ICD-10: M65.25

Calcific tendinitis, particularly in the thigh region, is a condition characterized by the deposition of calcium salts in the tendons, leading to inflammation and pain. The ICD-10-CM code for this condition is M65.25, which specifically denotes calcific tendinitis located in the pelvic region and thigh.

Clinical Description

Definition

Calcific tendinitis is a form of tendinopathy where calcium deposits form within the tendon, often resulting in pain, swelling, and restricted movement. This condition is most commonly seen in the shoulder but can occur in other areas, including the thigh.

Symptoms

Patients with calcific tendinitis in the thigh may experience:
- Localized Pain: Sharp or aching pain in the thigh, which may worsen with movement or pressure.
- Swelling: Inflammation around the affected tendon, leading to visible swelling.
- Limited Range of Motion: Difficulty in moving the thigh or leg due to pain and stiffness.
- Tenderness: Increased sensitivity in the area surrounding the affected tendon.

Causes

The exact cause of calcific tendinitis is not fully understood, but several factors may contribute, including:
- Age: More common in individuals aged 30 to 60.
- Overuse: Repetitive motions or overuse of the thigh muscles and tendons.
- Metabolic Disorders: Conditions that affect calcium metabolism may increase the risk of calcification.

Diagnosis

Diagnosis typically involves:
- Clinical Examination: Assessment of symptoms and physical examination of the thigh.
- Imaging Studies: X-rays or ultrasound may be used to visualize calcium deposits in the tendon.

Treatment

Management of calcific tendinitis may include:
- Rest and Ice: Reducing activity and applying ice to alleviate pain and swelling.
- Physical Therapy: Exercises to improve flexibility and strength in the thigh.
- Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) to reduce pain and inflammation.
- Injections: Corticosteroid injections may be considered for severe cases.
- Surgery: In persistent cases, surgical intervention may be necessary to remove calcium deposits.

Coding and Billing

The ICD-10-CM code M65.25 is used for billing and coding purposes in healthcare settings. It is essential for healthcare providers to accurately document the diagnosis to ensure proper reimbursement and treatment planning. The code falls under the broader category of M65, which encompasses various types of tendinitis and related conditions.

Related Codes

• M65.2: General code for calcific tendinitis, applicable when the specific location is not specified.
• M65.27: Refers to calcific tendinitis in other specified sites, which may be relevant for conditions affecting different areas.

Conclusion

Calcific tendinitis in the thigh, coded as M65.25, is a painful condition that can significantly impact mobility and quality of life. Early diagnosis and appropriate management are crucial for effective treatment and recovery. Understanding the clinical aspects and coding details of this condition can aid healthcare professionals in providing optimal care and ensuring accurate billing practices.

Calcific tendinitis, particularly in the thigh, is a condition characterized by the deposition of calcium salts in the tendons, leading to inflammation and pain. The ICD-10 code M65.25 specifically refers to this condition. Understanding its clinical presentation, signs, symptoms, and patient characteristics is essential for accurate diagnosis and effective management.

Clinical Presentation

Overview

Calcific tendinitis typically occurs when calcium deposits form in the tendons, most commonly affecting the rotator cuff in the shoulder but can also occur in other areas, including the thigh. The condition can lead to acute or chronic pain, restricted movement, and functional impairment.

Signs and Symptoms

1. Pain: The most prominent symptom is localized pain in the thigh, which may be sharp or dull. The pain often worsens with movement or pressure on the affected area.
2. Swelling: There may be noticeable swelling around the tendon, which can indicate inflammation.
3. Tenderness: The affected area is usually tender to touch, and patients may experience discomfort during activities that involve the thigh muscles.
4. Limited Range of Motion: Patients may have difficulty moving the thigh or leg due to pain and stiffness, particularly during activities like walking, squatting, or climbing stairs.
5. Muscle Weakness: In some cases, weakness in the thigh muscles may occur, impacting the patient's ability to perform daily activities.

