ICD-10 Coding for Right Wrist Tendonitis(M65.841, M65.4)
Complete ICD-10-CM coding and documentation guide for Right Wrist Tendonitis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Right Wrist Tendonitis
M65.8-M65.9Primary Range
Other synovitis and tenosynovitis
This range includes specific codes for synovitis and tenosynovitis of the wrist, including laterality.
Radial styloid tenosynovitis [de Quervain]
This code is used for cases specifically involving de Quervain's tenosynovitis, which affects the thumb-side tendons.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| M65.841 | Other synovitis and tenosynovitis, right wrist | Use when there is confirmed synovitis or tenosynovitis of the right wrist. |
|
| M65.4 | Radial styloid tenosynovitis [de Quervain] | Use when de Quervain's tenosynovitis is confirmed. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for right wrist tendonitis
Essential facts and insights about Right Wrist Tendonitis
Primary ICD-10-CM Codes for right wrist tendonitis
Decision Criteria
clinical Criteria
- Confirmed inflammation of right wrist tendons via imaging.
documentation Criteria
- Explicit mention of 'right wrist tenosynovitis' in medical records.
Applicable To
- Right wrist tenosynovitis
- Right wrist synovitis
Excludes
- De Quervain's tenosynovitis (M65.4)
Clinical Validation Requirements
- Physical exam showing tenderness over wrist tendons
- MRI or ultrasound confirming inflammation
Code-Specific Risks
- Risk of using unspecified codes like M65.9 without laterality.
Coding Notes
- Ensure documentation specifies 'right wrist' and confirms tenosynovitis.
M65.4 - Radial styloid tenosynovitis [de Quervain]
Use when de Quervain's tenosynovitis is confirmed.
Applicable To
- De Quervain's tenosynovitis
Excludes
- Other types of wrist tenosynovitis (M65.841)
Clinical Validation Requirements
- Positive Finkelstein test
- Pain on the radial side of the wrist
Coding Notes
Ensure documentation supports de Quervain's diagnosis.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Pain in right wrist
M25.531Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Right Wrist Tendonitis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M65.841.
Impact
Clinical: May lead to incorrect treatment., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims.
Mitigation Strategy
Always document laterality., Use templates that prompt for laterality.
Impact
Reimbursement: May lead to lower reimbursement due to lack of specificity., Compliance: Non-compliance with coding guidelines requiring specificity., Data Quality: Reduces accuracy of clinical data.
Mitigation Strategy
Always specify laterality using M65.841 for right wrist.
Impact
Using unspecified codes when specific codes are available.
Mitigation Strategy
Ensure documentation supports the most specific code.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Right Wrist Tendonitis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Right Wrist Tendonitis
Use these documentation templates to ensure complete and accurate documentation for Right Wrist Tendonitis. These templates include all required elements for proper coding and billing.
Chronic right wrist tendonitis
Specialty: OrthopedicsRequired Elements
- Laterality
- Specific tendon involvement
- Imaging results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Right Wrist Tendonitis? Ask your questions below.