2027 ICD-10-CM Diagnosis Code M65.4Radial styloid tenosynovitis [de Quervain]

ICD-10-CM Codes›M00–M99›M65-M67›M65

ICD-10-CM M65.4
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

M65.4 is a billable ICD-10-CM diagnosis code for radial styloid tenosynovitis [de Quervain]. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 557 through 558. Coders also document this condition as bilateral tenosynovitis of radial styloids. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Tendon and synovial disorders.

Code Identity

ICD-10-CM Code
M65.4
Billable Status
Yes — Valid for Submission
Code Describes
Radial styloid tenosynovitis [de Quervain]
Short Description
Radial styloid tenosynovitis [de Quervain]
Same as the full description in the CMS dataset.
Parent Code
M65
Synovitis and tenosynovitis

Code Classification

ChapterM00–M99Diseases of the musculoskeletal system and connective tissue
SectionM65-M67Disorders of synovium and tendon
CategoryM65Synovitis and tenosynovitis
This CodeM65.4Radial styloid tenosynovitis [de Quervain]

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Bilateral tenosynovitis of radial styloids
  • Radial styloid tenosynovitis
  • Tenosynovitis of left radial styloid
  • Tenosynovitis of right radial styloid

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to M65.4: its own notes plus those printed at M65 and Chapter 13. A note printed at a category, block or chapter applies to every code under it.

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

From M65 Synovitis and tenosynovitis applies to 133 codes
  • 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.-)

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From Chapter 13 (M00-M99) Diseases of the musculoskeletal system and connective tissue applies to 6,687 codes
  • 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)

Notes

General instructions on how these codes are used.

From Chapter 13 (M00-M99) Diseases of the musculoskeletal system and connective tissue applies to 6,687 codes
  • Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR MUS009
Tendon and synovial disorders
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Hand Injuries and Disorders

No matter how old you are or what you do for a living, you are always using your hands. When there is something wrong with them, you may not be able to do your regular activities.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert M65.4 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
727.04 Radial styloid tenosynov
Exact Match The mapping is direct, with no qualifiers.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About M65.4Overview

What is the ICD-10 code for radial styloid tenosynovitis [de Quervain]?

The ICD-10-CM code for radial styloid tenosynovitis [de Quervain] is M65.4 (sometimes written as M654). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is M65.4 (Synovitis and tenosynovitis) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report radial styloid tenosynovitis [de Quervain] on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does M65.4 group to?

When radial styloid tenosynovitis [de Quervain] is the principal diagnosis on an inpatient stay, it groups to MS-DRG 557, 558, with relative weights from 0.8873 to 1.4883 depending on complications. Higher weights mean higher Medicare reimbursement.

Can M65.4 be reported with a code from M70.0?

Not as a rule. The Excludes1 note at M65, which applies to M65.4, lists "chronic crepitant synovitis of hand and wrist (M70.0-)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).

What is the ICD-9 equivalent of M65.4?

Under the General Equivalence Mappings, radial styloid tenosynovitis [de Quervain] converts to ICD-9-CM 727.04 (radial styloid tenosynov). The mapping is a direct match.