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M65 ICD-10-CM Code: Synovitis and tenosynovitis

ICD-10-CM Code View

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FY 2026 Apr update / Diseases of the musculoskeletal system and connective tissue (M00-M99) / Disorders of synovium and tendon (M65-M67)

M65

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Synovitis and tenosynovitis

Synovitis and tenosynovitis

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
M6Disorders of synovium and tendon (M65-M67)
M65Synovitis and tenosynovitis

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for M65 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for M65 in this effective period.

Related Child Codes

Official
M65.0Abscess of tendon sheath
M65.1Other infective (teno)synovitis
M65.2Calcific tendinitis
M65.3Trigger finger
M65.4Radial styloid tenosynovitis [de Quervain]

Includes

Official

ICD-10-CM does not list Includes notes for M65 in this effective period.

Excludes 1

Official
  • 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.-)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for M65 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for M65 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for M65 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Coder workflow notes

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What This Code Means

M65 is the ICD-10-CM diagnosis code for synovitis and tenosynovitis. M65 sits in the ICD-10-CM chapter for diseases of the musculoskeletal system and connective tissue (m00-m99), within the section covering disorders of synovium and tendon (m65-m67).

Header codes like M65 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at M65's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for M65 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 1, Do NOT code together

  • 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.-)

Child Codes

Code Hierarchy

M65Synovitis and tenosynovitis
M65Synovitis and tenosynovitis

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