ICD Code M67.479

ICD code M67.479 is used to identify a ganglion cyst located in an unspecified ankle and foot. A ganglion cyst is a noncancerous lump that often develops along the tendons or joints of your wrists or hands, but in this case, it is found in the ankle or foot. The term "unspecified" indicates that the documentation does not specify whether the ganglion is on the left or right side. This code is crucial for healthcare providers to accurately document and bill for the diagnosis and treatment of this condition, ensuring proper reimbursement and tracking of patient care.

When to use the ICD code for Ganglion, unspecified ankle and foot:

1. Presence of a Ganglion Cyst: A palpable mass or swelling in the ankle or foot region that is consistent with a ganglion cyst.

2. Location: The ganglion is specifically located in the ankle or foot area, without specification of a particular type or subtype.

3. Symptoms:

- Pain or discomfort in the affected area, particularly during movement or pressure.

- Swelling that may fluctuate in size.

- Possible limitation of range of motion due to discomfort or swelling.

- Numbness or tingling if the ganglion is pressing on nearby nerves.

4. Duration: Symptoms or the presence of the ganglion have persisted for a duration that warrants medical evaluation, typically several weeks or longer.

5. Exclusion of Other Conditions: Other potential causes of the symptoms (such as fractures, tumors, or infections) have been ruled out through clinical evaluation or imaging studies.

6. No Specific Diagnosis: The condition is not classified under a more specific ICD code that describes a particular type of ganglion or related condition.

7. Clinical Documentation: Adequate documentation in the medical record supports the diagnosis of a ganglion cyst in the ankle or foot, including patient history and physical examination findings.

For the ICD code M67.479, which pertains to a ganglion in an unspecified ankle and foot, the relevant CPT codes that may be applicable for treatment include:

1. 20612 - Aspiration and/or injection of a ganglion cyst(s) any location.

2. 26160 - Excision of lesion of tendon sheath or capsule (e.g., cyst, mucous cyst, or ganglion), hand or finger.

3. 28090 - Excision of lesion, tendon, or tendon sheath, foot.

4. 28092 - Excision of lesion, tendon, or tendon sheath, foot; complicated.

These CPT codes cover a range of procedures from aspiration to excision, depending on the specific treatment approach chosen by the healthcare provider. It's important for providers to select the appropriate CPT code based on the specific procedure performed to ensure accurate billing and reimbursement.

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