M65.071
Abscess of tendon sheath, right ankle and foot
Clinical Classification Guidelines
Medical Intelligence & Overview
An abscess of the tendon sheath in the right ankle and foot is a localized infection that results in a collection of pus within the sheath surrounding the tendons. This condition can cause significant pain, swelling, and stiffness, affecting mobility and daily activities. It typically develops due to infections that spread from nearby tissues or as a result of injury. Recognizing the symptoms early and seeking appropriate treatment are essential for recovery and preventing complications.
Causes & Symptoms
Clinical Causes: Bacterial infections, especially from Staphylococcus aureus Trauma or injury to the ankle or foot that introduces bacteria Spread of infection from nearby skin or soft tissue infections Repetitive strain or overuse that causes micro-tears and susceptibility to infection Previous surgeries or medical procedures in the area
Key Symptoms: Localized swelling and tenderness around the ankle and foot Pain, which may increase with movement or pressure Redness and warmth over the affected area Limited range of motion in the ankle and foot Fever and chills in some cases, indicating systemic infection Feeling of fullness or a palpable lump over the tendon sheath
Diagnostic & Treatment
Diagnosis Path: Physical examination to assess swelling, tenderness, and range of motion Ultrasound imaging to detect fluid collections and assess soft tissues Magnetic resonance imaging (MRI) for detailed visualization of the tendon sheath and surrounding structures Laboratory tests including blood work to identify infection markers Needle aspiration or biopsy to obtain pus samples for microbiological analysis
Treatment Protocols: Antibiotic therapy, often starting with intravenous antibiotics, tailored based on culture results Drainage of the abscess to remove pus and reduce pressure on surrounding tissues Rest and elevation of the affected limb to minimize swelling Immobilization with a splint or cast to prevent unnecessary movement and facilitate healing Surgical intervention may be necessary if the abscess is extensive or does not respond to initial treatment Monitoring for signs of systemic infection and potential complications
Clinical Advice & FAQs
Billing Guidance
Is M65.071 a billable ICD-10 code?
Yes, M65.071 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report M65.071?
Clinical documentation must specify the nature of Abscess of tendon sheath, right ankle and foot and any associated comorbidities for accurate reporting.
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