M65.019
Abscess of tendon sheath, unspecified shoulder
Clinical Classification Guidelines
Medical Intelligence & Overview
An abscess of the tendon sheath in the shoulder is a localized infection that leads to the formation of a pus-filled pocket within the protective covering surrounding a tendon's structure. This condition causes pain, swelling, and limited mobility, impacting daily activities and overall shoulder function. It may occur due to infection following trauma, surgical procedures, or as a complication of other infections. Recognizing the signs early and understanding the nature of this condition is vital for prompt management.
Causes & Symptoms
Clinical Causes: Bacterial infections, commonly caused by Staphylococcus aureus or Streptococcus species Trauma or injury to the shoulder, such as a cut, puncture wound, or blunt force Spread of infection from nearby tissues or skin infections Recent shoulder surgery or invasive procedures Chronic or recurrent infections weakening tissue resistance
Key Symptoms: Localized shoulder pain, often increasing with movement or touch Swelling and tenderness around the shoulder joint Redness and warmth over the affected area Limited range of motion due to pain and swelling Fever and general malaise in more severe cases Formation of a palpable lump or fluctuant mass
Diagnostic & Treatment
Diagnosis Path: Physical assessment focusing on swelling, tenderness, and range of motion Ultrasound imaging to visualize fluid collection and abscess formation Magnetic Resonance Imaging (MRI) for detailed visualization of soft tissues Laboratory tests including blood work to identify infection markers Aspiration or drainage of pus for microbiological analysis to identify the causative bacteria
Treatment Protocols: Antibiotic therapy tailored to the infectious organism, often administered intravenously initially Surgical drainage of the abscess to remove pus and reduce infection burden Rest and immobilization of the shoulder to prevent further injury Pain management through analgesics Physical therapy post-treatment to restore shoulder mobility and strength Monitoring for signs of recurrent infection or complications
Clinical Advice & FAQs
Billing Guidance
Is M65.019 a billable ICD-10 code?
Yes, M65.019 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report M65.019?
Clinical documentation must specify the nature of Abscess of tendon sheath, unspecified shoulder and any associated comorbidities for accurate reporting.
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