M65.1
Other infective (teno)synovitis
Clinical Classification Guidelines
Medical Intelligence & Overview
Other infective (teno)synovitis refers to an infection that affects the synovial membrane of a tendon sheath, leading to inflammation. This condition is a subset of synovitis, which involves swelling and irritation of the synovial tissue. When caused by an infectious agent, it can result in significant pain, swelling, and impaired movement of the affected limb. Recognizing and treating infective tenosynovitis promptly is essential to prevent complications such as tissue damage or spread of infection.
Causes & Symptoms
Clinical Causes: Bacterial infections, such as Staphylococcus aureus or Streptococcus species Fungal infections in immunocompromised individuals Spread from adjacent infected tissues or skin lesions Direct trauma introducing infectious agents into the tendon sheath Hematogenous dissemination of bacteria through the bloodstream
Key Symptoms: Pain along the affected tendon or wrist Swelling and warmth over the affected area Tenderness to touch Limited range of motion or difficulty moving the affected finger, wrist, or ankle Redness and inflammation of the overlying skin Possible fever or signs of systemic infection in severe cases
Diagnostic & Treatment
Diagnosis Path: Physical assessment to evaluate swelling, tenderness, and range of motion Imaging studies such as ultrasound or MRI to visualize inflammation or fluid accumulation in the tendon sheath Laboratory tests including blood work to identify signs of infection Aspiration and analysis of synovial or tendon sheath fluid to identify infectious organisms
Treatment Protocols: Antibiotic therapy tailored to the specific infective agent, often administered intravenously or orally Immobilization of the affected limb to minimize movement and support healing Drainage of any abscess or excess fluid accumulated within the tendon sheath Surgical intervention in cases where infection is severe or does not respond to antibiotics Supportive care, including pain management and elevation of the affected limb
Clinical Advice & FAQs
Billing Guidance
Is M65.1 a billable ICD-10 code?
Yes, M65.1 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report M65.1?
Clinical documentation must specify the nature of Other infective (teno)synovitis and any associated comorbidities for accurate reporting.
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