ICD Code M65.871

ICD code M65.871 is used to identify a medical condition characterized by inflammation of the synovial membrane and tendon sheath in the right ankle and foot. 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 condition can lead to pain, swelling, and reduced mobility in the affected area. The code is specific to the right ankle and foot, helping healthcare providers accurately document and manage the diagnosis for treatment and billing purposes.

When considering the use of the ICD code for "Other synovitis and tenosynovitis, right ankle and foot," healthcare providers should evaluate the following diagnostic criteria and symptoms:

1. Pain and Swelling: The patient presents with noticeable pain and swelling localized to the right ankle and/or foot, which may worsen with movement or pressure.

2. Stiffness: There is a marked stiffness in the right ankle and foot, particularly after periods of inactivity or upon waking.

3. Reduced Range of Motion: The patient experiences a limited range of motion in the right ankle and foot, impacting their ability to perform daily activities.

4. Tenderness: Palpation of the right ankle and foot reveals tenderness, especially around the tendons and synovial joints.

5. Warmth and Redness: The affected area may exhibit warmth and redness, indicating inflammation.

6. Crepitus: There is a sensation or sound of crepitus (a grating feeling) when the joint is moved.

7. History of Overuse or Injury: The patient has a history of repetitive use, overuse, or a recent injury to the right ankle and foot that could contribute to the condition.

8. Exclusion of Other Conditions: Other potential causes of the symptoms, such as fractures, infections, or systemic inflammatory conditions, have been ruled out through appropriate diagnostic testing.

9. Imaging Findings: Imaging studies, such as X-rays, MRIs, or ultrasounds, may show signs of inflammation or changes in the synovial tissue or tendons of the right ankle and foot.

10. Response to Treatment: The patient’s symptoms may show improvement with treatments typically effective for synovitis and tenosynovitis, such as anti-inflammatory medications or physical therapy.

By carefully assessing these criteria, healthcare providers can accurately determine the appropriateness of using this specific ICD code for their patient's condition.

For the ICD code M65.871, which pertains to other synovitis and tenosynovitis of the right ankle and foot, 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. 27600 - Tenotomy, percutaneous, Achilles tendon (separate procedure); local anesthesia.

5. 27605 - Tenotomy, percutaneous, Achilles tendon (separate procedure); general anesthesia.

6. 27650 - Repair, primary, open or percutaneous, ruptured Achilles tendon.

7. 27652 - Repair, primary, open or percutaneous, ruptured Achilles tendon; with graft (includes obtaining graft).

8. 27654 - Repair, secondary, Achilles tendon, with or without graft.

These CPT codes are commonly associated with procedures that may be performed to treat conditions related to synovitis and tenosynovitis of the ankle and foot. 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 and is supported by the medical documentation.

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 M65871. Schedule a demo today to see how RevFind ensures you're receiving the full reimbursement you deserve.