ICD Code M65.922

ICD code M65.922 is used to identify a medical condition characterized by unspecified synovitis and tenosynovitis affecting the left upper arm. 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 of the inflammation is not determined, but the location is specified as the left upper arm. Proper coding of this condition is crucial for accurate medical billing and ensuring that healthcare providers receive appropriate reimbursement for their services.

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

1. Joint Swelling: Presence of noticeable swelling in the left upper arm joint area.

2. Pain: Patient reports pain localized to the left upper arm, particularly around the joint.

3. Limited Range of Motion: Difficulty or discomfort when attempting to move the left arm or shoulder.

4. Tenderness: Tenderness upon palpation of the left upper arm joint or surrounding tissues.

5. Stiffness: Stiffness in the left upper arm, especially after periods of inactivity.

6. Inflammation Indicators: Signs of inflammation such as warmth or redness in the affected area.

7. History of Trauma: Recent history of injury or trauma to the left upper arm that may have contributed to the condition.

8. Chronic Symptoms: Symptoms persisting for an extended period, indicating a chronic condition rather than an acute injury.

9. Exclusion of Other Conditions: Ruling out other potential causes of joint pain and swelling in the left upper arm, such as fractures or infections.

10. Diagnostic Imaging Results: Imaging studies (e.g., MRI, ultrasound) indicating synovitis or tenosynovitis without a specified underlying cause.

These criteria should guide healthcare providers in determining the appropriate use of the ICD code for this condition.

For the ICD code M65.922, which pertains to unspecified synovitis and tenosynovitis of the left upper arm, 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. 29280 - Strapping; elbow or wrist.

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).

These CPT codes are commonly used for procedures and treatments related to synovitis and tenosynovitis conditions. It is important for healthcare providers to select the appropriate CPT code based on the specific treatment or procedure performed, ensuring accurate billing and reimbursement.

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