M65.14
Other infective (teno)synovitis, hand
Clinical Classification Guidelines
Medical Intelligence & Overview
Infective (teno)synovitis of the hand, classified under ICD-10 code M65.14, is an inflammatory condition caused by infection that affects the tendons and synovial sheaths within the hand. This condition leads to pain, swelling, and limited movement due to the accumulation of infectious material and inflammation around tendons and their sheaths. Although it can occur at any age, it is more common among active individuals or those with certain health conditions. Recognizing the signs and understanding the causes can facilitate timely management and improve outcomes.
Causes & Symptoms
Clinical Causes: Bacterial infection, often caused by bacteria such as Staphylococcus aureus or Streptococcus species Direct injury or puncture wound to the hand that introduces bacteria Spread of infection from nearby skin or soft tissue infections Hematogenous spread from other infected areas in the body Repeated trauma or use of contaminated needles or instruments during medical procedures Underlying immune suppression conditions that increase susceptibility
Key Symptoms: Pain localized around the affected tendons and joint spaces Swelling of the hand, often accompanied by warmth and redness Limited range of motion or difficulty moving fingers or wrist Tenderness upon palpation of the affected area Possible pus formation or drainage in severe cases Fever and general malaise in systemic infections
Diagnostic & Treatment
Diagnosis Path: Physical examination to assess swelling, tenderness, and range of motion Imaging tests such as ultrasound or MRI to evaluate the extent of inflammation or abscess formation Laboratory investigations including blood tests to identify signs of infection Aspiration and laboratory analysis of synovial fluid or pus for bacterial culture and sensitivity testing Participation in bacterial or fungal cultures if other infectious agents are suspected
Treatment Protocols: Prompt initiation of antibiotics targeting the identified or suspected pathogen Drainage of abscesses or infected fluid collections to reduce pressure and remove infectious material Immobilization of the hand to limit movement and prevent further injury Pain management with appropriate medications Surgical intervention in severe or refractory cases to remove infected tissue or repair damaged tendons Monitoring for signs of systemic infection or complications
Clinical Advice & FAQs
Billing Guidance
Is M65.14 a billable ICD-10 code?
Yes, M65.14 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report M65.14?
Clinical documentation must specify the nature of Other infective (teno)synovitis, hand and any associated comorbidities for accurate reporting.
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