Patient Characteristics

• Age: Calcific tendinitis is more common in adults, particularly those aged 30 to 60 years. However, it can occur in younger individuals as well.
• Activity Level: Patients who engage in repetitive activities or sports that stress the thigh muscles may be at higher risk. This includes athletes and individuals involved in manual labor.
• Gender: There may be a slight predominance in females, although both genders can be affected.
• Medical History: A history of previous tendon injuries or conditions such as diabetes, thyroid disorders, or metabolic diseases may increase susceptibility to calcific tendinitis.

Diagnosis

Diagnosis typically involves a combination of clinical evaluation and imaging studies. Physicians may use ultrasound or X-rays to visualize calcium deposits in the tendon. A thorough physical examination is also crucial to assess pain levels, range of motion, and tenderness.

Conclusion

Calcific tendinitis of the thigh, represented by ICD-10 code M65.25, presents with distinct clinical features, including localized pain, swelling, and limited mobility. Understanding the signs, symptoms, and patient characteristics associated with this condition is vital for healthcare providers to ensure timely diagnosis and appropriate treatment strategies. If you suspect calcific tendinitis, consulting a healthcare professional for a comprehensive evaluation is recommended.

Calcific tendinitis, particularly in the thigh region, is identified by the ICD-10 code M65.25. This condition is characterized by the deposition of calcium salts in the tendons, leading to inflammation and pain. Understanding alternative names and related terms can enhance clarity in medical documentation and communication. Below are some alternative names and related terms for M65.25:

Alternative Names

1. Calcific Tendinopathy: A broader term that encompasses the degenerative changes in the tendon associated with calcification.
2. Calcific Tendinitis of the Thigh: A more specific term that directly refers to the inflammation of the tendon in the thigh due to calcification.
3. Calcium Deposits in Thigh Tendons: Descriptive terminology that highlights the presence of calcium deposits causing symptoms.
4. Tendinitis with Calcification: A general term that can apply to any tendon affected by calcification, including those in the thigh.

Related Terms

1. Tendinitis: Inflammation of a tendon, which can occur with or without calcification.
2. Tendinopathy: A term that refers to any disease of a tendon, including tendinitis and degenerative changes.
3. Trochanteric Bursitis: While not the same condition, it can be related as it involves pain in the hip area, which may be confused with calcific tendinitis of the thigh.
4. Shoulder Calcific Tendinitis: Although this refers to a different location, it is often mentioned in discussions about calcific tendinitis due to its commonality.
5. Calcific Tendinitis of the Hip: Similar to M65.25 but specifically refers to the hip region, which is anatomically close to the thigh.

Clinical Context

Calcific tendinitis can occur in various locations, and while M65.25 specifically addresses the thigh, it is essential to recognize that similar conditions can affect other areas, such as the shoulder or hip. This understanding aids in differential diagnosis and treatment planning.

In summary, recognizing these alternative names and related terms can facilitate better communication among healthcare providers and improve patient understanding of their condition. If you need further details or specific information regarding treatment or management of calcific tendinitis, feel free to ask!

Calcific tendinitis, particularly in the thigh, is classified under the ICD-10-CM code M65.25. This condition involves the deposition of calcium salts in the tendons, leading to inflammation and pain. The diagnosis of calcific tendinitis typically involves several criteria, which can be categorized into clinical evaluation, imaging studies, and exclusion of other conditions.

Clinical Evaluation

1. Patient History: A thorough medical history is essential. Patients often report symptoms such as:
   - Localized pain in the thigh, particularly during movement or pressure.
   - Stiffness or reduced range of motion in the affected area.
   - Symptoms may be acute or chronic, with acute cases often presenting with sudden onset of pain.

2. Physical Examination: The clinician will perform a physical examination to assess:
   - Tenderness over the affected tendon.
   - Swelling or warmth in the area.
   - Pain during specific movements that engage the affected tendon.

Imaging Studies

1. X-rays: Radiographic imaging is crucial for confirming the diagnosis. X-rays can reveal:
   - The presence of calcific deposits within the tendon.
   - Changes in the surrounding bone or soft tissue that may indicate inflammation.

