ICD-10-CM Billable Code

M65.112

Other infective (teno)synovitis, left shoulder

Clinical Classification Guidelines

Medical Intelligence & Overview

Infective (teno)synovitis in the left shoulder involves infection and inflammation of the synovial membrane and surrounding tissues of the shoulder joint. This condition, classified under ICD-10 code M65.112, can significantly impair shoulder movement and cause pain if left untreated. Recognizing the signs and understanding the causes are crucial steps toward proper management and recovery.

Causes & Symptoms

Clinical Causes: Bacterial infection from bloodstream spread (hematogenous spread) Direct inoculation during shoulder trauma or injury Spread from nearby infected tissues or skin infections Post-surgical infection following shoulder procedures Reactivation of a previous dormant infection

Key Symptoms: Decreased range of motion in the affected shoulder Pain or tenderness around the shoulder joint Swelling and warmth over the shoulder area Redness of the skin surrounding the shoulder Fever and chills in some cases A feeling of stiffness or weakness in the shoulder

Diagnostic & Treatment

Diagnosis Path: Diagnosis typically involves a combination of clinical assessment and laboratory tests. Physicians may perform:

Treatment Protocols: Management of infective (teno)synovitis generally includes:

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 M65.112 a billable ICD-10 code?
Yes, M65.112 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report M65.112?
Clinical documentation must specify the nature of Other infective (teno)synovitis, left shoulder and any associated comorbidities for accurate reporting.

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