M65.20
Calcific tendinitis, unspecified site
Clinical Classification Guidelines
Medical Intelligence & Overview
Calcific tendinitis is a condition characterized by the buildup of calcium deposits within a tendon's tissue. When these deposits form in a tendon, it can cause pain, inflammation, and limited movement. The term 'unspecified site' indicates that the exact location of the calcium deposits has not been identified or is not specified in medical records. This guide provides an overview of calcific tendinitis, including causes, symptoms, diagnosis, and treatment options.
Causes & Symptoms
Clinical Causes: Repetitive shoulder or arm movements leading to microtrauma in tendons Degenerative tendon changes associated with aging Poor blood supply to the tendons, contributing to calcium buildup Injury or trauma to the affected area Genetic predisposition to tendon calcification
Key Symptoms: Localized pain that may worsen with movement or activity Tenderness when pressing on the affected area Swelling and warmth around the tendons Limited range of motion in the joint or limb Sharp or dull aching pain, especially during shoulder or arm movements Possible visible swelling or a palpable lump if calcium deposits are large
Diagnostic & Treatment
Diagnosis Path: X-rays: Most effective in visualizing calcium deposits within tendons Ultrasound: Helps detect calcium buildup and assess the size and location of deposits Magnetic Resonance Imaging (MRI): Used if additional soft tissue detail is needed or other conditions are suspected
Treatment Protocols: Rest and activity modification to reduce strain on affected tendons Non-steroidal anti-inflammatory drugs (NSAIDs) to decrease pain and inflammation Physical therapy to improve flexibility and strengthen surrounding muscles Extracorporeal shockwave therapy (ESWT): A procedure that uses shockwaves to break down calcium deposits Needle aspiration or lavage: Minimally invasive procedures to remove calcium deposits Surgical removal: Considered when conservative treatments fail, involving precise removal of calcium deposits Adjunct therapies such as ice application and corticosteroid injections in some cases
Clinical Advice & FAQs
Billing Guidance
Is M65.20 a billable ICD-10 code?
Yes, M65.20 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report M65.20?
Clinical documentation must specify the nature of Calcific tendinitis, unspecified site and any associated comorbidities for accurate reporting.
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