M65.149
Other infective (teno)synovitis, unspecified hand
Clinical Classification Guidelines
Medical Intelligence & Overview
Infective (teno)synovitis of the hand is a condition characterized by inflammation of the synovial membrane that surrounds tendons in the hand, caused by an infection. This condition can impair hand function and cause significant discomfort if not diagnosed and treated promptly. The ICD-10 code M65.149 specifically refers to cases where the infection is unspecified or not classified under more specific categories. Recognizing the symptoms and understanding possible causes are essential steps towards effective management of this condition.
Causes & Symptoms
Clinical Causes: Bacterial infection, often resulting from penetrating injuries or wounds to the hand Spread from nearby infected tissues or systemic infections Inoculation during surgical procedures or injections in the hand Underlying health conditions, such as diabetes, which can increase susceptibility Repetitive strain or overuse leading to microtrauma that facilitates infection
Key Symptoms: Pain, which may be severe and worsen with movement Swelling and tenderness around the affected tendons Limited range of motion or stiffness in the hand Redness and warmth over the affected area Fluid accumulation or a palpable fluctuant mass in some cases Fever and general malaise in more severe or systemic infections
Diagnostic & Treatment
Diagnosis Path: Diagnosis typically involves a comprehensive physical examination, where the healthcare provider assesses swelling, tenderness, and range of motion. Imaging studies such as ultrasound or MRI can be useful to evaluate the extent of fluid collection and inflammation. Laboratory tests, including blood work, may reveal signs of infection like elevated white blood cell counts or inflammatory markers. In some cases, a sample of synovial fluid may be aspirated and cultured to identify the causative organism, guiding targeted treatment.
Treatment Protocols: Managing infective (teno)synovitis generally requires prompt medical intervention. Treatment approaches include:
Clinical Advice & FAQs
Billing Guidance
Is M65.149 a billable ICD-10 code?
Yes, M65.149 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report M65.149?
Clinical documentation must specify the nature of Other infective (teno)synovitis, unspecified hand and any associated comorbidities for accurate reporting.
Cite this Clinical Reference