ICD Code M66.132

ICD code M66.132 is used to classify and document a medical diagnosis of a rupture of the synovium in the left wrist. The synovium is a specialized connective tissue that lines the inner surface of capsules of synovial joints and tendon sheaths, producing synovial fluid for lubrication. A rupture in this area can lead to pain, swelling, and impaired movement in the affected wrist. This code is essential 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 synovium in the left 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 left wrist joint.
- Tenderness upon palpation of the wrist, particularly over the synovial area.
- Decreased range of motion in the left wrist.

3. Pain Assessment
- Localized pain in the left wrist, especially during movement.
- Pain that may radiate to the forearm or hand.

4. Imaging Studies
- MRI or ultrasound showing fluid accumulation or disruption in the synovial membrane.
- X-rays ruling out fractures or other bony abnormalities.

5. Functional Limitations
- Difficulty performing daily activities that require wrist movement.
- Impairment in grip strength or hand function.

6. Inflammatory Signs
- Presence of warmth or redness around the left wrist.
- Symptoms of inflammation, such as increased pain with activity.

7. Response to Treatment
- Evaluation of symptoms following conservative management (e.g., rest, ice, compression).
- Need for further intervention if symptoms persist or worsen.

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

For the ICD code M66.132, which pertains to the rupture of synovium in the left wrist, the relevant CPT codes that may be applicable for treatment include:

1. CPT 25115 - Excision of synovial cyst of the wrist or forearm.

2. CPT 25116 - Excision of synovial cyst of the wrist or forearm; with excision of associated tendon sheath or joint capsule.

3. CPT 25210 - Synovectomy, wrist, complete.

4. CPT 25215 - Synovectomy, wrist, partial.

5. CPT 25320 - Capsulectomy or capsulotomy; wrist (e.g., for contracture).

These CPT codes are typically used for surgical interventions that may be necessary to address the rupture of synovium in the wrist. It's important for healthcare providers to select the appropriate CPT code based on the specific procedure performed and the clinical scenario. Always ensure accurate documentation and coding practices to optimize reimbursement and compliance.

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