ICD Code M67.49

ICD code M6749 is used to classify a medical diagnosis related to ganglion cysts occurring at multiple sites in the body. 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 areas such as the ankles or feet. The code M6749 specifically indicates that these cysts are present in more than one location, which can be important for healthcare providers when documenting the condition for treatment planning and billing purposes. This code helps ensure accurate communication and reimbursement within the healthcare revenue cycle.

When to use the ICD code for ganglion at multiple sites, consider the following diagnostic criteria and symptoms:

1. Presence of Ganglion Cysts: Identification of multiple ganglion cysts through physical examination or imaging studies.

2. Location: Ganglion cysts must be present at multiple anatomical sites, such as wrists, hands, or feet.

3. Symptoms:

- Pain or discomfort in the affected areas.

- Swelling or palpable masses at multiple sites.

- Limited range of motion in joints near the ganglion cysts.

4. Duration: Symptoms should persist for a significant period, typically more than a few weeks, indicating chronicity.

5. Exclusion of Other Conditions: Rule out other potential causes of joint or soft tissue swelling, such as tumors, infections, or inflammatory conditions.

6. Impact on Functionality: Assess whether the ganglion cysts are affecting the patient’s daily activities or occupational tasks.

7. Response to Treatment: Document any previous treatments attempted (e.g., aspiration, corticosteroid injections) and their outcomes.

8. Patient History: Consider the patient's medical history, including any previous occurrences of ganglion cysts or related conditions.

By adhering to these criteria, healthcare providers can ensure accurate coding and appropriate documentation for cases involving ganglion cysts at multiple sites.

For the ICD code M67.49, which pertains to ganglion at multiple sites, the relevant CPT codes that may be applicable for treatment include:

1. 20612 - Aspiration and/or injection of 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 commonly used for procedures related to the treatment of ganglion cysts at various anatomical sites. It is important for healthcare providers to select the appropriate CPT code based on the specific procedure performed and the anatomical location of the ganglion cyst.

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