M65.152 Other infective (teno)synovitis, left hip

Name of the Condition

• Other infective (teno)synovitis, left hip
• ICD-10 Code: M65.152

Summary

This condition involves an infection of the synovial sheath surrounding tendons (tenosynovitis) or the synovial membrane of the left hip joint. It typically causes localized inflammation, pain, and functional impairment in the hip region.

Causes

The condition is most commonly caused by bacterial infections, though viral or fungal pathogens may also be involved. It can arise from direct inoculation (e.g., trauma, surgery) or hematogenous spread from a distant infection.

Risk Factors

• Recent hip injuries or procedures
• Immunocompromised states (e.g., diabetes, HIV)
• Poor wound hygiene or delayed treatment of minor injuries
• Occupational or recreational exposure to pathogens (e.g., contaminated environments)
• Prior hip surgery or invasive procedures

Symptoms

• Localized swelling, warmth, and tenderness over the left hip
• Pain with movement or pressure
• Reduced range of motion or stiffness
• Systemic signs (e.g., fever, chills) if infection is severe
• Possible drainage or pus if the infection is advanced

Diagnosis

Diagnosis involves a physical exam to assess inflammation and mobility. Imaging (e.g., MRI, ultrasound) visualizes soft tissue changes, while laboratory tests (e.g., synovial fluid analysis, cultures) identify infectious agents.

Treatment Options

• Antibiotics are the primary treatment for bacterial infections. Surgical drainage or debridement may be necessary for abscesses or severe cases. Rest and immobilization of the hip may aid recovery.

Prognosis and Follow-Up

Prognosis depends on early treatment and the severity of infection. Most patients recover with appropriate therapy, but delayed care can lead to chronic pain or joint damage. Follow-up includes monitoring for recurrence or complications.

Complications

• Chronic hip pain or stiffness
• Joint damage or arthritis
• Spread of infection to surrounding tissues or bloodstream
• Functional impairment requiring long-term rehabilitation

Lifestyle & Prevention

• Maintain good wound hygiene to prevent infection.
• Seek prompt care for hip injuries or infections.
• Manage underlying conditions (e.g., diabetes) to reduce infection risk.
• Avoid activities that increase exposure to pathogens in contaminated environments.

When to Seek Professional Help

Consult a healthcare provider if you experience persistent hip pain, swelling, fever, or difficulty moving the left hip. Immediate care is needed for signs of severe infection, such as pus drainage or systemic symptoms.

Tips for Medical Coders

Document the specific anatomical site (left hip) and confirm infective etiology. Ensure clinical notes support the diagnosis, including details of infection source, symptoms, and diagnostic findings. Code M65.152 is specific to the left hip; use the appropriate laterality and site specificity for accurate reporting.