ICD Code M67.48

ICD code M67.48 is used to classify a ganglion cyst located at a site other than the commonly specified areas such as the wrist or foot. Ganglion cysts are noncancerous lumps that typically develop along the tendons or joints of your wrists or hands, but they can also appear in other parts of the body. This particular code is utilized when the ganglion is found in an atypical location, ensuring accurate documentation and billing for healthcare services related to its diagnosis and treatment.

When considering the use of the ICD code M6748 for ganglion at other sites, the following diagnostic criteria and symptoms should be evaluated:

1. Presence of a Ganglion Cyst
- Palpable mass or swelling in the affected area.

2. Location of the Cyst
- Ganglion located at a site other than the wrist or hand, such as the foot, ankle, or other anatomical locations.

3. Symptoms of Pain or Discomfort
- Patient reports localized pain or discomfort associated with the cyst.

4. Limited Range of Motion
- Evidence of restricted movement in the adjacent joint or area due to the presence of the ganglion.

5. Neurological Symptoms
- Possible tingling, numbness, or weakness in the area if the ganglion is compressing nearby nerves.

6. Duration of Symptoms
- Symptoms persisting for a significant period, typically more than a few weeks.

7. Diagnostic Imaging Findings
- Confirmation of the ganglion cyst through ultrasound, MRI, or other imaging modalities.

8. Exclusion of Other Conditions
- Ruling out other potential causes of the symptoms, such as tumors or infections.

9. Patient History
- Consideration of any previous history of ganglion cysts or related conditions.

10. Response to Conservative Treatment
- Evaluation of the effectiveness of non-surgical management options, such as aspiration or immobilization, prior to considering surgical intervention.

These criteria should guide healthcare providers in determining the appropriate use of the ICD code M6748 for accurate documentation and billing purposes.

For the ICD code M67.48, which pertains to a ganglion at another site, 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 joint capsule (e.g., cyst, mucous cyst, or ganglion), hand or finger.

3. 28090 - Excision of lesion of tendon sheath or capsule (e.g., cyst, mucous cyst, or ganglion), foot.

4. 28092 - Excision of lesion of tendon sheath or capsule (e.g., cyst, mucous cyst, or ganglion), toe.

These CPT codes are typically used for procedures involving the aspiration or surgical removal of ganglion cysts at various anatomical sites. It's important for healthcare providers to select the appropriate CPT code based on the specific procedure performed and the location of the ganglion.

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