ICD Code M65.962

ICD code M65.962 is used to identify a medical condition characterized by unspecified synovitis and tenosynovitis affecting the left lower leg. 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 synovitis and tenosynovitis in the left lower leg is not clearly defined or documented in the patient's medical records. Proper coding of this condition is crucial for accurate billing and reimbursement processes within the healthcare revenue cycle.

When to use the ICD code M65962 for unspecified synovitis and tenosynovitis of the left lower leg, consider the following diagnostic criteria and symptoms:

1. Joint Swelling: Presence of noticeable swelling in the left lower leg joints.

2. Pain: Patient reports pain localized to the left lower leg, particularly around the joints.

3. Stiffness: Limited range of motion or stiffness in the left lower leg, especially after periods of inactivity.

4. Tenderness: Tenderness upon palpation of the affected area in the left lower leg.

5. Inflammation: Signs of inflammation, such as warmth or redness, in the left lower leg.

6. History of Trauma: Recent history of injury or trauma to the left lower leg that may contribute to synovitis or tenosynovitis.

7. Chronic Conditions: Presence of underlying chronic conditions that may predispose the patient to synovitis or tenosynovitis, such as rheumatoid arthritis or gout.

8. Diagnostic Imaging: Results from imaging studies (e.g., MRI, ultrasound) indicating inflammation of the synovial membrane or tendons in the left lower leg.

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

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 M65.962, which pertains to unspecified synovitis and tenosynovitis of the left lower leg, 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 joint, subacromial bursa); without ultrasound guidance.

2. 20611 - Arthrocentesis, aspiration, and/or injection into a major joint or bursa (e.g., knee joint, subacromial bursa); with ultrasound guidance, with permanent recording and reporting.

3. 27370 - Injection of contrast for knee arthrography.

4. 29240 - Strapping; ankle and/or foot.

5. 29540 - Strapping; ankle and/or foot.

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 in the treatment and management of conditions related to synovitis and tenosynovitis in the lower extremities. It is important for healthcare providers to select the appropriate CPT code based on the specific treatment or procedure performed.

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 M65962. Schedule a demo today to see how RevFind can help ensure you're receiving the full reimbursement you deserve.