ICD Code M66.141

ICD code M66.141 is used to classify and document a medical diagnosis of a rupture of the synovium in the right hand. The synovium is a specialized connective tissue that lines the inner surface of capsules of synovial joints and tendon sheaths. A rupture in this area can lead to pain, swelling, and impaired function of the hand. This code is essential for healthcare providers to accurately record the condition for treatment planning, billing, and insurance purposes. It ensures that the specific nature of the injury is communicated clearly within the healthcare system.

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

1. Clinical Presentation:
- Patient reports acute pain in the right hand.
- Swelling and tenderness localized to the affected area.

2. Physical Examination Findings:
- Limited range of motion in the right hand.
- Palpable swelling over the synovial area.

3. Imaging Studies:
- MRI or ultrasound confirms the presence of a rupture in the synovium.
- X-rays may be performed to rule out associated fractures or other injuries.

4. History of Trauma:
- Recent history of injury or trauma to the right hand.
- Activities that may have led to overuse or strain on the hand.

5. Associated Symptoms:
- Possible signs of inflammation, such as warmth or redness in the affected area.
- Symptoms of joint instability or mechanical symptoms during movement.

6. Exclusion of Other Conditions:
- Differential diagnosis excludes other causes of hand pain, such as fractures, arthritis, or tendon injuries.

7. Duration of Symptoms:
- Symptoms persisting for a duration consistent with acute injury (typically less than 6 weeks).

8. Response to Initial Treatment:
- Evaluation of the patient's response to conservative management (e.g., rest, ice, compression, elevation) to assess the severity of the condition.

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

For the ICD code M66.141, which pertains to a rupture of synovium in the right hand, the relevant CPT codes that may be applicable for treatment include:

1. 26055 - Tendon sheath incision (e.g., for trigger finger)

2. 26160 - Excision of lesion of tendon sheath or joint capsule (e.g., cyst, mucous cyst, or ganglion), hand or finger

3. 26340 - Manipulation, finger joint, under anesthesia, each joint

4. 26480 - Tenolysis, flexor tendon; palm and/or finger, each tendon

5. 29846 - Arthroscopy, wrist, surgical; with synovectomy, complete

These CPT codes are examples of procedures that might be performed to address issues related to a rupture of the synovium in the right hand. It's important for healthcare providers to select the most appropriate CPT code based on the specific clinical scenario and the procedures performed.

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