M71.149
Other infective bursitis, unspecified hand
Clinical Classification Guidelines
Medical Intelligence & Overview
Infective bursitis refers to inflammation of the bursae—small fluid-filled sacs that act as cushions between bones and soft tissues like muscles and tendons. When this condition occurs in the hand and is caused by infection, it is classified as 'other infective bursitis of the hand' under ICD-10 code M71.149. This condition can lead to pain, swelling, and limited movement of the affected hand. Prompt recognition and appropriate treatment are essential to prevent complications and promote recovery.
Causes & Symptoms
Clinical Causes: Bacterial infections, commonly due to bacteria entering through a skin wound or puncture. Repeated trauma or overuse leading to inflammation and increased susceptibility to infection. Spread of infection from nearby skin or tissue infections. Inoculation during hand injuries such as cuts, punctures, or bites. Underlying medical conditions that impair the immune system, increasing infection risk.
Key Symptoms: Swelling and tenderness around the affected bursae in the hand. Warmth and redness over the inflamed area. Pain, especially during movement or pressure on the affected area. Limited range of motion in the hand or fingers. Possible pus or fluid drainage from the bursae. Fever or chills in some cases, indicating a more systemic infection.
Diagnostic & Treatment
Diagnosis Path: Physical assessment to evaluate swelling, warmth, and tenderness. Imaging tests such as ultrasound or MRI to visualize bursae and assess inflammation. Laboratory tests like blood tests to identify signs of infection. Aspiration of fluid from the bursae for laboratory analysis to identify the infectious organism.
Treatment Protocols: Antibiotic therapy tailored to the specific bacteria identified through laboratory testing. Rest and immobilization of the hand to prevent further irritation. Application of ice packs to reduce swelling and pain. Drainage of pus or excess fluid from the bursae if necessary. Pain management with analgesics as recommended by healthcare professionals. In some cases, surgical intervention may be required to remove infected tissue or drain persistent collections.
Clinical Advice & FAQs
Billing Guidance
Is M71.149 a billable ICD-10 code?
Yes, M71.149 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report M71.149?
Clinical documentation must specify the nature of Other infective bursitis, unspecified hand and any associated comorbidities for accurate reporting.
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