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2020 ICD-10-CM Diagnosis Code M65.4

2016 2017 2018 2019 2020 Billable/Specific Code

• M65.4 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
• The 2020 edition of ICD-10-CM M65.4 became effective on October 1, 2019.
• This is the American ICD-10-CM version of M65.4 - other international versions of ICD-10 M65.4 may differ.

The following code(s) above M65.4 contain annotation back-references

Annotation Back-References

In this context, annotation back-references refer to codes that contain:

• Applicable To annotations, or
• Code Also annotations, or
• Code First annotations, or
• Excludes1 annotations, or
• Excludes2 annotations, or
• Includes annotations, or
• Note annotations, or
• Use Additional annotations

that may be applicable to M65.4:

• M00-M99

  2020 ICD-10-CM Range M00-M99

  Diseases of the musculoskeletal system and connective tissue

  Note

  • Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition

  Type 2 Excludes

  • arthropathic psoriasis (L40.5-)
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • compartment syndrome (traumatic) (T79.A-)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

  Diseases of the musculoskeletal system and connective tissue
• M65

  ICD-10-CM Diagnosis Code M65

  2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

  Type 1 Excludes

  • chronic crepitant synovitis of hand and wrist (M70.0-)
  • current injury - see injury of ligament or tendon by body region
  • soft tissue disorders related to use, overuse and pressure (M70.-)

  Synovitis and tenosynovitis

Approximate Synonyms

• Radial styloid tenosynovitis
• Tendonitis, dequervains
• Tenosynovitis of bilateral radial styloid
• Tenosynovitis of left radial styloid
• Tenosynovitis of radial styloid
• Tenosynovitis of right radial styloid

Clinical Information

• Stenosing tenosynovitis of the abductor pollicis longus and extensor pollicis brevis tendons in the first dorsal wrist compartment. The presenting symptoms are usually pain and tenderness at the radial styloid. The cause is almost always related to overuse injury or is associated with rheumatoid arthritis.

ICD-10-CM M65.4 is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):

• 557 Tendonitis, myositis and bursitis with mcc
• 558 Tendonitis, myositis and bursitis without mcc

Convert M65.4 to ICD-9-CM

Code History

• 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
• 2017 (effective 10/1/2016): No change
• 2018 (effective 10/1/2017): No change
• 2019 (effective 10/1/2018): No change
• 2020 (effective 10/1/2019): No change

Diagnosis Index entries containing back-references to M65.4:

ICD-10-CM Codes Adjacent To M65.4

M65.332 Trigger finger, left middle finger

M65.339 Trigger finger, unspecified middle finger

M65.34 Trigger finger, ring finger

M65.341 Trigger finger, right ring finger

M65.342 Trigger finger, left ring finger

M65.349 Trigger finger, unspecified ring finger

M65.35 Trigger finger, little finger

M65.351 Trigger finger, right little finger

M65.352 Trigger finger, left little finger

M65.359 Trigger finger, unspecified little finger

M65.4 Radial styloid tenosynovitis [de Quervain]

M65.8 Other synovitis and tenosynovitis

M65.80 …… unspecified site

M65.81 Other synovitis and tenosynovitis, shoulder

M65.811 Other synovitis and tenosynovitis, right shoulder

M65.812 Other synovitis and tenosynovitis, left shoulder

M65.819 Other synovitis and tenosynovitis, unspecified shoulder

M65.82 Other synovitis and tenosynovitis, upper arm

M65.821 Other synovitis and tenosynovitis, right upper arm

M65.822 Other synovitis and tenosynovitis, left upper arm

M65.829 Other synovitis and tenosynovitis, unspecified upper arm

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

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