2. Ultrasound: This imaging modality can be used to:
   - Visualize the calcific deposits more clearly.
   - Assess the condition of the tendon and surrounding structures.

3. MRI: In some cases, an MRI may be warranted to:
   - Evaluate the extent of tendon damage.
   - Rule out other potential causes of pain, such as tears or other inflammatory conditions.

Exclusion of Other Conditions

To accurately diagnose calcific tendinitis, it is important to exclude other potential causes of thigh pain, such as:
- Tendon tears or ruptures.
- Bursitis or other inflammatory conditions.
- Osteoarthritis or other degenerative joint diseases.

Conclusion

The diagnosis of calcific tendinitis (ICD-10 code M65.25) in the thigh relies on a combination of patient history, physical examination, and imaging studies to confirm the presence of calcific deposits and rule out other conditions. Proper diagnosis is essential for effective treatment and management of the condition, which may include physical therapy, corticosteroid injections, or surgical intervention in severe cases.

Calcific tendinitis, particularly in the thigh, is a condition characterized by the deposition of calcium salts in the tendons, leading to pain and inflammation. The ICD-10 code M65.25 specifically refers to this condition. Understanding the standard treatment approaches for calcific tendinitis can help in managing symptoms effectively and promoting recovery.

Overview of Calcific Tendinitis

Calcific tendinitis typically occurs when calcium deposits form in the tendons, often affecting the rotator cuff in the shoulder but can also occur in other areas, including the thigh. The condition can lead to significant pain, reduced range of motion, and functional impairment. Treatment strategies aim to alleviate pain, reduce inflammation, and restore function.

Standard Treatment Approaches

1. Conservative Management

Most cases of calcific tendinitis can be managed conservatively. This includes:

• Rest and Activity Modification: Patients are advised to avoid activities that exacerbate pain. Resting the affected area is crucial to allow healing.

• Physical Therapy: A structured physical therapy program can help improve flexibility and strength in the affected area. Techniques may include stretching, strengthening exercises, and modalities such as ultrasound or electrical stimulation to reduce pain and inflammation.

• Ice Therapy: Applying ice packs to the affected area can help reduce swelling and alleviate pain, especially after activity.

2. Medications

• Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): Over-the-counter medications like ibuprofen or naproxen can help reduce pain and inflammation associated with calcific tendinitis.

• Corticosteroid Injections: In cases where pain is severe and does not respond to NSAIDs, corticosteroid injections may be administered to provide temporary relief from inflammation.

3. Extracorporeal Shock Wave Therapy (ESWT)

Extracorporeal shock wave therapy is a non-invasive treatment option that uses acoustic waves to promote healing in the affected tendon. This therapy can help reduce pain and improve function in patients with calcific tendinitis[6][9].

4. Surgical Intervention

If conservative treatments fail to provide relief after several months, surgical options may be considered. These can include:

• Arthroscopic Surgery: This minimally invasive procedure involves the removal of calcium deposits from the tendon. It is typically performed when conservative management has not been effective.

• Open Surgery: In more severe cases, open surgery may be necessary to access and treat the affected tendon directly.

5. Post-Treatment Rehabilitation

After any surgical intervention, a rehabilitation program is essential to restore function and strength. This may involve:

• Gradual reintroduction of activities
• Continued physical therapy focusing on range of motion and strengthening exercises
• Monitoring for any recurrence of symptoms

Conclusion

Calcific tendinitis in the thigh, represented by ICD-10 code M65.25, can significantly impact a patient's quality of life. Standard treatment approaches primarily focus on conservative management, including rest, physical therapy, and medications. In cases where these methods are ineffective, more advanced treatments like ESWT or surgical options may be necessary. A comprehensive rehabilitation program post-treatment is crucial for optimal recovery and prevention of recurrence. Always consult with a healthcare professional for personalized treatment plans tailored to individual needs.