ICD Code M67.411

ICD code M67.411 is used to identify a ganglion cyst located in the right shoulder. A ganglion cyst is a noncancerous lump that often develops along the tendons or joints of the wrists or hands, but in this case, it is specifically found in the right shoulder. These cysts are typically filled with a jelly-like fluid and can vary in size. While they are generally harmless, they can sometimes cause discomfort or interfere with joint movement, prompting healthcare providers to monitor or treat them as necessary. This code is part of the International Classification of Diseases (ICD) system, which is used to standardize the diagnosis and classification of diseases and health conditions for billing and record-keeping purposes in the healthcare industry.

When to use the ICD code for a ganglion at the right shoulder, consider the following diagnostic criteria and symptoms:

1. Presence of a palpable mass: A noticeable lump or swelling in the right shoulder area.

2. Pain or discomfort: Patient reports localized pain or discomfort in the shoulder region, particularly when moving the arm.

3. Limited range of motion: Difficulty or restriction in shoulder movement due to the presence of the ganglion.

4. Nerve compression symptoms: Signs of nerve involvement, such as tingling, numbness, or weakness in the arm or hand.

5. Duration of symptoms: Symptoms persisting for an extended period, typically several weeks or longer.

6. Exclusion of other conditions: Ruling out other potential causes of shoulder pain or swelling, such as rotator cuff injuries, bursitis, or arthritis.

7. Imaging findings: Confirmation of the ganglion cyst through imaging studies, such as ultrasound or MRI, showing a cystic structure in the right shoulder.

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

For the ICD code M67.411, which pertains to a ganglion in the right 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. 26160 - Excision of lesion of tendon sheath or joint capsule (e.g., cyst, mucous cyst, or ganglion), hand or finger.

4. 29805 - Arthroscopy, shoulder, diagnostic, with or without synovial biopsy (separate procedure).

5. 29806 - Arthroscopy, shoulder, surgical; capsulorrhaphy.

These CPT codes are commonly associated with procedures that may be performed to address a ganglion in the shoulder area. It is important for healthcare providers to verify the specific procedure performed and ensure accurate coding for proper billing and reimbursement.

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