ICD Code M65.89

ICD code M65.89 is used to classify a medical diagnosis of "Other synovitis and tenosynovitis, multiple sites." This code indicates that a patient is experiencing inflammation of the synovial membrane (synovitis) and the sheath surrounding a tendon (tenosynovitis) at multiple locations in the body. This condition can lead to pain, swelling, and reduced mobility in the affected areas. The code is part of the International Classification of Diseases (ICD) system, which is used by healthcare providers to standardize the diagnosis and billing processes.

When to use the ICD code M6589 (Other synovitis and tenosynovitis, multiple sites):

1. Presence of Synovitis: Documented inflammation of the synovial membrane in multiple joints.

2. Presence of Tenosynovitis: Inflammation of the sheath surrounding a tendon in multiple locations.

3. Multiple Affected Sites: Involvement of more than one joint or tendon sheath.

4. Symptoms of Pain: Patient reports pain in multiple joints or tendons.

5. Swelling: Observable swelling in the affected areas.

6. Stiffness: Patient experiences stiffness in the affected joints, particularly after periods of inactivity.

7. Limited Range of Motion: Decreased ability to move the affected joints or tendons.

8. Tenderness: Tenderness upon palpation of the affected areas.

9. Duration of Symptoms: Symptoms persisting for an extended period, typically beyond a few weeks.

10. Exclusion of Other Conditions: Other potential causes of joint or tendon inflammation have been ruled out through diagnostic testing.

These criteria should be carefully evaluated to ensure accurate coding and appropriate documentation in the patient's medical record.

For the ICD code M6589, which pertains to "Other synovitis and tenosynovitis, multiple sites," 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. 27370 - Injection of contrast for knee arthrography.

6. 76942 - Ultrasonic guidance for needle placement (e.g., biopsy, aspiration, injection, localization device), imaging supervision and interpretation.

These CPT codes are commonly used for procedures that may be performed to treat conditions associated with synovitis and tenosynovitis. 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 selected CPT codes align with the services provided and are supported by the documentation in the patient's medical record.

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