ICD Code M65.912

ICD code M65.912 is used to identify a medical condition characterized by unspecified synovitis and tenosynovitis affecting the left shoulder. 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 utilized when the specific cause or type of inflammation is not detailed, but the condition is localized to the left shoulder. Proper coding of such conditions is crucial for accurate billing and reimbursement processes in healthcare settings.

When to use the ICD code M65912 for unspecified synovitis and tenosynovitis of the left shoulder, consider the following diagnostic criteria and symptoms:

1. Joint Pain: Patient reports persistent pain in the left shoulder joint, particularly during movement.

2. Swelling: Observable swelling or inflammation around the left shoulder area.

3. Limited Range of Motion: Difficulty or pain when attempting to move the left shoulder, indicating reduced mobility.

4. Tenderness: Tenderness upon palpation of the left shoulder joint and surrounding tissues.

5. Stiffness: Noticeable stiffness in the left shoulder, especially after periods of inactivity.

6. History of Injury: Recent history of trauma or overuse of the left shoulder that may contribute to the condition.

7. Diagnostic Imaging: Imaging studies (e.g., MRI, ultrasound) indicating synovitis or tenosynovitis without a specific underlying cause identified.

8. Exclusion of Other Conditions: Other potential causes of shoulder pain and inflammation have been ruled out, such as fractures, arthritis, or infections.

9. Duration of Symptoms: Symptoms have persisted for a significant duration, typically more than a few weeks, indicating a chronic condition.

10. Response to Treatment: Lack of improvement with conservative treatment measures, such as rest, ice, or anti-inflammatory medications.

These criteria should guide healthcare providers in determining the appropriate use of the ICD code for accurate documentation and billing purposes.

For the ICD code M65.912, which pertains to unspecified synovitis and tenosynovitis of the left shoulder, 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. 73030 - Radiologic examination, shoulder; complete, minimum of two views.

6. 97035 - Application of a modality to 1 or more areas; ultrasound, each 15 minutes.

7. 97110 - Therapeutic exercises to develop strength and endurance, range of motion, and flexibility (each 15 minutes).

8. 97140 - Manual therapy techniques (e.g., mobilization/manipulation, manual lymphatic drainage, manual traction), one or more regions, each 15 minutes.

These CPT codes are commonly used in the treatment and management of conditions related to synovitis and tenosynovitis of the shoulder, and they should be selected based on the specific treatment plan and procedures performed. Always ensure that the chosen CPT codes align with the services provided and are supported by the clinical documentation.

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