ICD Code M66.112

ICD code M66.112 is used to classify and document a medical diagnosis of a rupture of the synovium in the left shoulder. The synovium is a specialized connective tissue that lines the inner surface of capsules of synovial joints and tendon sheath, producing synovial fluid for lubrication. A rupture in this area can lead to pain, swelling, and impaired movement in the shoulder joint. This code is crucial for healthcare providers to accurately record the condition for treatment planning, billing, and insurance purposes.

When to use the ICD code for a rupture of the synovium in the left shoulder, consider the following diagnostic criteria and symptoms:

1. Clinical Presentation:
- Patient reports pain in the left shoulder.
- Swelling or inflammation in the shoulder joint area.

2. Physical Examination Findings:
- Limited range of motion in the left shoulder.
- Tenderness upon palpation of the shoulder joint.

3. Imaging Studies:
- MRI or ultrasound shows evidence of synovial rupture.
- Joint effusion or fluid accumulation observed in imaging.

4. History of Trauma:
- Recent history of injury or trauma to the left shoulder.
- Previous shoulder conditions that may predispose to synovial rupture.

5. Associated Symptoms:
- Signs of joint instability or mechanical symptoms (e.g., clicking or locking).
- Possible signs of infection (fever, redness, warmth) if applicable.

6. Functional Impairment:
- Difficulty performing daily activities involving the left arm.
- Impact on occupational or recreational activities due to shoulder pain.

7. Response to Conservative Treatment:
- Lack of improvement with conservative management (e.g., rest, ice, physical therapy).

8. Referral to Specialist:
- Referral to an orthopedic specialist for further evaluation and management.

These criteria should guide healthcare providers in determining the appropriate use of the ICD code for this specific condition.

For the ICD code M66.112, which pertains to a rupture of synovium in the left shoulder, the relevant CPT codes that may be applicable for treatment include:

1. 29806 - Arthroscopy, shoulder, surgical; capsulorrhaphy.

2. 29807 - Arthroscopy, shoulder, surgical; repair of SLAP lesion.

3. 29821 - Arthroscopy, shoulder, surgical; synovectomy, partial.

4. 29822 - Arthroscopy, shoulder, surgical; debridement, limited.

5. 29823 - Arthroscopy, shoulder, surgical; debridement, extensive.

6. 23410 - Repair of ruptured musculotendinous cuff (e.g., rotator cuff) open; acute.

7. 23412 - Repair of ruptured musculotendinous cuff (e.g., rotator cuff) open; chronic.

8. 23420 - Reconstruction of complete shoulder (rotator) cuff avulsion, chronic (includes acromioplasty).

These CPT codes are typically used for surgical interventions and procedures that may be necessary to address the condition associated with the ICD code M66.112. It is important for healthcare providers to select the appropriate CPT code based on the specific procedure performed and the clinical scenario.

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