M65.15
Other infective (teno)synovitis, hip
Clinical Classification Guidelines
Medical Intelligence & Overview
Infective teno-synovitis of the hip refers to an infection involving both the tendons and the synovial membrane of the hip joint. This condition can lead to significant pain, swelling, and impaired movement if not diagnosed and treated promptly. It is an uncommon but serious medical issue that requires proper management to prevent complications.
Causes & Symptoms
Clinical Causes: Bacterial infections, often spreading from other parts of the body Infections resulting from direct injury or trauma to the hip area Spread of infection from nearby tissues or skin ulcers Infections associated with invasive procedures involving the hip Immune system suppression, making the individual more susceptible to infections
Key Symptoms: Localized pain in the hip, which may worsen with movement Swelling and tenderness around the hip joint Limited range of motion or stiffness in the hip Warmth and redness over the affected area Fever and general feeling of illness or fatigue Possible difficulty bearing weight or walking
Diagnostic & Treatment
Diagnosis Path: Physical examination to assess tenderness, swelling, and range of motion Imaging studies such as X-rays or MRI to visualize joint and surrounding tissues Blood tests to detect infection markers like elevated white blood cell count, C-reactive protein, or erythrocyte sedimentation rate Joint aspiration, where fluid from the joint is collected and analyzed for infectious organisms Microbiological cultures to identify the specific bacteria or infectious agents responsible
Treatment Protocols: Antibiotic therapy tailored to the infecting organism, often administered intravenously Drainage of infected joint fluid if accumulation is significant Rest and immobilization of the affected hip to reduce strain Pain management using medications as advised by healthcare professionals Surgical intervention in severe cases to remove infected tissue or drain abscesses Addressing underlying causes or predisposing factors to prevent recurrence
Clinical Advice & FAQs
Billing Guidance
Is M65.15 a billable ICD-10 code?
Yes, M65.15 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report M65.15?
Clinical documentation must specify the nature of Other infective (teno)synovitis, hip and any associated comorbidities for accurate reporting.
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