ICD-10-CM Billable Code

M71.042

Abscess of bursa, left hand

Clinical Classification Guidelines

Medical Intelligence & Overview

An abscess of the bursa in the left hand, classified under ICD-10 code M71.042, is a localized infection filled with pus that develops in the bursa—a small, fluid-filled sac that cushions and lubricates the joints. When this bursa becomes infected, it can lead to pain, swelling, and limited movement in the affected hand. Recognizing and understanding this condition is essential for proper management and relief.

Causes & Symptoms

Clinical Causes: Bacterial infection, often caused by Staphylococcus aureus Trauma or injury to the hand that introduces bacteria Repetitive motions or overuse of the hand and wrist Spread of infection from nearby tissues or skin infections Underlying skin conditions or infections

Key Symptoms: Pain and tenderness over the affected bursa Swelling and noticeable lump in the left hand Redness and warmth around the affected area Limited range of motion or difficulty moving the hand Possible fever or general feeling of illness if infection spreads

Diagnostic & Treatment

Diagnosis Path: Diagnosis involves a clinical examination where a healthcare provider assesses symptoms and physical signs. Imaging studies, such as ultrasound or MRI, can help identify the abscess and rule out other issues. In some cases, a sample of the pus may be taken through aspiration for laboratory analysis to determine the specific bacteria involved, guiding targeted treatment.

Treatment Protocols: Treatment typically includes draining the abscess to remove pus and reduce pressure, often performed through a minor surgical procedure. Antibiotics are prescribed to treat the bacterial infection and prevent it from spreading. Resting the hand, elevating it, and applying ice can help manage swelling and pain. In some cases, physical therapy may be recommended post-treatment to restore movement and strengthen the hand.

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is M71.042 a billable ICD-10 code?
Yes, M71.042 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report M71.042?
Clinical documentation must specify the nature of Abscess of bursa, left hand and any associated comorbidities for accurate reporting.

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