ICD-10-CM Billable Code

M71.142

Other infective bursitis, left hand

Clinical Classification Guidelines

Medical Intelligence & Overview

Infective bursitis refers to the inflammation of a bursa caused by an infection. Bursae are small fluid-filled sacs located near joints, acting as cushions to reduce friction between tissues. When these sacs become infected, it can lead to a painful condition known as infective bursitis. Specifically, ICD-10 code M71.142 is used for cases involving infective bursitis in the left hand. This condition can cause swelling, redness, warmth, and pain in the affected area, impacting hand movement and function.

Causes & Symptoms

Clinical Causes: Bacterial infection following trauma or puncture wounds to the hand Spread of infection from nearby skin or joint infections Infections associated with skin conditions like cellulitis Hematogenous spread from other parts of the body through the bloodstream Repeated microtrauma or overuse of the hand leading to increased susceptibility to infection Compromised immune system, making the body less able to fight off infections

Key Symptoms: Localized swelling around the affected bursa in the left hand Pain or tenderness upon movement or touch Redness and warmth of the skin over the affected area Restricted movement or stiffness in the hand Possible fever or chills if systemic infection develops Fluid accumulation which may sometimes be visible or palpable

Diagnostic & Treatment

Diagnosis Path: Physical assessment focusing on swelling, tenderness, and signs of infection Imaging studies such as ultrasound or MRI to evaluate the extent of inflammation and rule out other conditions Laboratory tests including blood work to detect signs of infection Aspiration of fluid from the bursa for laboratory analysis to identify the infectious agent Microbiological cultures of aspirated fluid to determine specific bacteria or fungi

Treatment Protocols: Antibiotic therapy tailored to the causative organism, often initiated empirically and adjusted based on culture results Rest and immobilization of the affected hand to reduce strain and inflammation Application of ice packs to decrease swelling and pain Elevating the hand to improve circulation and reduce swelling Drainage of the infected bursa if swelling is extensive or not responding to medication In severe or persistent cases, surgical intervention may be necessary to remove infected tissue or drain abscesses

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 M71.142 a billable ICD-10 code?
Yes, M71.142 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report M71.142?
Clinical documentation must specify the nature of Other infective bursitis, left hand and any associated comorbidities for accurate reporting.

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