest coding guidelines and payer policies to ensure accurate billing and reimbursement.

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