M65.2
Calcific tendinitis
Clinical Classification Guidelines
Excludes Type 1
- tendinitis as classified in M75-M77
- calcified tendinitis of shoulder (M75.3)
Medical Intelligence & Overview
Calcific tendinitis is a condition characterized by the buildup of calcium deposits in the tendons, most commonly around the shoulder. This buildup can cause significant pain and restrict movement. The condition is often diagnosed through imaging tests and can affect individuals of various ages, though it is more prevalent in those between 30 and 60 years old. While the exact cause is not always clear, the condition is thought to result from a degenerative process in the tendons, leading to calcium deposits that irritate surrounding tissues.
Causes & Symptoms
Clinical Causes: Degenerative changes in tendons due to aging Repetitive shoulder movements or injuries Imbalance in calcium metabolism Poor blood supply to tendons Genetic predisposition in some cases Other shoulder pathologies that affect tendon health Inflammatory conditions weakening tendons
Key Symptoms: Sudden or gradual onset of shoulder pain Pain worsening with movement or activity Tenderness around the shoulder Limited range of motion A feeling of grinding or catching in the shoulder Swelling or inflammation in the shoulder area Weakness in the affected arm
Diagnostic & Treatment
Diagnosis Path: Diagnosis of calcific tendinitis involves a combination of a detailed medical history, physical examinations, and imaging studies. X-rays are the primary imaging modality used to identify calcium deposits within tendons. Ultrasonography can provide a detailed view of the calcifications and help assess the extent of inflammation. Occasionally, MRI scans are used to evaluate associated soft tissue injuries or inflammation around the tendons. Laboratory tests are generally not required but may be performed to rule out other conditions.
Treatment Protocols: Management of calcific tendinitis focuses on relieving pain and reducing calcium deposits if necessary. Common approaches include: - Rest and activity modification to minimize shoulder strain - Application of ice packs to reduce swelling and discomfort - Nonsteroidal anti-inflammatory drugs (NSAIDs) for pain relief - Physical therapy to improve mobility and strengthen shoulder muscles - Ultrasound-guided needle decompression to break up calcific deposits - Extracorporeal shock wave therapy (ESWT) to disintegrate calcium deposits - Corticosteroid injections for severe inflammation - Surgical removal of calcium deposits in refractory cases Most cases improve with conservative treatment, though some may require intervention if symptoms persist or worsen.
Clinical Advice & FAQs
Billing Guidance
Is M65.2 a billable ICD-10 code?
Yes, M65.2 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report M65.2?
Clinical documentation must specify the nature of Calcific tendinitis and any associated comorbidities for accurate reporting.
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