ICD-10-CM Billable Code

M65.811

Other synovitis and tenosynovitis, right shoulder

Clinical Classification Guidelines

Medical Intelligence & Overview

ICD-10 code M65.811 refers to a condition involving inflammation of the synovial membrane and the tenosynovium in the right shoulder. This condition, known as synovitis and tenosynovitis, can cause pain, swelling, and limited movement in the affected shoulder. It is a specific diagnosis that falls under broader categories of joint and tendon inflammations, which can impact daily activities and quality of life if not properly managed.

Causes & Symptoms

Clinical Causes: Overuse or repetitive motion injuries involving the shoulder joint Trauma or injury to the shoulder area Chronic conditions such as rheumatoid arthritis or gout Infections in the shoulder joint or surrounding tissues Inflammatory or autoimmune diseases Prolonged immobility or improper posture that stresses the shoulder

Key Symptoms: Pain in the shoulder, especially during movement or activity Swelling and tenderness around the shoulder joint Limited range of motion or stiffness in the shoulder A feeling of warmth or redness over the affected area Weakness or a sensation of instability in the shoulder Discomfort that worsens with activity or at certain times of the day

Diagnostic & Treatment

Diagnosis Path: Diagnosis of this condition typically involves a medical examination and medical history review. Healthcare providers may perform specific tests, such as:

Treatment Protocols: Treatment strategies aim to reduce inflammation, relieve pain, and restore shoulder function. They often 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 M65.811 a billable ICD-10 code?
Yes, M65.811 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report M65.811?
Clinical documentation must specify the nature of Other synovitis and tenosynovitis, right shoulder and any associated comorbidities for accurate reporting.

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