ICD-10-CM Billable Code

M65.131

Other infective (teno)synovitis, right wrist

Clinical Classification Guidelines

Medical Intelligence & Overview

Infective (teno)synovitis of the right wrist is a rare but serious condition involving inflammation caused by infection within the synovial membrane of the tendons or joints in the wrist. This condition can lead to pain, swelling, and limited movement if not diagnosed and treated promptly. Recognized under ICD-10 code M65.131, it specifically refers to infections affecting the right wrist. Proper medical attention is crucial to prevent complications and ensure recovery.

Causes & Symptoms

Clinical Causes: Bacterial infections entering the wrist through cuts, wounds, or punctures Spread from nearby infected tissues or joints Septic arthritis resulting from bloodstream infections Repeated or strenuous wrist activities leading to minor injuries and subsequent infections Immune-suppressing conditions or therapies that increase susceptibility to infections

Key Symptoms: Swelling around the wrist joint Pain or tenderness especially during movement Warmth and redness over the affected area Reduced range of motion in the wrist Fever and general feeling of illness in some cases Possible pus or fluid accumulation in the joint or surrounding tissues

Diagnostic & Treatment

Diagnosis Path: Diagnosis of infective (teno)synovitis involves a combination of clinical examination and diagnostic tests. Healthcare providers typically perform a physical assessment to evaluate swelling, tenderness, and movement. Imaging studies such as ultrasound or MRI may help visualize inflammation or fluid buildup. However, definitive diagnosis often requires joint aspiration, where a sample of synovial fluid is extracted and analyzed for bacteria, white blood cells, and other markers of infection. Blood tests may also be conducted to detect systemic infection or inflammation.

Treatment Protocols: Treatment strategies focus on eliminating the infection and reducing inflammation. Common approaches 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 M65.131 a billable ICD-10 code?
Yes, M65.131 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report M65.131?
Clinical documentation must specify the nature of Other infective (teno)synovitis, right wrist and any associated comorbidities for accurate reporting.

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