ICD code M65862 is used to classify and identify the condition of other synovitis and tenosynovitis affecting the left lower leg.
ICD code M65.862 is used to identify a medical condition known as "Other synovitis and tenosynovitis" specifically affecting the left lower leg. 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 part of the International Classification of Diseases (ICD) system, which is used by healthcare providers to standardize the diagnosis of medical conditions for billing, treatment, and statistical purposes. The specificity of this code helps ensure accurate documentation and facilitates effective communication among healthcare professionals regarding the patient's condition.
When to use the ICD code M65862 for Other synovitis and tenosynovitis, left lower leg:
1. Presence of Synovitis
- Swelling and inflammation of the synovial membrane in the left lower leg.
2. Symptoms of Tenosynovitis
- Pain and tenderness along the tendons in the left lower leg.
- Stiffness or reduced range of motion in the affected area.
3. Localized Pain
- Pain that is specifically localized to the left lower leg, particularly around joints or tendons.
4. Swelling
- Noticeable swelling in the left lower leg, 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 lower leg that may contribute to inflammation.
6. Diagnostic Imaging Findings
- Imaging studies (e.g., MRI, ultrasound) indicating inflammation of the synovial tissue or tendons in the left lower leg.
7. Exclusion of Other Conditions
- Differential diagnosis ruling out other potential causes of leg pain and swelling, such as fractures, infections, or systemic inflammatory diseases.
8. Duration of Symptoms
- Symptoms persisting for a significant duration, typically beyond acute injury timelines, indicating a chronic condition.
9. Response to Treatment
- Lack of improvement with conservative treatments (e.g., rest, ice, anti-inflammatory medications) may warrant the use of this ICD code.
10. Clinical Evaluation
- Confirmation of diagnosis through a thorough clinical evaluation by a healthcare provider, including physical examination and patient history.
For the ICD code M65.862, which pertains to "Other synovitis and tenosynovitis, left lower leg," 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 a therapeutic substance into a tendon sheath, ligament, or muscle of the lower leg.
4. 27600 - Tenotomy, percutaneous, Achilles tendon (separate procedure); local anesthesia.
5. 27605 - Tenotomy, percutaneous, flexor or extensor tendon of toe, each tendon.
6. 27650 - Repair, primary, open or percutaneous, of ruptured Achilles tendon.
7. 27652 - Repair, primary, open or percutaneous, of ruptured Achilles tendon; with graft (includes obtaining graft).
These CPT codes are examples of procedures that might be performed to address conditions associated with the ICD code M65.862. It's important for healthcare providers to select the most appropriate CPT code based on the specific treatment and procedures performed.
Discover how MD Clarity's RevFind software can enhance your revenue cycle management by accurately reading your contracts and detecting underpayments for CPT codes associated with ICD code M65862. Schedule a demo today to see how RevFind can ensure you're receiving the full reimbursement you deserve.