ICD Code M66.131

ICD code M66.131 is used to classify a medical diagnosis of a rupture of the synovium in the right wrist. The synovium is a specialized connective tissue that lines the inner surface of capsules of synovial joints and tendon sheath. A rupture in this area can lead to pain, swelling, and reduced mobility in the affected wrist. This code is utilized by healthcare providers to document and communicate this specific condition for purposes such as billing, treatment planning, and statistical analysis.

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

1. Patient History
- Previous wrist injuries or trauma.
- History of repetitive wrist movements or overuse.

2. Physical Examination Findings
- Swelling or edema around the wrist joint.
- Tenderness upon palpation of the wrist, particularly over the synovial area.
- Limited range of motion in the wrist.

3. Symptoms
- Pain in the wrist, especially during movement.
- Stiffness in the wrist joint.
- Possible crepitus or a popping sensation during wrist movement.

4. Imaging Studies
- MRI or ultrasound showing fluid accumulation or disruption of the synovial membrane.
- X-rays to rule out fractures or other bone-related issues.

5. Functional Impairment
- Difficulty performing daily activities that require wrist use.
- Decreased grip strength or inability to hold objects.

6. Response to Treatment
- Lack of improvement with conservative management (e.g., rest, ice, compression, elevation).
- Need for further intervention, such as aspiration or surgical repair.

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

For the ICD code M66.131, which pertains to a rupture of synovium in the right wrist, the relevant CPT codes that may be applicable for treatment include:

1. 29846 - Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement.

2. 29847 - Arthroscopy, wrist, surgical; synovectomy, partial.

3. 29848 - Arthroscopy, wrist, surgical; synovectomy, complete.

4. 25210 - Synovectomy, wrist, flexor tendon sheath.

5. 25215 - Synovectomy, wrist, extensor tendon sheath.

These CPT codes are commonly used for procedures that address issues related to the synovium in the wrist, including synovectomy and arthroscopic interventions. It's important for healthcare providers to select the appropriate CPT code based on the specific procedure performed and the clinical scenario.

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