R87.610 - Atypical squamous cells of undetermined significance on cytologic smear of cervix (ASC-US)

Clinical Definition

A tenosynovitis is inflammation of the fluid-filled sheath (synovium) that surrounds a tendon. When occurring in the left wrist, it specifically affects the tendon sheaths in the wrist joint region of the left upper extremity.

Documentation Requirements

• Must specify:

  • Laterality (documented as "left" wrist)

  • Anatomical site (must be wrist)

  • Acuity (acute vs chronic)

  • Any underlying cause if known (e.g., infection, autoimmune, trauma)

  • Presence/absence of infection

  • Whether spontaneous or due to overuse/strain

  • Any associated symptoms or complications

Common Synonyms

• Tendon sheath inflammation

• Wrist tendon inflammation

• Left wrist tendonitis

• De Quervain's tenosynovitis (if specifically affecting the thumb tendons)

• Trigger wrist

Coding Conflicts

Excludes1:

• Trigger finger (M65.3-)

• Infectious tenosynovitis (M65.0-)

Excludes2:

• Synovitis and tenosynovitis in diseases classified elsewhere

• Systemic involvement in connective tissue disorders

Scribing.io Automation

The AI scribe automatically identifies:

• Anatomical terms related to wrist tendons ("flexor," "extensor," "tendon sheath")

• Laterality markers ("left," "LUE," "left upper extremity")

• Inflammatory descriptors ("swelling," "pain," "tenderness")

• Documents temporal aspects for acuity determination

• Captures associated symptoms and underlying conditions

The system flags incomplete documentation if laterality or acuity is missing, prompting providers for clarification.