ICDcodes.org
FY2027

M65.042Abscess of tendon sheath, left hand

Billable

Is M65.042 billable?

Yes — M65.042 is billable for FY2027. M65.042 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. M65.042 may be submitted for encounters from October 1, 2026 through September 30, 2027.

M65.042 at a glance

CodeM65.042
DescriptionAbscess of tendon sheath, left hand
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

Which MS-DRGs does M65.042 group to?

M65.042 sits in MDC 08 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

  • 557Tendonitis, Myositis and Bursitis with MCCmedical
  • 558Tendonitis, Myositis and Bursitis without MCCmedical

How is M65.042 listed in the Alphabetic Index?

The Alphabetic Index lists these routes under M65.04, the nearest indexed parent of M65.042. Use them to find the family, then select the specific code.

  • Abscesstendonhand (connective tissue) (embolic) (fistulous) (infective) (metastatic) (multiple) (pernicious) (pyogenic) (septic)

Excludes1 — never code together — inherited from M65

The conditions below can never be reported together with M65.042 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

  • 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.-)

Use additional code — inherited from M65.0

Report an additional code alongside M65.042 to fully describe the condition. M65.042 is sequenced first.

  • code (B95-B96) to identify bacterial agent.

Excludes2 — not included here — inherited from Chapter 13

The conditions below are not part of M65.042, but a patient may have both at the same time. When documentation supports it, M65.042 and the excluded code may both be reported.

  • 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)

How long has M65.042 existed?

M65.042 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.

Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.

What other codes are in the M65.04 family? (2)