ICD Code M67.412

ICD code M67.412 is used to identify a ganglion cyst located in the left shoulder. A ganglion cyst is a noncancerous lump that often develops along the tendons or joints of the wrists or hands, but it can also appear in other areas such as the shoulder. This particular code is part of the ICD-10-CM (International Classification of Diseases, 10th Revision, Clinical Modification) system, which is used by healthcare providers to classify and code all diagnoses, symptoms, and procedures recorded in conjunction with hospital care in the United States. The code M67.412 specifically helps in documenting and billing for medical services related to the diagnosis and treatment of a ganglion cyst in the left shoulder, ensuring accurate communication and reimbursement within the healthcare revenue cycle.

When using the ICD code for a ganglion in the left shoulder, healthcare providers should consider the following diagnostic criteria and symptoms:

1. Palpable Lump: Presence of a noticeable, soft, and often round lump or cyst in the left shoulder area.

2. Pain or Discomfort: Reports of localized pain or discomfort in the left shoulder, which may increase with movement or pressure.

3. Swelling: Observable swelling in the left shoulder region, which may fluctuate in size.

4. Limited Range of Motion: Reduced ability to move the left shoulder freely, often due to pain or mechanical obstruction caused by the ganglion.

5. Tenderness: Tenderness upon palpation of the affected area in the left shoulder.

6. Numbness or Tingling: Sensations of numbness or tingling in the left shoulder or arm, potentially due to nerve compression by the ganglion.

7. History of Recurrent Cysts: Patient history indicating previous occurrences of similar cysts in the shoulder or other joints.

8. Imaging Confirmation: Diagnostic imaging, such as ultrasound or MRI, confirming the presence of a fluid-filled sac consistent with a ganglion cyst in the left shoulder.

These criteria help ensure accurate diagnosis and appropriate use of the ICD code for billing and treatment planning purposes.

For the ICD code M67.412, which pertains to a ganglion in 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. 23030 - Incision and drainage, shoulder area; deep abscess or hematoma.

4. 23040 - Excision of subcutaneous tumor, shoulder area; less than 3 cm.

5. 23044 - Excision of subcutaneous tumor, shoulder area; 3 cm or greater.

6. 23065 - Excision of tumor, soft tissue of shoulder area, subfascial (e.g., intramuscular); less than 5 cm.

7. 23066 - Excision of tumor, soft tissue of shoulder area, subfascial (e.g., intramuscular); 5 cm or greater.

These CPT codes are commonly associated with procedures that may be performed to treat a ganglion in the left shoulder, as indicated by ICD code M67.412. It is important for healthcare providers to select the appropriate CPT code based on the specific procedure performed and the clinical scenario.

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