ICD-10-CM Billable Code

M65.141

Other infective (teno)synovitis, right hand

Clinical Classification Guidelines

Medical Intelligence & Overview

Infective (teno)synovitis of the right hand is a condition characterized by inflammation caused by infection within the synovial sheath or joint structures of the hand. This inflammation affects the tendons or their surrounding tissues, leading to discomfort, swelling, and impaired movement. It is vital to recognize this condition early to prevent long-term damage and maintain hand function. The medical classification for this condition is identified by the ICD-10 code M65.141.

Causes & Symptoms

Clinical Causes: Bacterial infections, commonly caused by Staphylococcus aureus or Streptococcus species Infections resulting from puncture wounds, cuts, or bites on the hand Spread of infection from nearby skin or soft tissue infections Hematogenous spread through bloodstream leading to joint or tendon infection Pre-existing joint or tendon injuries or degenerative conditions that predispose to infection

Key Symptoms: Localized swelling and tenderness on the back of the hand or around the tendons Pain during movement or when applying pressure to the hand Redness and warmth over the affected area Reduced range of motion or stiffness in the hand and fingers Possible signs of systemic infection, such as fever, chills, or malaise

Diagnostic & Treatment

Diagnosis Path: Diagnosing infective (teno)synovitis involves a combination of clinical evaluation and laboratory tests. A healthcare professional will examine the hand for signs of swelling, tenderness, and limited mobility. Imaging techniques, such as ultrasound or MRI, may be used to visualize inflammation. Laboratory tests including blood cultures and synovial fluid analysis can confirm the presence of infection and identify the causative organism. Culturing fluid from the affected area helps determine the most effective antibiotic treatment.

Treatment Protocols: Management of infective (teno)synovitis typically involves prompt medical intervention. Treatment strategies include:

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 M65.141 a billable ICD-10 code?
Yes, M65.141 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report M65.141?
Clinical documentation must specify the nature of Other infective (teno)synovitis, right hand and any associated comorbidities for accurate reporting.

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