ICD Code M67.452

ICD code M67.452 is used to identify a medical condition known as a ganglion cyst located in the left hip. A ganglion cyst is a noncancerous lump that often develops along the tendons or joints of the body. In this case, the code specifies that the cyst is situated in the left hip area. These cysts are typically filled with a jelly-like fluid and can cause discomfort or restrict movement, depending on their size and location. The use of this specific ICD code helps healthcare providers accurately document and communicate the diagnosis for billing and treatment purposes within the healthcare revenue cycle.

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

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

2. Pain or discomfort: Patient reports localized pain or discomfort in the hip region, especially during movement or pressure.

3. Limited range of motion: Difficulty or restriction in moving the left hip joint fully.

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

5. Imaging findings: Confirmation of a ganglion cyst through ultrasound, MRI, or other imaging modalities.

6. Duration of symptoms: Symptoms persisting for an extended period, typically more than a few weeks.

7. Exclusion of other conditions: Ruling out other potential causes of hip pain or swelling, such as arthritis, bursitis, or tumors.

8. Response to conservative treatment: Lack of improvement with conservative management options, such as rest, ice, or anti-inflammatory medications.

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

For the ICD code M67.452, which pertains to a ganglion in the left hip, 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., hip, knee, shoulder joint); without ultrasound guidance.

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

3. 27635 - Excision of lesion of tendon sheath or capsule (e.g., cyst, mucous cyst, or ganglion), leg and/or ankle.

4. 28090 - Excision of lesion of tendon sheath or capsule (e.g., cyst, mucous cyst, or ganglion), foot.

5. 10120 - Incision and removal of foreign body, subcutaneous tissues; simple.

These CPT codes are commonly used for procedures related to the treatment of ganglions and may vary based on the specific treatment approach and healthcare provider's discretion. Always ensure that the chosen CPT code aligns with the specific procedure performed and the documentation provided.

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