ICD Code M65.931

ICD code M65.931 is used to identify a medical condition characterized by unspecified synovitis and tenosynovitis affecting the right forearm. 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 identified as the right forearm. Proper coding of this condition is crucial for accurate billing and reimbursement processes in healthcare settings, ensuring that healthcare providers are compensated for the diagnosis and treatment of this condition.

When to use the ICD code M65931 for unspecified synovitis and tenosynovitis of the right forearm, consider the following diagnostic criteria and symptoms:

1. Joint Swelling: Noticeable swelling in the right forearm joints, indicating inflammation.

2. Pain: Patient reports pain in the right forearm, particularly around the joints or tendons.

3. Limited Range of Motion: Difficulty or discomfort when attempting to move the right forearm or affected joints.

4. Tenderness: Tenderness upon palpation of the right forearm, especially over the affected areas.

5. Stiffness: Stiffness in the right forearm, particularly after periods of inactivity or in the morning.

6. Warmth or Redness: Observable warmth or redness in the skin overlying the affected joints or tendons.

7. History of Trauma: Recent history of trauma or injury to the right forearm that may have contributed to the condition.

8. Chronic Symptoms: Presence of chronic symptoms lasting for an extended period, indicating a persistent inflammatory process.

9. Exclusion of Other Conditions: Other potential causes of joint or tendon pain have been ruled out through diagnostic imaging or clinical evaluation.

10. Functional Impairment: Impact on daily activities or occupational tasks due to pain or dysfunction in the right forearm.

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 M65.931, which pertains to unspecified synovitis and tenosynovitis of the right forearm, 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; 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. 29240 - 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 associated with synovitis and tenosynovitis conditions. It's important for healthcare providers to select the appropriate CPT code based on the specific treatment or procedure performed.

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