M65.19
Other infective (teno)synovitis, multiple sites
Clinical Classification Guidelines
Medical Intelligence & Overview
ICD-10 code M65.19 refers to a condition called infective tenosynovitis affecting multiple sites. This condition involves inflammation of the synovial sheath surrounding tendons, typically caused by infection. When multiple areas are affected, it can lead to significant discomfort and limited movement. Understanding the causes, symptoms, diagnosis, and potential treatment options can help in managing this condition effectively.
Causes & Symptoms
Clinical Causes: Bacterial infections introduced through cuts, punctures, or insect bites Spread of infection from nearby skin or joint infections Systemic infections that affect multiple areas simultaneously Infections related to invasive procedures or injections Poor hand hygiene or contaminated equipment during medical or personal care activities
Key Symptoms: Localized pain, swelling, and tenderness around affected tendons Reduced range of motion in the fingers, wrists, or other affected areas Warmth and redness over the affected tendons Increased pain during movement or activity Possible pus formation or drainage if abscess develops Fever or chills in cases with systemic infection
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 abscess formation Blood tests to detect signs of infection and identify the causative organism Joint or tendon fluid aspiration for laboratory analysis to confirm infection Cultures from affected tissue or fluid to identify bacteria or other pathogens
Treatment Protocols: Antibiotic therapy tailored to the specific causative organism, often administered intravenously or orally Possible surgical drainage or debridement if abscess formation or significant tissue damage occurs Rest and immobilization of the affected area to reduce strain on inflamed tendons Pain management with non-steroidal anti-inflammatory drugs (NSAIDs) or other pain relievers Follow-up monitoring to assess response to treatment and prevent recurrence
Clinical Advice & FAQs
Billing Guidance
Is M65.19 a billable ICD-10 code?
Yes, M65.19 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report M65.19?
Clinical documentation must specify the nature of Other infective (teno)synovitis, multiple sites and any associated comorbidities for accurate reporting.
Cite this Clinical Reference