ICD Code M67.813

ICD code M67.813 is other specified disorders of tendon in the right shoulder.

1. Patient presents with pain, swelling, or tenderness localized to the right shoulder tendon.

2. Clinical evaluation reveals tendon pathology in the right shoulder that does not fit criteria for more specific tendon disorders such as tendinitis, tendinosis, or tendon rupture.

3. Imaging studies (e.g., ultrasound, MRI) may show nonspecific tendon abnormalities in the right shoulder without evidence of complete tear or classic inflammatory changes.

4. Symptoms may include restricted range of motion, weakness, or discomfort during shoulder movement, not attributable to other specific tendon diagnoses.

5. Exclusion of other causes such as infection, systemic inflammatory disease, or trauma resulting in a more specific diagnosis.

6. Documentation of a tendon disorder in the right shoulder that is specified but not classified elsewhere in the ICD coding system.

Applicable CPT codes for ICD code M67.813 include:

- 20550 (Injection(s); single tendon sheath, or ligament, aponeurosis)

- 20551 (Injection(s); single tendon origin/insertion)

- 23410 (Repair of ruptured musculotendinous cuff, open; acute)

- 23412 (Repair of ruptured musculotendinous cuff, open; chronic)

- 23430 (Tenodesis of long tendon of biceps)

- 23440 (Resection or transplantation of long tendon of biceps)

- 29826 (Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with or without coracoacromial ligament release)

- 29827 (Arthroscopy, shoulder, surgical; with rotator cuff repair)

- 29806 (Arthroscopy, shoulder, surgical; capsulorrhaphy)

- 24341 (Repair, tendon, flexor, forearm and/or wrist; primary, single, each tendon)

CPT code selection should be based on the specific procedure performed and clinical documentation.

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