ICD-10-CM Billable Code

M65.051

Abscess of tendon sheath, right thigh

Clinical Classification Guidelines

Medical Intelligence & Overview

An abscess of the tendon sheath in the right thigh is a painful condition involving a localized collection of pus caused by an infection within the sheath surrounding a tendon. The tendon sheath is a protective layer that facilitates smooth movement of tendons as they slide through the body. When infected, it can cause swelling, pain, and limited mobility in the affected area. Recognizing the symptoms early and seeking medical care are essential for effective treatment and to prevent complications.

Causes & Symptoms

Clinical Causes: Bacterial infections, often caused by bacteria such as Staphylococcus aureus or Streptococcus species Trauma or injury to the thigh, such as cuts, punctures, or deep abrasions that introduce bacteria Spread of infection from neighboring tissues or skin infections Repeated or chronic strain on the thigh muscles and tendons

Key Symptoms: Severe pain in the thigh, especially during movement or pressure Swelling and tenderness in the affected area Redness and warmth over the site of the abscess Limited range of motion in the thigh or difficulty walking Fever and chills in some cases, indicating systemic infection A palpable, tender lump or mass in the thigh

Diagnostic & Treatment

Diagnosis Path: Diagnosing an abscess of the tendon sheath involves a combination of medical history review and physical examination. A healthcare professional may observe signs of swelling, redness, and tenderness. Imaging studies such as ultrasound or MRI can help visualize the abscess and ascertain its size and location. Blood tests may be performed to check for signs of infection, such as elevated white blood cell counts. In some cases, a sample of pus may be collected for laboratory analysis to identify the causative bacteria, guiding effective treatment.

Treatment Protocols: Treatment typically involves medical interventions aimed at draining the abscess and eradicating the infection. These may include: - **Antibiotic therapy**: Prescribed to target the bacteria causing the infection. - **Incision and drainage**: A minor surgical procedure to release purulent material from the abscess. - **Rest and immobilization**: To reduce strain on the affected tendon sheath. - **Pain management**: Using medications to relieve discomfort. - **Follow-up care**: Ensuring complete healing and preventing recurrence, which may involve physical therapy to restore function. In some cases, hospitalization may be necessary, especially if the infection is widespread or complicated.

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 M65.051 a billable ICD-10 code?
Yes, M65.051 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report M65.051?
Clinical documentation must specify the nature of Abscess of tendon sheath, right thigh and any associated comorbidities for accurate reporting.

Cite this Clinical Reference