ICD-10-CM Billable Code

M65.111

Other infective (teno)synovitis, right shoulder

Clinical Classification Guidelines

Medical Intelligence & Overview

Other infective (teno)synovitis of the right shoulder, classified under ICD-10 code M65.111, is a condition characterized by infection-induced inflammation of the tendons, synovial membranes, or bursae around the shoulder joint. This condition can cause significant pain, swelling, and restricted movement, impacting daily activities and quality of life.

Causes & Symptoms

Clinical Causes: Bacterial infections, often resulting from bacteria entering through a wound, injury, or invasive procedures Spread of systemic infections that reach the shoulder area Fungal or viral infections, though less common Repeated or prolonged strain on the shoulder, leading to micro-injuries susceptible to infection Pre-existing shoulder conditions that make the area more vulnerable to infection

Key Symptoms: Severe pain in the right shoulder, often worsening with movement Swelling and warmth around the shoulder joint Tenderness upon touch Limited range of motion, making activities like lifting or rotating difficult Possible fever or chills if systemic infection is present Redness over the affected area, though not always visible

Diagnostic & Treatment

Diagnosis Path: Diagnosis typically involves a combination of clinical examination and diagnostic tests, such as:

Treatment Protocols: Managing infective (teno)synovitis generally requires prompt treatment to control infection and reduce inflammation:

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 M65.111 a billable ICD-10 code?
Yes, M65.111 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report M65.111?
Clinical documentation must specify the nature of Other infective (teno)synovitis, right shoulder and any associated comorbidities for accurate reporting.

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