ICD-10-CM Billable Code

M65.221

Calcific tendinitis, right upper arm

Clinical Classification Guidelines

Medical Intelligence & Overview

Calcific tendinitis of the right upper arm is a condition characterized by the accumulation of calcium deposits in the tendons of the shoulder area, specifically affecting the tendons of the rotator cuff. This condition typically causes pain, inflammation, and limited movement, impacting daily activities and quality of life. It is more common in middle-aged individuals and can occur suddenly or develop gradually over time.

Causes & Symptoms

Clinical Causes: Repetitive shoulder movements or overuse Degenerative changes in the tendons as part of aging Minor shoulder injuries or trauma Metabolic conditions such as diabetes or hypothyroidism Poor blood supply to the tendons, leading to tissue degeneration Genetic predisposition in some cases

Key Symptoms: Intense shoulder pain, especially when lifting or moving the arm Tenderness and swelling around the shoulder Limited range of motion in the affected arm Pain that worsens with activity or at night A feeling of stiffness or weakness in the shoulder Possible crepitus or cracking sensation when moving the shoulder

Diagnostic & Treatment

Diagnosis Path: Diagnosis involves a combination of clinical evaluation and imaging studies. A healthcare provider will assess symptoms and perform physical tests to evaluate shoulder movement and tenderness. Imaging modalities include:

Treatment Protocols: Management of calcific tendinitis aims to reduce pain and inflammation, promote calcium deposit resorption, and restore shoulder function. Treatment approaches include:

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 M65.221 a billable ICD-10 code?
Yes, M65.221 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report M65.221?
Clinical documentation must specify the nature of Calcific tendinitis, right upper arm and any associated comorbidities for accurate reporting.

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